Elective delivery of infants with macrosomia in diabetic women: reduced shoulder dystocia versus increased cesarean deliveries

Article Abstract:

Ultrasound can be used to identify which pregnant women are at risk of shoulder dystocia and these women can be delivered by cesarean section. Shoulder dystocia is a difficult delivery because the fetus is too big to go through the birth canal. Researchers used ultrasound to identify large fetuses in 2,604 diabetic pregnant women. Eleven percent had large fetuses and were offered a cesarean. This cut the rate of shoulder dystocia in half and raised the cesarean section rate from 22% to 25%. Ultrasound was able to identify 87% of the women at risk of shoulder dystocia.

Usage, Ultrasound imaging, Prevention, Cesarean section, Dystocia, Fetal macrosomia

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Effects of new criteria for type 2 diabetes on the rate of postpartum glucose intolerance in women with gestational diabetes

Article Abstract:

Many women with impaired glucose metabolism will not be diagnosed if new diagnostic criteria are used. The new criteria de-emphasize the glucose tolerance test and favor the measurement of fasting blood glucose. In a study of 179 women, 64% of those with impaired glucose metabolism had a normal fasting blood glucose but an abnormal glucose tolerance test.

Innovations, Type 2 diabetes, Medical screening, Health screening

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A comparison of glyburide and insulin in women with gestational diabetes mellitus

Article Abstract:

Pregnant women with diabetes can take glyburide instead of insulin. In a study of 404 women, glyburide controlled blood sugar as well as insulin, and was not detected in fetal cord blood. This indicates that the drug is safe when taken during pregnancy.

Evaluation, Drug therapy, Diabetes in pregnancy, Gestational diabetes, Glibenclamide, Glyburide

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