The DOI matches its Crossref record; 28 of the 28 references it cites were found in a registry or an index.
Intrapartum Management of Insulin-Dependent Diabetes Mellitus (IDDM) Gestants: A comparative study of constant intravenous insulin infusion and continuous subcutaneous insulin infusion pump (CSIIP)
Abstract
Two groups of insulin-dependent diabetes mellitus (IDDM) parturients were managed according to different intrapartum protocols and compared with a control group of normal women in labor. Thirty-seven patients received conventional intensified insulin therapy during pregnancy and intravenous continuous insulin infusion during labor. Twenty-eight women were managed by continuous subcutaneous insulin infusion pump (CSIIP) throughout gestation and this therapeutic approach was continued during labor. When the two glucose control techniques were compared, CSIIP was superior to achieving and maintaining intrapartum optimal metabolic control, reducing significantly the incidence of acute fetal distress, thus lowering the cesarean section rate and neonatal hypoglycemia. Consequently we concur with the recommendation that firm prepartum as well as intrapartum diabetic control is mandatory for successful management of labor in IDDM patients.
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“Elevated maternal blood glucose during labor and delivery increases the risk of neonatal hypoglycemia and fetal distress (195–200)”
From Diabetes and Pregnancy: An Endocrine Society Clinical Practice Guideline (2013) · cites this paper as [200]
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“as well as birth asphyxia and abnormal fetal heart rate (200, 201)”
From Diabetes and Pregnancy: An Endocrine Society Clinical Practice Guideline (2013) · cites this paper as [200]
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“albeit with these associations having been mainly demonstrated in observational studies of women with type 1 diabetes.”
From Diabetes and Pregnancy: An Endocrine Society Clinical Practice Guideline (2013) · cites this paper as [200]
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Metadata
- Authors
- Feldberg, D., Dicker, D., Samuel, N., Peleg, D., Karp, M., Goldman, J. A., & Goldman, J. A.
- Affiliations
- Tel Aviv University (IL)
- ORCID
- Feldberg, Dov
- Venue
- Acta Obstetricia et Gynecologica Scandinavica
- Publisher
- Wiley
- Published
- 1988-01
- Volume
- 67
- Issue
- 4
- Pages
- 333-338
- ISSN
- 0001-6349 (ISSN-L)
- 1600-0412
- OpenAlex
- W2162310684
- Cited by
- 33
- References
- 28
- Citations by year
- 2024: 3 · 2023: 1 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 3 · 2016: 1 · 2015: 2 · 2014: 2 · 2013: 6
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Acta Obstetricia Et Gynecologica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy and Medication Impact
- Keywords
- type 1 diabetes, gestational diabetes mellitus, intrapartum management, insulin pump therapy, intravenous insulin infusion, glycemic control, fetal distress, cesarean section rate, neonatal hypoglycemia
- MeSH terms
- Blood Glucose, Diabetes Mellitus, Type 1, Female, Humans, Infant, Newborn, Infusions, Intravenous, Insulin, Insulin Infusion Systems, Obstetric Labor Complications, Pregnancy, Pregnancy in Diabetics
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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