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논문 기본 정보

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저자정보
Hong Subeen (Department of Obstetrics and Gynecology, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.) Seol Hyun-Joo (Department of Obstetrics and Gynecology, Kyung Hee University School of Medicine, Kyung Hee University Hospital at Gangdong, Seoul, Korea.) Lee JoonHo (Department of Obstetrics and Gynecology, Institute of Women’s Medical Life Science, Yonsei University College of Medicine, Yonsei University Health System, Seoul, Korea.) Hwang Han Sung (Division of Maternal and Fetal Medicine, Department of Obstetrics and Gynecology, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.) Sung Ji-Hee (Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.) Kwon Ji Young (Department of Obstetrics and Gynecology, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.) Lee Seung Mi (Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.) Seong Won Joon (Department of Obstetrics and Gynecology, School of Medicine, Kyungpook National University, Daegu, Korea.) Choi Soo Ran (Department of Obstetrics and Gynecology, Inha University College of Medicine, Incheon, Korea.) Kim Seung Chul (Department of Obstetrics and Gynecology, Pusan National University College of Medicine, Busan, Korea.) Kim Hee-Sun (Department of Obstetrics and Gynecology, Dongguk University Ilsan Hospital, Goyang, Korea.) Lee Se Jin (Department of Obstetrics and Gynecology, Kangwon National University Hospital, School of Medicine, Kangwon National University, Chuncheon, Korea.) Choi Sae-Kyung (Department of Obstetrics and Gynecology, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.) Lee Kyung A (Department of Obstetrics and Gynecology, College of Medicine, Ewha Womans University, Seoul, Korea.) Ko Hyun Sun (Department of Obstetrics and Gynecology, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.) Park Hyun Soo (Department of Obstetrics and Gynecology, Dongguk University Ilsan Hospital, Goyang, Korea.Family Medicine Residency, Providence St. Joseph Eureka Hospital, Eureka, CA, USA.)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.39 No.34
발행연도
2024.9
수록면
1 - 8 (8page)
DOI
10.3346/jkms.2024.39.e236

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초록· 키워드

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Background: We investigated the impacts of tocolytic agents on maternal and neonatal blood glucose levels in women with gestational diabetes mellitus (GDM) who used tocolytics for preterm labor. Methods: This multi-center, retrospective cohort study included women with GDM who were admitted for preterm labor from twelve hospitals in South Korea. We excluded women with multiple pregnancies, anomalies, overt DM diagnosed before pregnancy or 23 weeks of gestation, and women who received multiple tocolytics. The patients were divided according to the types of tocolytics; atosiban, ritodrine, and nifedipine group. We collected baseline maternal characteristics, pregnancy outcomes, maternal glucose levels during hospitalization, and neonatal glucose levels. We compared the frequency of maternal hyperglycemia and neonatal hypoglycemia among three groups. A multivariate logistic regression analysis was performed to evaluate the contributing factors to the occurrence of maternal hyperglycemia and neonatal hypoglycemia. Results: A total of 128 women were included: 44 (34.4%), 51 (39.8%), and 33 (25.8%) women received atosiban, ritodrine, and nifedipine, respectively. Mean fasting blood glucose (FBG) (112.3, 109.6, and 89.5 mg/dL, P < 0.001) and 2-hour postprandial glucose (PPG2) levels (145.4, 148.3, and 116.5 mg/dL, P = 0.004) were significantly higher in atosiban and ritodrine group than those in nifedipine group. Even after adjusting for covariates including antenatal steroid use, gestational age at admission, and pre-pregnancy body mass index, there was an increased risk of high maternal mean FBG (≥ 95 mg/dL) and PPG2 (≥ 120 mg/dL) levels in the atosiban and ritodrine group than in nifedipine group. The atosiban and ritodrine groups are also at increased risk of neonatal hypoglycemia (< 47 mg/dL) compared to the nifedipine group with the odds ratio of 4.58 and 4.67, respectively (P < 0.05). Conclusion: There is an increased risk of maternal hyperglycemia and neonatal hypoglycemia in women with GDM using atosiban and ritodrine tocolytics for preterm labor compared to those using nifedipine.
#Gestational Diabetes #Ritodrine #Atosiban #Nifedipine #Maternal Hyperglycemia #Neonatal Hypoglycemia

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