Does cardiotocography have a role in the antenatal management of pregnancy complicated by gestational diabetes mellitus?
| Autor: | Rodney W. Petersen, Julie A. Quinlivan, Timothy Jeffery |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
musculoskeletal diseases congenital hereditary and neonatal diseases and abnormalities medicine.medical_specialty Cardiotocography endocrine system diseases Combination therapy 03 medical and health sciences 0302 clinical medicine Acquired immunodeficiency syndrome (AIDS) Pregnancy medicine Humans Hypoglycemic Agents Prospective Studies 030212 general & internal medicine Medical Audit 030219 obstetrics & reproductive medicine medicine.diagnostic_test Obstetrics business.industry Obstetrics and Gynecology Prenatal Care General Medicine medicine.disease Combined Modality Therapy nervous system diseases Gestational diabetes Diabetes Gestational Number needed to treat Female Complication business Cohort study |
| Zdroj: | Australian and New Zealand Journal of Obstetrics and Gynaecology. 56:358-363 |
| ISSN: | 0004-8666 |
| DOI: | 10.1111/ajo.12487 |
| Popis: | Background Controversy surrounds the role of fetal cardiotocography (CTG) in the antenatal management of pregnancy complicated with gestational diabetes mellitus (GDM). Aim The aim was to investigate whether antenatal CTG aids management in pregnancy complicated by GDM. Materials and methods A prospective audit of 1404 consecutive antenatal CTG in women diagnosed with GDM. Outcomes for all CTG were audited to determine whether CTG altered pregnancy management. Results In women requiring combination therapy (diet and medication), 43 CTG were required to change management of a pregnancy. In women managed by diet alone with a secondary pregnancy complication, 161 CTG were required to change management. In women managed by diet alone with no secondary pregnancy complication, CTG did not change management. Conclusions Antenatal CTG is not recommended in women with GDM managed by diet alone with no secondary pregnancy complication. Antenatal CTG is recommended in women with GDM who require combination therapy (diet and medication). The role of CTG in women managed by diet alone with a secondary pregnancy complication should be based upon the nature of the complication. |
| Databáze: | OpenAIRE |
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