ArticleActa obstetricia et gynecologica Scandinavica2023
Gestational diabetes mellitus and time in active labor: A population-based cohort study.
Article in Acta obstetricia et gynecologica Scandinavica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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Who cites it
5 citing papers in PubMed, 7 citations in OpenAlex.
- Association between prior gestational diabetes mellitus and adverse pregnancy outcomes.Frontiers in endocrinology · 2026Article
- Pregestational Diabetes and Duration of Active Labour Compared With Non-Diabetic Women: A Population-Based Cohort Study.BJOG : an international journal of obstetrics and gynaecology · 2025Article
- Assessment of the hypoglycemic effect ofCurrent research in physiology · 2025Article
- Predictive Factors for Successful Cervical Ripening among Women with Gestational Diabetes Mellitus at Term: A Prospective Study.Journal of clinical medicine · 2023Article
- Gestational diabetes mellitus and time in active labor: A population-based cohort study.Acta obstetricia et gynecologica Scandinavica · 2023Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
introductionWomen with gestational diabetes mellitus (GDM) have higher rates of adverse perinatal outcomes compared with women without GDM, including an increased risk for having labor induced and for cesarean section. The findings from previous studies analyzing duration of labor in women with GDM are contradictory. The aim of the study was to evaluate the impact of GDM on time in spontaneous and induced active labor. MATERIAL AND
methodsThis was a population-based cohort study including 247 524 primiparous women who gave birth to a singleton fetus with cephalic presentation, ≥34
resultsWomen with GDM had significantly longer time in active labor, both with a spontaneous onset and induction of labor compared to women without GDM. Women with GDM had a decreased chance of vaginal delivery at a certain time-point compared to women without GDM, with adjusted hazard ratio of 0.92 (0.88-0.96) and 0.83 (0.76-0.90) for those with spontaneous onset and induction of labor, respectively. Women with GDM had increased risk for time in active labor ≥12 h both in spontaneous labor onset (adjusted odds ratio 1.14 [1.04-1.25]) and in induction of labor (adjusted odds ratio 1.55 [1.28-1.87]).
conclusionsWomen with GDM seem to spend a longer time in active labor, both in spontaneous and induced active labor compared to women without GDM. To be able to individualize care intrapartum, there is a need for more studies demonstrating the impact of hyperglycemia during pregnancy on outcomes during childbirth.
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