Comparison of Feto-Maternal Outcomes Between Emergency and Elective Cesarean Deliveries in Patients with Gestational Diabetes

Authors : Mehmet OBUT, Neval ÇAYÖNÜ KAHRAMAN, Sadun SUCU, Ayşe KELEŞ, Özgür ARAT, Ozge YUCEL CELİK, Mevlüt BUCAK, Ayberk ÇAKIR, Dilek SAHİN, Aykan YÜCEL

Pages : 52-59

Doi:10.25048/tudod.1233486

View : 12 | Download : 4

Publication Date : 2023-04-28

Article Type : Research Paper

Abstract :Aim: To compare fetal and maternal outcomes between elective and emergency cesarean sections in patients with gestational diabetes mellitus insert ignore into journalissuearticles values(GDM);. Material and Methods: Data from patients with GDM delivered by cesarean section between January 2015 and July 2020 were retrospectively reviewed. Patients were grouped according to whether the cesarean section was elective insert ignore into journalissuearticles values(n=129); or emergency insert ignore into journalissuearticles values(n=158);. Results: The cesarean section rate was higher in patients with GDM insert ignore into journalissuearticles values(31.16%); than in patients without GDM. There were more patients with inadequate maternal care in the emergency cesarean section group than in the elective cesarean section group insert ignore into journalissuearticles values(p=0.003);. One neonate in the elective group and six in the emergency C/S group died, but the rates of neonatal mortality were similar insert ignore into journalissuearticles values(p=0.198);. Maternal morbidity insert ignore into journalissuearticles values(wound infection, fever, blood transfusion, and maternal intensive care); and fetal morbidity insert ignore into journalissuearticles values(birth asphyxia, respiratory morbidity, and neonatal intensive care); were higher in the emergency C/S group insert ignore into journalissuearticles values(p<0.05);. Conclusion: Emergency C/S results in a higher rate of adverse fetal and maternal outcomes in GDM. Adequate maternal care and early identification of GDM pregnancies likely to require cesarean section may increase the frequency of elective cesarean sections, favoring good fetal and maternal outcomes.
Keywords : Diabetes mellitus, Gebelik, Komplikasyonlar, Olumsuz doğum sonuçları, Cerrahi