Managed care does not lower costs but may result in poorer outcomes for patients with gestational diabetes

Article Abstract:

Managed care of gestational diabetics may not decrease total health-care costs and could increase numbers of abnormally heavy infants, reflecting poorer maternal glucose control. Outcomes in 115 patients with gestational diabetes attending a house staff clinic were compared to 85 women receiving managed care. Total care costs were similar. Clinic patients had more doctor visits, while managed care patients had more tests to determine fetal well-being. Managed care resulted in 29% of the newborns weighing over 4,000 grams, compared to the clinic's neonatal macrosomia rate of 15.6%.

Health aspects, Prognosis, Managed care plans (Medical care), Diabetes in pregnancy, Gestational diabetes

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Cephalopelvic disproportion is associated with an altered uterine contraction shape in the active phase of labor

Article Abstract:

Women undergoing spontaneous vaginal delivery (SVD) and cesarean section (C/S) are assessed to determine if intrapartum contractions of a particular shape are predictive of cephalopelvic disproportion (CPD). The analysis has shown that there is a difference in uterine contraction configuration that is more common in those labors destined for C/S due to CPD, indicating the presence of an unknown feedback mechanism as the uterus adapts to the dysfunctional labor.

United States, Risk factors, Labor, Complicated, Cephalopelvic disproportion, Clinical report

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A dilated fetal stomach predicts a complicated postnatal course in cases of prenatally diagnosed gastroschisis

Article Abstract:

A study is conducted to determine whether dilation of the fetal stomach is associated with increased prenatal complications in infants with prenatally diagnosed gastroschisis. The findings indicate that postnatal morbidity and mortality rates are increased in infants with gastroschisis who have a prenatally dilated stomach.

Science & research, Research, Analysis, Fetal tissues, Dilatation and curettage

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