Association of vaginal delivery efforts with retinal disease in women with type I diabetes.
Citation: Journal of Maternal-Fetal & Neonatal Medicine. 25(1):27-31, 2012 Jan.PMID: 21957876Institution: MedStar Health Research Institute | MedStar Washington Hospital CenterDepartment: Obstetrics and Gynecology/Maternal-Fetal MedicineForm of publication: Journal ArticleMedline article type(s): Journal Article | Research Support, N.I.H., Extramural | Research Support, U.S. Gov't, P.H.S.Subject headings: *Diabetes Mellitus, Type 1/co [Complications] | *Diabetic Retinopathy/pp [Physiopathology] | *Labor, Obstetric/ph [Physiology] | *Pregnancy in Diabetics/pp [Physiopathology] | Blood Glucose/an [Analysis] | Cesarean Section | Diabetes Mellitus, Type 1/bl [Blood] | Diabetes Mellitus, Type 1/th [Therapy] | Female | Humans | Labor Stage, Second/ph [Physiology] | Pregnancy | Retinal Hemorrhage/et [Etiology] | Valsalva Maneuver/ph [Physiology] | Vitreous Hemorrhage/et [Etiology]Local holdings: Available online through MWHC library: 2013 to the presentISSN:- 1476-4954
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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Journal Article | MedStar Authors Catalog | Article | Available | 21957876 |
Available online through MWHC library: 2013 to the present
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.
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