The influence of induced labor intervention in a selecting time on gestational diabetes pregnant childbirth way

SHEN Shu-jing

doi:10.3969/j.issn.1674-3806.2015.06.10

Abstract：Objective To comparatively analyze the induced labor intervention and natural labor for gesta-tional diabetes pregnant childbirth way and the birth outcomes.Methods 422 cases of the term delivery of women with gestational diabetes mellitus were retrospectively analyzed, with 231 cases in the induced labor group and 191 cases in the natural labor group.Maternal blood glucose value before termination of pregnancy, childbirth way and the perinatal complications were compared between the two groups.Results Satisfaction rate of blood sugar control in the induced labor group was significantly higher than that in the natural birth group(88.7%vs 74.3%) .Fasting blood-glucose and 2-hour postprandial blood glucose were significantly lower in the induced labor group than those in the natural labor group[(5.1 ±0.8) vs (5.7 ±1.0)mmol/L and (6.3 ±0.6) vs (6.8 ±1.2)mmol/L].These differ-ences were statistically significant ( P<0.01 ) .Cesarean section rate was 59.7% in the induced labor group and 58.6%in the natural labor group.There was no significant difference between the two groups( P>0.05) .However, the ratio of the former with fetal distress for cesarean section indications was significantly lower in the induced labor group than that in the natural labor group.The patients′own requirements for indications were significantly higher in the induced labor group than those in the natural labor group(P<0.01).The incidence of perinatal complications of the selective induced labor group was significantly lower than that of the natural labor group (6.5%vs 22.5%, P<0.01).Conclusion Selective induction of intervention can help stabilize the maternal blood glucose level and effec-tively reduce the rate of fetal distress to cesarean section,but has no obvious effect on reducing the rate of cesarean section.