Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2010 Dec;36(6 Pt 2):515-21.
doi: 10.1016/j.diabet.2010.11.005.

Delivery (timing, route, peripartum glycemic control) in women with gestational diabetes mellitus

C Garabedian  1 , P Deruelle
Affiliations
Review

Delivery (timing, route, peripartum glycemic control) in women with gestational diabetes mellitus

C Garabedian et al. Diabetes Metab. 2010 Dec.

Abstract

Objectives: To provide management guidelines for labour and delivery in women with gestational diabetes.

Materials and methods: A literature search was performed using the PubMed and Cochrane databases. Foreign societies guidelines were also consulted.

Results: There is no additional information from recent studies that supports changing current French guidelines about timing of delivery in gestational diabetes. The incidence of shoulder dystocia is increased in women with gestational diabetes, especially when infants weigh more than 4500 g. Elective caesarean-section when the foetal weight is greater than or equal to 4250 to 4500 grams may reduce the risk of shoulder dystocia. Meticulous attention to avoiding maternal hyperglycaemia during labour can prevent neonatal hypoglycaemia. There is no significant role for x-ray pelvimetry in the management of gestational diabetes.

Conclusion: Management of labour and delivery in women with gestational diabetes will mainly depend on estimated foetal weight, especially when macrosomia is present.

PubMed Disclaimer