naa a22 4500 510779247 CHVBK 20180411083241.0 cr unu---uuuuu 180411e20130201xx s 000 0 eng 10.1007/s11892-012-0338-8 doi (NATIONALLICENCE)springer-10.1007/s11892-012-0338-8 Fetal Macrosomia and Shoulder Dystocia in Women with Gestational Diabetes: Risks Amenable to Treatment? [Elektronische Daten] [Brett Young, Jeffrey Ecker] Fetal macrosomia and maternal diabetes are independent risk factors for shoulder dystocia, an obstetrical emergency that may cause permanent neonatal injury. Randomized trials of glycemic control in pregnancies complicated by gestational diabetes reveal decreased rates of macrosomia and shoulder dystocia among those treated. However, definitions of gestational diabetes vary and a specific glycemic threshold for clinically significant risk reduction remains to be delineated. This review discusses risks associated with gestational diabetes including macrosomia (birth weight above 4000-4500g) and delivery-related morbidity, specifically, shoulder dystocia. Subsequently, we will review recent randomized trials assessing the impact of glycemic control on these delivery-related morbidities. Finally, we will examine a large observational study that found associations with delivery-related morbidity and hyperglycemia below current diabetic thresholds, observations which may suggest reexamination of current diagnosis guidelines for gestational diabetes. Springer Science+Business Media New York, 2012 Gestational diabetes nationallicence Hyperglycemia nationallicence Fetal macrosomia nationallicence Shoulder dystocia nationallicence ACHOIS : Australian Carbohydrate Intolerance Study in Pregnant Women nationallicence NICHD MFMU : National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network nationallicence HAPO : Hyperglycemia and Adverse Pregnancy Outcomes nationallicence Young Brett Massachusetts General Hospital, Division of Maternal Fetal Medicine, 55 Fruit Street, Founders 4th Floor, 02114, Boston, MA, USA aut Ecker Jeffrey Massachusetts General Hospital, Division of Maternal Fetal Medicine, 55 Fruit Street, Founders 4th Floor, 02114, Boston, MA, USA aut Current Diabetes Reports Current Science Inc. 13/1(2013-02-01), 12-18 1534-4827 13:1<12 2013 13 11892 https://doi.org/10.1007/s11892-012-0338-8 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11892-012-0338-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Young Brett Massachusetts General Hospital, Division of Maternal Fetal Medicine, 55 Fruit Street, Founders 4th Floor, 02114, Boston, MA, USA aut NATIONALLICENCE 700 1- Ecker Jeffrey Massachusetts General Hospital, Division of Maternal Fetal Medicine, 55 Fruit Street, Founders 4th Floor, 02114, Boston, MA, USA aut NATIONALLICENCE 773 0- Current Diabetes Reports Current Science Inc 13/1(2013-02-01), 12-18 1534-4827 13:1<12 2013 13 11892 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer