Research Article

Maternal and Fetal Outcomes in Women with Diabetes in Pregnancy Treated before and after the Introduction of a Standardized Multidisciplinary Management Protocol

Table 4

Neonatal outcomes of infants delivered by women with diabetes in pregnancy who delivered before (group 1) and after (group 2) the introduction of a standardized multidisciplinary management protocol.

Group 1Group 2
Before protocolAfter protocol
n: 55n: 67

Birthweight, grams0.214
1 min. Apgar score0.537
5 min. Apgar score0.110
Umbilical cord pH0.105
Fetal macrosomia11 (20)4 (5.3)0.012
Shoulder dystocia3 (16.7)1 (2)0.056
NICU admission21 (38.2)17 (25.4)0.173
Length of NICU stay (days)0.642
Respiratory distress syndrome10 (18.2)7 (10.4)0.297
Sepsis7 (12.7)3 (4.5)0.183
Asphyxia4 (7.3)5 (7.5)1.000
Hypothermia2 (3.6)2 (3)1.000
Hypoglycemia15 (27.3)10 (14.9)0.119
Length of hypoglycemia (days)0.284
Need for respiratory support9 (16.4)9 (13.4)0.799

NICU: neonatal intensive care unit admission. Data are given as number (percentage) or . Data were missing for 9 infants of group 2; therefore, the overall number of infants included in this group (: 67) is different from the number of women included in the same group (: 76). These number and percentages refer to women with vaginal delivery (group 1: 18 women–group 2: 49 women). Significant values in bold.