Evaluation of an Intrapartum Insulin Regimen for Women With Diabetes.

ABSTRACT:

Objective

To examine whether an insulin protocol for intrapartum glucose control among parturients with diabetes was associated with improved outcomes.

Methods

This is a retrospective cohort study of women with pregestational or gestational diabetes delivering a liveborn neonate at Northwestern Memorial Hospital. Before 2011, women with diabetes were given intravenous (IV) insulin or glucose during labor at the discretion of the on-call endocrinologist. In 2011, a standardized protocol was designed to titrate insulin and glucose infusions. Outcomes were compared between two time periods: January 2005-December 2010 (before implementation) and January 2012-December 2017 (after implementation) with 2011 excluded to account for a phase-in period. Maternal outcomes included intra

SUBMITTER: Dude AM 

PROVIDER: S-EPMC7395867 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature