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Association between 5 min Apgar scores and planned mode of delivery in diabetic pregnancies.

Stuart, Andrea LU ; Matthiesen, Leif LU and Källén, Karin LU (2011) In Acta Obstetricia et Gynecologica Scandinavica 90(4). p.325-331
Abstract
Objective. Due to the high incidence of neonatal complications in diabetic pregnancies, the aim of our study was to investigate whether elective cesarean section could prevent adverse neonatal outcome. Design. Population-based study. Setting. Data were extracted from the Swedish Medical Birth Registry. Population. All women (n=13 491) with diabetic pregnancies during the period 1990-2007. Methods. Neonatal outcome in diabetic pregnancies was compared after elective cesarean section at 38 completed gestational weeks with planned vaginal delivery at 39 completed weeks of gestation or later. Odds ratios with 95% confidence intervals for Apgar scores <7 at 5 min after birth were calculated using multiple logistic regression. Main Outcome... (More)
Objective. Due to the high incidence of neonatal complications in diabetic pregnancies, the aim of our study was to investigate whether elective cesarean section could prevent adverse neonatal outcome. Design. Population-based study. Setting. Data were extracted from the Swedish Medical Birth Registry. Population. All women (n=13 491) with diabetic pregnancies during the period 1990-2007. Methods. Neonatal outcome in diabetic pregnancies was compared after elective cesarean section at 38 completed gestational weeks with planned vaginal delivery at 39 completed weeks of gestation or later. Odds ratios with 95% confidence intervals for Apgar scores <7 at 5 min after birth were calculated using multiple logistic regression. Main Outcome Measures. Apgar score <7 at 5 min after birth. Results. A significantly decreased risk of Apgar score <7 at 5 min after birth in the group who underwent an elective cesarean section at 38 completed gestational weeks was found compared with those who continued pregnancy to 39 completed weeks of gestation or more, irrespective of final mode of delivery. Conclusions. Our results indicate a protective effect of planned cesarean section on the risk of low Apgar scores in diabetic pregnancies. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Obstetricia et Gynecologica Scandinavica
volume
90
issue
4
pages
325 - 331
publisher
Wiley-Blackwell
external identifiers
  • wos:000289515500006
  • pmid:21306328
  • scopus:79952908355
ISSN
1600-0412
DOI
10.1111/j.1600-0412.2010.01068.x
language
English
LU publication?
yes
id
f85c21ee-488a-4cd7-813b-ea3c1c1b84c2 (old id 1832044)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/21306328?dopt=Abstract
date added to LUP
2011-03-01 14:15:16
date last changed
2017-02-22 10:46:40
@article{f85c21ee-488a-4cd7-813b-ea3c1c1b84c2,
  abstract     = {Objective. Due to the high incidence of neonatal complications in diabetic pregnancies, the aim of our study was to investigate whether elective cesarean section could prevent adverse neonatal outcome. Design. Population-based study. Setting. Data were extracted from the Swedish Medical Birth Registry. Population. All women (n=13 491) with diabetic pregnancies during the period 1990-2007. Methods. Neonatal outcome in diabetic pregnancies was compared after elective cesarean section at 38 completed gestational weeks with planned vaginal delivery at 39 completed weeks of gestation or later. Odds ratios with 95% confidence intervals for Apgar scores &lt;7 at 5 min after birth were calculated using multiple logistic regression. Main Outcome Measures. Apgar score &lt;7 at 5 min after birth. Results. A significantly decreased risk of Apgar score &lt;7 at 5 min after birth in the group who underwent an elective cesarean section at 38 completed gestational weeks was found compared with those who continued pregnancy to 39 completed weeks of gestation or more, irrespective of final mode of delivery. Conclusions. Our results indicate a protective effect of planned cesarean section on the risk of low Apgar scores in diabetic pregnancies.},
  author       = {Stuart, Andrea and Matthiesen, Leif and Källén, Karin},
  issn         = {1600-0412},
  language     = {eng},
  number       = {4},
  pages        = {325--331},
  publisher    = {Wiley-Blackwell},
  series       = {Acta Obstetricia et Gynecologica Scandinavica},
  title        = {Association between 5 min Apgar scores and planned mode of delivery in diabetic pregnancies.},
  url          = {http://dx.doi.org/10.1111/j.1600-0412.2010.01068.x},
  volume       = {90},
  year         = {2011},
}