妊娠期糖尿病阴道分娩时机及安全性分析

Analysis on the time and safeness of vaginal delivery with gestational diabetes mellitus

目的：探讨妊娠期糖尿病的阴道分娩时机及阴道分娩的安全性。方法：对2004年1月～2005年6月自愿选择阴道分娩的85例妊娠期糖尿病产妇的临床资料进行回顾性分析。结果：妊娠期糖尿病阴道分娩的剖宫产率、胎儿宫内窘迫发生率、新生儿窒息率、死产及新生儿病率与非妊娠期糖尿病相比无显著性差异（P〉0．05）。〉41周分娩胎儿宫内窘迫发生率增加，差异有显著性（P〈0．01）。结论：妊娠期糖尿病积极控制血糖，加强孕期及产时监测，阴道分娩是安全的，〉41周者应终止妊娠。

Objective： To investigate the time and safeness of vaginal delivery with Gestational Diabetes Mellitus （GDM） . Methods： 85 cases who selected vaginal delivery with GDM were retrospectively analyzed. Results： There were no significant difference between the cases of vaginal delivery with GDM of diet limitation and the witch of no with GDM in morbidity of caesarean, fetal distress in uterus, newborn asphyxia, dead birth and neonate （P 〉 0. 05 ） . There was significant difference witch when 〉 41 weeks delivery （P 〈 0. 01 ） . Conclusion： It is safe that improving glycosemia, paying more attention about the process when vaginal delivery and stop the pregnancy when more 41 weeks.