@article{article_1233486, title={Comparison of Feto-Maternal Outcomes Between Emergency and Elective Cesarean Deliveries in Patients with Gestational Diabetes}, journal={Turkish Journal of Diabetes and Obesity}, volume={7}, pages={52–59}, year={2023}, DOI={10.25048/tudod.1233486}, author={Obut, Mehmet and Çayönü Kahraman, Neval and Sucu, Sadun and Keleş, Ayşe and Arat, Özgür and Yucel Celik, Ozge and Bucak, Mevlüt and Çakır, Ayberk and Sahin, Dilek and Yücel, Aykan}, keywords={Diabetes mellitus, Gebelik, Komplikasyonlar, Olumsuz doğum sonuçları, Cerrahi}, abstract={Aim: To compare fetal and maternal outcomes between elective and emergency cesarean sections in patients with gestational diabetes mellitus (GDM). Material and Methods: Data from patients with GDM delivered by cesarean section between January 2015 and July 2020 were retrospectively reviewed. Patients were grouped according to whether the cesarean section was elective (n=129) or emergency (n=158). Results: The cesarean section rate was higher in patients with GDM (31.16%) than in patients without GDM. There were more patients with inadequate maternal care in the emergency cesarean section group than in the elective cesarean section group (p=0.003). One neonate in the elective group and six in the emergency C/S group died, but the rates of neonatal mortality were similar (p=0.198). Maternal morbidity (wound infection, fever, blood transfusion, and maternal intensive care) and fetal morbidity (birth asphyxia, respiratory morbidity, and neonatal intensive care) were higher in the emergency C/S group (p <0.05). Conclusion: Emergency C/S results in a higher rate of adverse fetal and maternal outcomes in GDM. Adequate maternal care and early identification of GDM pregnancies likely to require cesarean section may increase the frequency of elective cesarean sections, favoring good fetal and maternal outcomes.}, number={1}, publisher={Zonguldak Bülent Ecevit Üniversitesi}