Evidence map›Paper›PMID 29117445›Full record

SynthesisDiabetic medicine : a journal of the British Diabetic Association2018

Intrapartum glycaemic control and neonatal hypoglycaemia in pregnancies complicated by diabetes: a systematic review.

J M Yamamoto, J Benham, K Mohammad, L E Donovan, S Wood

3 registry-linked trialsAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Diabetic medicine : a journal of the British Diabetic Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
5.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05647798 naterminatednot on this mapstarted 2023, after this paper: background citation

Management of Intrapartum Glycemia in Gestational Diabetic Mothers: A Randomized Controlled Trial

TypeinterventionalSponsorInova Health Care ServicesRan2023 to 2024Enrolled2ConditionsPregnancy, Gestational Diabetes Mellitus, Class A2, Neonatal HypoglycemiaArmsBlood sugar check every 2 hours, Blood sugar check every 4 hours
NCT06643351 nacompletednot on this mapstarted 2024, after this paper: background citation

Intrapartum Maternal Glucose Control and Effect on Neonatal Hypoglycemia

TypeinterventionalSponsorUniversity of PittsburghRan2024 to 2026Enrolled169ConditionsGestational Diabetes Mellitus in Pregnancy, Pregestational Diabetes Mellitus, Neonatal HypoglycemiaArmsStandard Intrapartum Glucose Target Range, Liberalized Intrapartum Glucose Target Range
NCT07420972 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Pilot Study of Intrapartum Insulin Pump Use: Feasibility, Efficacy and Safety

TypeinterventionalSponsorMedstar Health Research InstituteRan2026 to 2028Enrolled30ConditionsDiabetes, Diabetes (Insulin-requiring, Type 1 or Type 2), PregnancyArmsInsulin pump
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Glycaemic control in labour with diabetes: GILD, a scoping study.Health technology assessment (Winchester, England) · 2025
    Article
  11. Review
  12. Article
  13. Intrapartum Glycemic Control and Clinical Outcomes.Diabetes spectrum : a publication of the American Diabetes Association · 2025
    Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Observational
  19. Article
  20. Reexamining intrapartum glucose control in patients with diabetes and risk of neonatal hypoglycemia.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

J M YamamotoDepartment of Medicine, University of Calgary, Calgary, Alberta, Canada.ORCID 0000-0002-3556-0820
J BenhamDepartment of Medicine, University of Calgary, Calgary, Alberta, Canada.
K MohammadDepartment of Pediatrics, University of Calgary, Calgary, Alberta, Canada.
L E DonovanDepartment of Medicine, University of Calgary, Calgary, Alberta, Canada.
S WoodDepartment of Obstetrics and Gynecology, University of Calgary, Calgary, Alberta, Canada.
University of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo examine whether, in neonates of mothers with Type 1, Type 2 and gestational diabetes, in-target intrapartum glycaemic control was associated with a lower risk of neonatal hypoglycaemia compared with out-of-target glycaemic control.

methodsWe searched PubMed and EMBASE for all available publications, regardless of year, based on a published protocol (PROSPERO CRD42016052439). Studies were excluded if they did not report original data or were animal studies. Data were extracted from published reports in duplicate using a prespecified data extraction form. The main outcome of interest was the association between in-target intrapartum glycaemic control and neonatal hypoglycaemia.

resultsWe screened 2846 records for potential study inclusion; 23 studies, including approximately 2835 women with diabetes, were included in the systematic review. Only two of those studies specifically examined in-target vs out-of-target intrapartum glycaemic control. Of the studies included, six showed a relationship between intrapartum glucose and neonatal hypoglycaemia, five others showed a relationship in at least one of the analyses performed and 12 did not find a significant relationship. Only one study was identified as having a low risk of bias.

conclusionsThere is a paucity of high-quality data supporting the association of glucose during labour and delivery with neonatal hypoglycaemia in pregnancies complicated by diabetes. Further studies are required to examine the impact of tight glycaemic targets in labour.

Indexed as

Blood GlucoseDiabetes, GestationalDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2FemaleHumansHyperglycemiaInfant, NewbornPregnancyPregnancy in DiabeticsPrenatal CareRisk FactorsBlood Glucose

Identifiers

PMID29117445
OpenAlexW2767333602

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.