TY  - BOOK
AU  - Feghali, Maisa N
AU  - Miodovnik, Menachem
TI  - Association of vaginal delivery efforts with retinal disease in women with type I diabetes
SN  - 1476-4954
KW  - *Diabetes Mellitus, Type 1/co [Complications]
KW  - *Diabetic Retinopathy/pp [Physiopathology]
KW  - *Labor, Obstetric/ph [Physiology]
KW  - *Pregnancy in Diabetics/pp [Physiopathology]
KW  - Blood Glucose/an [Analysis]
KW  - Cesarean Section
KW  - Diabetes Mellitus, Type 1/bl [Blood]
KW  - Diabetes Mellitus, Type 1/th [Therapy]
KW  - Female
KW  - Humans
KW  - Labor Stage, Second/ph [Physiology]
KW  - Pregnancy
KW  - Retinal Hemorrhage/et [Etiology]
KW  - Valsalva Maneuver/ph [Physiology]
KW  - Vitreous Hemorrhage/et [Etiology]
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, U.S. Gov't, P.H.S
N1  - Available online through MWHC library: 2013 to the present
N2  - CONCLUSION: With close follow-up and good glycemic control, expulsive efforts in the second stage of labor do not affect the progression of retinopathy in women with type I DM. Our data support the premise that pregnant women with type I DM and stable retinopathy should not be denied vaginal delivery, if otherwise not contraindicated; OBJECTIVE: To determine whether the second stage of labor affects the progression of retinopathy in women with type I diabetes mellitus (DM). RESEARCH AND DESIGN: The study is a secondary analysis of 192 pregnant women with type I DM who participated in an interdisciplinary diabetes in pregnancy intervention program between 1978 and 1993. Evaluation for diabetic retinopathy (DR) was performed each trimester and 6-12 weeks postpartum by the same two ophthalmologists. Women were divided into three groups: (i) elective cesarean delivery (n=60), (ii) cesarean delivery prior to the second stage of labor (n=69) and (iii) vaginal or cesarean delivery in the second stage (n=63). Progression of DR during pregnancy and between pregnancy and postpartum was compared among the groups; RESULTS: Maternal demographics, glycemic control and pregnancy complications were similar among groups. Progression of retinopathy from early and late pregnancy to postpartum did not differ between the three groups
UR  - http://dx.doi.org/10.3109/14767058.2012.626924
ER  -