Obstetric interventions for women with type 1 or type 2 diabetes

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dc.contributor.author Cundy, Timothy en
dc.contributor.author Morgan, J en
dc.contributor.author O'Beirne, C en
dc.contributor.author Gamble, Gregory en
dc.contributor.author Budden, A en
dc.contributor.author Ivanova, V en
dc.contributor.author Wallace, M en
dc.date.accessioned 2015-01-20T23:29:57Z en
dc.date.issued 2013 en
dc.identifier.citation International Journal of Gynecology and Obstetrics, 2013, 123 (1), pp. 50 - 53 en
dc.identifier.issn 0020-7292 en
dc.identifier.uri http://hdl.handle.net/2292/24190 en
dc.description.abstract Objective To determine whether differences exist in the rates of obstetric intervention between women with type 1 diabetes and those with type 2 diabetes, and whether there has been any change in cesarean rates over time, paralleling that seen in the general obstetric population. Methods Data were examined from a prospectively collected series on the outcomes of 1030 deliveries (382 by women with type 1 diabetes, 648 by women with type 2 diabetes) from 1988 to 2008. Results There was a secular trend to increasing maternal age (type 1, P < 0.003; type 2, P < 0.03). Intervention rates (induction of labor or elective cesarean) did not differ between type 1 (88%) and type 2 (85%) diabetes. The overall cesarean rate was 52%–55% with no secular trend. Poorer glycemic control in early pregnancy and primiparity were associated with primary cesarean in both groups. In women with type 1 diabetes, greater maternal obesity and retinopathy were also associated with primary cesarean. Conclusion Intervention rates are high in pregnancies among women with type 1 diabetes and those with type 2 diabetes but they have not changed significantly. Secular trends toward increasing maternal age and obesity suggest that intervention rates are unlikely to decrease in the near future. en
dc.relation.ispartofseries International Journal of Gynecology and Obstetrics en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.sherpa.ac.uk/romeo/issn/0020-7292/ en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title Obstetric interventions for women with type 1 or type 2 diabetes en
dc.type Journal Article en
dc.identifier.doi 10.1016/j.ijgo.2013.04.022 en
pubs.issue 1 en
pubs.begin-page 50 en
pubs.volume 123 en
pubs.end-page 53 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Article en
pubs.elements-id 406961 en
pubs.org-id Medical and Health Sciences en
pubs.org-id School of Medicine en
pubs.org-id Medicine Department en
dc.identifier.eissn 1879-3479 en
pubs.record-created-at-source-date 2015-01-21 en


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