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. 2000 Jan;23(1):15-7.
doi: 10.2337/diacare.23.1.15.

Gestational diabetes: is a higher cesarean section rate inevitable?

R G Moses  1 , S J Knights, E M Lucas, M Moses, K G Russell, K J Coleman, W S Davis
Affiliations

Gestational diabetes: is a higher cesarean section rate inevitable?

R G Moses et al. Diabetes Care. 2000 Jan.

Abstract

Objective: To determine the rate of and indication for cesarean section for women with gestational diabetes mellitus (GDM) compared with glucose-tolerant women.

Research design and methods: From a consecutive series of women with GDM seen over a 9-year period for medical management, women who had had a cesarean section were identified and the reason for the section determined from a review of the medical record. A control group of women who had had a section were obtained from an existing database of glucose-tolerant women.

Results: The section rate for women with GDM was higher at 19.8% than the 15.6% for glucose-tolerant women. However, after adjustment for age and parity, no significant differences were found. There were also no differences found for the primary indication for section.

Conclusions: In our health area of New South Wales, Australia, women with GDM do not have a higher section rate compared with glucose-tolerant women. Concerns about the diagnosis of GDM leading to an increased rate of obstetric intervention should not be generalized.

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