Advertisement

Topics

Glycemic control during labor and delivery: a survey of academic centers in the United States.

Summary of "Glycemic control during labor and delivery: a survey of academic centers in the United States."


PURPOSE:
Significant controversy surrounds the management of blood glucose levels during labor and delivery. The American College of Obstetrics and Gynecology has recommended "tight" blood glucose control (<110 mg/dL). However, there is concern that tight control can increase the incidence of maternal hypoglycemia. Thus, there remains a lack of consensus regarding glycemic control during labor and delivery. To assess the current intrapartum glycemic management, we surveyed obstetrical residency programs in the United States.
METHODS:
Questionnaires were distributed via email and if there was no response within 3 weeks, they were mailed to obstetrics/gynecology residency program directors.
RESULTS:
Of the 117 questionnaires distributed, 49 responses (41.9%) were received, but one was excluded, as it was incomplete. Although 85% of responders reported having a written protocol in place regarding intrapartum BG management, there was significant variation in target blood glucose levels, maintenance of those levels, monitoring of glucose levels, and fluid management during labor and delivery.
CONCLUSION:
The key finding of our survey is that there is significant variation in blood glucose management during labor and delivery. This survey identifies areas for improvement as well as areas for future research. Given the sparse obstetrical literature, properly conducted trials are necessary to assess all aspects of optimal intrapartum glucose management.

Affiliation

Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical School, 5323 Harry Hines Blvd, Dallas, TX, 75390-9068, USA, egrn1998@yahoo.com.

Journal Details

This article was published in the following journal.

Name: Archives of gynecology and obstetrics
ISSN: 1432-0711
Pages:

Links

DeepDyve research library

PubMed Articles [17579 Associated PubMed Articles listed on BioPortfolio]

A Journey to Improved Inpatient Glycemic Control by Redesigning Meal Delivery and Insulin Administration.

The purpose of this quality improvement project was to redesign a hospital meal delivery process in order to shorten the time between blood glucose monitoring and corresponding insulin administration ...

Hot Topics in Primary Care: Ambulatory Glucose Profiling.

Diabetes management is essentially a balancing act between maintenance of good glycemic control to reduce the risk of complications, particularly end organ damage and avoidance of severe hypoglycemia....

Surge and Surge Capacity in Labor and Delivery Triage Volumes.

Objective To understand the variation in Labor and Delivery triage and delivery volumes in an urban tertiary care center and the types of visits associated with this variability. Study Design Retr...

Effects of exercise on glycemic control in type 2 diabetes mellitus in Koreans: the fifth Korea National Health and Nutrition Examination Survey (KNHANES V).

[Purpose] The aim of this study was to investigate the effect of exercise on glycemic control using data from fifth Korea National Health and Nutrition Examination Survey and to provide appropriate ex...

Glycemic Control and the Risk of Tuberculosis: A Cohort Study.

Diabetes is a well-known risk factor for tuberculosis (TB) and is increasingly prevalent in low- and middle-income countries, where the burden of TB is high. Glycemic control has the potential to modi...

Clinical Trials [4698 Associated Clinical Trials listed on BioPortfolio]

The Labor and Delivery Teamwork Intervention Trial

A cluster-randomized controlled trial was conducted at 7 intervention and 8 control hospitals to evaluate the effect of teamwork training on the occurrence of adverse outcomes and processe...

A Randomizzed Control Trial of Enhanced vs. Routine Clear Liquid Intake in Labor

The goal of the study is to see if the addition of a carbohydrate- and protein-enhanced gel during labor speeds labor and reduces the rate of cesarean delivery.

Patient Education on Labor Analgesia Options

The purpose of this study is to learn how the investigators can better educate pregnant patients about the options open to them for pain relief during labor. Patients will receive educati...

Correlation Between the Polymorphism ofβ2 AR and the Labor Progress After Labor Analgesia

Labor and delivery is a unique physiological experience of women. Inappropriate length of labor progress during vaginal delivery may produce great risks for mother and fetus. Especially th...

Paperless Partograph for Management of Low Risk Labor

Paperless partograph is a technique used for monitoring the progress of labor before delivery, and arriving at the accurate time to intervene for ensuring a safe delivery. The study will ...

Medical and Biotech [MESH] Definitions

Artificially induced UTERINE CONTRACTION. Generally, LABOR, OBSTETRIC is induced with the intent to cause delivery of the fetus and termination of pregnancy.

A concept, developed in 1983 under the aegis of and supported by the National Library of Medicine under the name of Integrated Academic Information Management Systems, to provide professionals in academic health sciences centers and health sciences institutions with convenient access to an integrated and comprehensive network of knowledge. It addresses a wide cross-section of users from administrators and faculty to students and clinicians and has applications to planning, clinical and managerial decision-making, teaching, and research. It provides access to various types of clinical, management, educational, etc., databases, as well as to research and bibliographic databases. In August 1992 the name was changed from Integrated Academic Information Management Systems to Integrated Advanced Information Management Systems to reflect use beyond the academic milieu.

Labor and delivery without medical intervention, usually involving RELAXATION THERAPY.

Mechanical or anoxic trauma incurred by the infant during labor or delivery.

Medical complexes consisting of medical school, hospitals, clinics, libraries, administrative facilities, etc.

Quick Search
Advertisement
 


DeepDyve research library

Relevant Topic

Anesthesiology
An anesthesiologist (US English) or anaesthetist (British English) is a physician trained in anesthesia and perioperative medicine. Anesthesiologists are physicians who provide medical care to patients in a wide variety of (usually acute) situations. ...


Searches Linking to this Article