TY  - BOOK
AU  - Driggers, Rita W
AU  - Huang, Chun Chih
AU  - Landy, Helain J
AU  - Singh, Jasbir
AU  - Timofeev, Julia
TI  - Spontaneous labor curves in women with pregnancies complicated by diabetes
SN  - 1476-4954
PY  - 2012///
KW  - *Labor, Obstetric/ph [Physiology]
KW  - *Pregnancy in Diabetics/pp [Physiopathology]
KW  - Adult
KW  - Birth Weight
KW  - Body Mass Index
KW  - Cohort Studies
KW  - Diabetes, Gestational/pp [Physiopathology]
KW  - Female
KW  - Fetal Macrosomia/ep [Epidemiology]
KW  - Humans
KW  - Infant, Newborn
KW  - National Institutes of Health (U.S.)
KW  - Parity
KW  - Pregnancy
KW  - Retrospective Studies
KW  - Time Factors
KW  - United States
KW  - MedStar Health Research Institute
KW  - MedStar Washington Hospital Center
KW  - Obstetrics and Gynecology, Maternal-Fetal Medicine
KW  - Journal Article
KW  - Research Support, N.I.H., Extramural
KW  - Research Support, N.I.H., Intramural
KW  - Research Support, Non-U.S. Gov't
N1  - Available online through MWHC library: 2013 to the present
N2  - CONCLUSIONS: Labor curves of women with preDM and GDM approximate those of non-diabetics, regardless of BMI, birth weight, or parity; METHODS: A retrospective analysis was performed from 228,668 deliveries between 2002-2008 from the Consortium of Safe Labor (National Institute of Child Health and Human Development, National Institutes of Health). Patients with spontaneous onset of labor from 37 0/7-41 6/7 weeks gestation were included (71,282) and classified as nulliparous or multiparous. Pregnancies were further subdivided regarding presence of preexisting diabetes (preDM) or gestational diabetes (GDM) and normal controls. Labor curves were created matching for body mass index (BMI) and neonatal birth weight. Statistical analysis was performed on descriptive variables using (2) with significance designated as p<0.05; OBJECTIVE: To test the hypothesis that the first stage of labor will be longer in nulliparous and multiparous women with diabetes compared to non-diabetic counterparts; RESULTS: Among nulliparous patients, there were 118 women with preDM and 475 women with GDM; 25,771 patients served as normal controls. Among multiparous women, there were 311 with preDM, 1,079 with GDM and 43,528 in the control group. Although differences in dilatation rates were observed in nulliparous and multiparous women with and without diabetes, labor progression was similar between the subgroups when matched for maternal BMI and birth weight
UR  - http://dx.doi.org/10.3109/14767058.2012.626923
ER  -