Prediction of insulin therapy in women with gestational diabetes: a systematic review and meta-analysis of observational studies.

Objectives: To identify antenatal risk factors that may predict the need for insulin treatment upon diagnosis of gestational diabetes (GDM), that is, to identify the specific characteristics of women diagnosed with GDM who did not achieve good glycemic control through lifestyle modifications.

Methods: We performed a comprehensive literature search in PubMed, Science Direct, Ebsco, and Scielo for studies evaluating the associations between antenatal factors and the need for insulin treatment published until January 28th, 2021. Random-effects models were used to estimate risk ratios and their 95% confidence interval.

[Complete uterine ruptures].

Background: Uterine rupture is one of the most severe Obstetric complications by high morbidity and maternal and fetal mortality.

Objectives: To review cases of uterine rupture occurred for the last five years. Release the incidence, the risk factors and maternal and fetal complications, both immediate and long term.