Diabetes, Fetal Demise, and Shoulder Dystocia: The Importance of Glucose Screening to Prevent Catastrophic Obstetric Outcomes
المؤلفون المشاركون
Hussain, S. Ahmed
Smith, Alisha M.
Cross, Jennifer A.
المصدر
Case Reports in Obstetrics and Gynecology
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-03-11
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Diabetes is associated with increased risk of stillbirth and shoulder dystocia.
Compared with uncomplicated pregnancies, diabetic patients have a 4-6x risk of stillbirth and 2-3x risk of shoulder dystocia.
A 34 yo G2P0010 presented with a 40+3 wga IUFD with nonstandard antenatal glucose screening.
Admission labs included a hemoglobin A1c of 6.6.
She had a vaginal delivery complicated by a 30-minute shoulder dystocia that was not relieved by McRoberts, suprapubic pressure, Rubin II, Wood’s Screw, or posterior arm delivery.
Nitroglycerine was administered, after which Wood’s Screw was successful resulting in delivery of an infant weighing 4190 grams (85th percentile for gestational age).
A 31 yo G1 presented with a 37+1 wga IUFD.
Her 28 wga three-hour GTT was notable for an elevated value at one hour (216 mg/dL).
Admission labs included a hemoglobin A1c of 6.6.
She had a vaginal delivery complicated by a 30-minute shoulder dystocia that was relieved via posterior axillary sling after failure of McRoberts, suprapubic pressure, Rubin II, Wood’s Screw, and Gaskin’s, resulting in the delivery of an infant weighing 3590 g (92nd percentile for gestational age).
We present two cases of severe shoulder dystocia in patients who both presented with term IUFD and diabetic-range hemoglobin A1c.
There is minimal literature on diabetic patients with pregnancies affected by both stillbirth and shoulder dystocia.
These cases underscore the importance of glucose screening and control to prevent catastrophic obstetric outcomes.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Hussain, S. Ahmed& Smith, Alisha M.& Cross, Jennifer A.. 2020. Diabetes, Fetal Demise, and Shoulder Dystocia: The Importance of Glucose Screening to Prevent Catastrophic Obstetric Outcomes. Case Reports in Obstetrics and Gynecology،Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1149178
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Hussain, S. Ahmed…[et al.]. Diabetes, Fetal Demise, and Shoulder Dystocia: The Importance of Glucose Screening to Prevent Catastrophic Obstetric Outcomes. Case Reports in Obstetrics and Gynecology No. 2020 (2020), pp.1-5.
https://search.emarefa.net/detail/BIM-1149178
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Hussain, S. Ahmed& Smith, Alisha M.& Cross, Jennifer A.. Diabetes, Fetal Demise, and Shoulder Dystocia: The Importance of Glucose Screening to Prevent Catastrophic Obstetric Outcomes. Case Reports in Obstetrics and Gynecology. 2020. Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1149178
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1149178
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر