title: Association between 5 min Apgar scores and planned mode of delivery in diabetic pregnancies.
abstract: OBJECTIVE
  Due to the high incidence of neonatal complications in diabetic pregnancies, the aim of our study was to investigate whether elective cesarean section could prevent adverse neonatal outcome.
  
  
  METHODS
  Population-based study.
  
  
  METHODS
  Data were extracted from the Swedish Medical Birth Registry.
  
  
  METHODS
  All women (n=13 491) with diabetic pregnancies during the period 1990-2007.
  
  
  METHODS
  Neonatal outcome in diabetic pregnancies was compared after elective cesarean section at 38 completed gestational weeks with planned vaginal delivery at 39 completed weeks of gestation or later. Odds ratios with 95% confidence intervals for Apgar scores <7 at 5 min after birth were calculated using multiple logistic regression.
  
  
  METHODS
  Apgar score <7 at 5 min after birth.
  
  
  RESULTS
  A significantly decreased risk of Apgar score <7 at 5 min after birth in the group who underwent an elective cesarean section at 38 completed gestational weeks was found compared with those who continued pregnancy to 39 completed weeks of gestation or more, irrespective of final mode of delivery.
  
  
  CONCLUSIONS
  Our results indicate a protective effect of planned cesarean section on the risk of low Apgar scores in diabetic pregnancies.
authors.affiliation: Department of Obstetrics and Gynecology, Central Hospital, Helsingborg, Sweden. stuart.andrea@gmail.com
authors.forename: Andrea E
authors.initials: AE
authors.lastname: Stuart
authors.forename: Leif S
authors.initials: LS
authors.lastname: Matthiesen
authors.forename: Karin B
authors.initials: KB
authors.lastname: Källén
mesh_terms: D000328:Adult; D001034:Apgar Score; D001724:Birth Weight; D036861:Delivery, Obstetric / Q000379:methods*; D003920:Diabetes Mellitus / Q000473:pathology*; D005260:Female; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D016015:Logistic Models; D008297:Male; D008423:Maternal Age; D011247:Pregnancy; D011254:Pregnancy in Diabetics / Q000473:pathology*; D012189:Retrospective Studies