C-sections have their own set of risk factors. There are always risks. By Jeanne Faulkner March 13, Save Pin FB More. Pregnant belly in red dress. Credit: Shutterstock. Schedule an appointment with your doctor to talk about your concerns. Take your partner with you for support and backup.
Tell your doctor what your hopes and goals are for labor. Be specific about your induction and epidural worries. Give your doctor a chance to explain his line of thinking. Listen carefully and ask all your questions. No baby in the trial experienced birth trauma. In the group of women whose labour was induced, there were more incidences of jaundice in the babies. There was no clear difference between women in either group in relation to serious health problems for women, caesarean section, instrumental vaginal birth, postpartum haemorrhage, admission to an intensive care unit and intact perineum.
There were no reports in either group of maternal deaths. It should be noted that most of the evidence was found to be of very low quality. The following outcomes were not reported: postnatal depression, maternal satisfaction, length of postnatal stay mother , babies with high blood acid, bleeding in the baby's brain, other brain problems for the babies, babies small-for-gestational age and length of baby's postnatal stay.
There is insufficient evidence to clearly identify if there are differences in health outcomes for women with gestational diabetes and their babies when elective birth is undertaken compared to waiting for labour to start spontaneously or until 41 weeks' gestation if all is well.
More research is needed to answer this question. There is limited evidence to inform implications for practice. The available data are not of high quality and lack power to detect possible important differences in either benefit or harm.
There is an urgent need for high-quality trials evaluating the effectiveness of planned birth at or near term gestation for women with gestational diabetes compared with an expectant approach.
Gestational diabetes is a type of diabetes that occurs during pregnancy. Women with gestational diabetes are more likely to experience adverse health outcomes such as pre-eclampsia or polyhydramnios excess amniotic fluid. Current clinical guidelines support elective birth, at or near term in women with gestational diabetes to minimise perinatal complications, especially those related to macrosomia. This review replaces a review previously published in that included "diabetic pregnant women", which has now been split into two reviews.
This current review focuses on pregnant women with gestational diabetes and a sister review focuses on women with pre-existing diabetes Type 1 or Type 2.
To assess the effect of planned birth either by induction of labour or caesarean birth , at or near term 37 to 40 weeks' gestation compared with an expectant approach for improving health outcomes for women with gestational diabetes and their infants.
The primary outcomes relate to maternal and perinatal mortality and morbidity. We included randomised trials comparing planned birth, at or near term 37 to 40 weeks' gestation , with an expectant approach, for women with gestational diabetes. Cluster-randomised and non-randomised trials e. Timing of delivery matters. Download PDF. Table of contents SRI Magazine Target: Cancer Studies help blood cancer patients make treatment decisions Overcoming treatment resistance in cancer How can we speed up biopsy for thyroid cancer?
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