The routine induction of labor among women with preexisting type 1 and type 2 diabetes before pregnancy is a common practice and rightful under individual circumstances. But according to recent findings published in BMJ Open Diabetes Research and Care, it is also associated with certain neonatal complications related to deliveries before 38 weeks.
“Based on this population-based, retrospective data, delivery of women with preexisting diabetes before 39 weeks’ gestation is associated with a higher rate of neonatal complications and does not reduce the cesarean section rate,” said lead researcher of the study, Howard Berger, MD, head of maternal fetal medicine at St. Michael’s Hospital, Toronto. “Clinicians are often faced with the dilemma of when to deliver pregnant women with preexisting type 1 and type 2 diabetes. On one hand, it is known that pregnancies in women with preexisting diabetes are at increased risk for certain complications, including stillbirth and the development of preeclampsia. This has led to many clinicians electively choosing to deliver these women before 39 weeks’ gestation, but the price that is paid is an increase in early-term deliveries, which carry with them an increase in certain neonatal complications.”
According to Mayo Clinic, labor induction carries various risks, including: