| Comparison of Preoperative Gastric Contents between Gestational Diabetic and Normal Pregnant Women Undergoing Elective Cesarean Delivery. |
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Jeong Yeon Hong |
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Department of Anesthesiology and Pain Medicine, Cheil General Hospital, Women's Health Center, Sungkyunkwan University School of Medicine, Seoul, Korea. jenyhongg@skku.edu |
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| Abstract |
BACKGROUND
Delayed gastric emptying occurs frequently in diabetic patients. The aim of this study was to investigate preoperative gastric acidity and volume in parturients with gestational diabetes mellitus (GDM) undergoing elective cesarean delivery.
METHODS
Twenty-five full term gravid women with GDM (GDM group) and another twenty-five without any complication (control group) were recruited. Before the anesthesia, a 14-F multiorifice nasogastric tube was inserted and the gastric contents were directly aspirated.
RESULTS
There were no differences in the aspirated gastric pH and volumes between the groups (2.6 pH with 29.9 ml in the control group vs. 2.5 pH with 29.8 ml in the GDM group).
The numbers of patients at-risk for aspiration, pH < 2.5 and volume > 25 ml in the two groups were similar (9/25, 36% in the GDM group, 7/25, 28% in the control group).
CONCLUSIONS
Diabetes does not increase the risk of aspiration pneumonitis compared to the normal pregnant women in elective cesarean delivery. |
| Key Words:
cesarean delivery; diabetes; gastric content; pregnancy |
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