Comparative Analysis of Pregnancy Outcome and Delivery Mode of Preg-nant Women with Type A1 Gestational Diabetes at Different Times of In-duced Labor
Objective To explore the effects of different induction time on delivery mode and delivery outcome of preg-nant women with type A1 gestational diabetes mellitus(GDM).Methods The clinical data of 120 pregnant women with type A1 GDM admitted to Jiawang District People's Hospital of Xuzhou City from January 2021 to December 2023 were retrospectively analyzed.According to the timing of labor induction,they were divided into study group(40 weeks+of pregnancy)and control group(39 weeks+of pregnancy),with 60 cases in each group.The delivery mode and delivery outcome of the two groups were compared.Results There was no significant difference in the rate of lateral in-cision and vaginal midwifery between the two groups(both P>0.05).The rate of cesarean section,the rate of using wa-ter sac and the rate of using oxytocin in the study group were lower than those in the control group,and the differences were statistically significant(all P<0.05).There was no significant difference in neonatal score at 10 min after birth,neonatal weight and 24-hour maternal blood loss between the two groups(all P>0.05).The neonatal score at 1 min af-ter birth in the study group was(9.97±0.03)points,which was higher than(9.17±0.25)points in the control group,and the difference was statistically significant(t=24.611,P<0.05).There was no significant difference in the incidence of neonatal hypoglycemia between the two groups(P>0.05).The incidences of neonatal asphyxia,fetal distress,macroso-mia,postpartum hemorrhage and puerperal infection in the study group were lower than those in the control group,and the differences were statistically significant(all P<0.05).Conclusion Compared with induced labor after 39 weeks+,in-duced labor after 40 weeks+can improve the delivery mode and pregnancy outcome of pregnant women with type A1 GDM.
Type A1 gestational diabetes39 weeks+induced labor40 weeks+induced laborDelivery methodpregnancy outcome
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