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Clinical and Experimental Obstetrics & Gynecology  2021, Vol. 48 Issue (2): 257-262    DOI: 10.31083/j.ceog.2021.02.2364
Original Research Previous articles | Next articles
Pregnancy and neonatal outcomes of hyperglycemia caused by atosiban administration during pregnancy
Hyun Jin Ko1, †, Seong Yeon Hong1, †, Jin Young Bae1, *, ()
1Department of Obstetrics and Gynecology, Catholic University of Daegu, School of Medicine, 42472 Daegu, Korea
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Abstract  
It is known that atosiban has fewer side effects than conventional tocolytics. In clinical practice, however, hyperglycemia can be commonly observed in mothers who have been administered atosiban. Therefore, we investigated whether intravenous atosiban injection actually causes hyperglycemia and how these changes affect newborns. From December 2015 to July 2018, a retrospective study was conducted on 96 mothers who were diagnosed with preterm labor and were administered atosiban at our institution. Maternal blood glucose was measured and compared before and during the administration of atosiban. The paired t-test, independent samples t-test, Chi-square test and Fisher's exact test were performed using SPSS version 21.0. A statistically significant increase in fasting blood glucose levels was observed during the administration of atosiban, compared with random blood glucose levels before administration (110.7 mg/dL vs. 86.3 mg/dL). The mean postprandial blood glucose level during administration was 170.75 mg/dL. Gestational diabetes, twin pregnancy, preeclampsia, and polyhydramnios did not significantly affect the degree of blood glucose increase. Statistically significant hypoglycemia was observed after performing a neonatal blood test immediately after birth from mothers who used atosiban. The neonates from the group with elevated maternal blood glucose levels exceeding 20 mg/dL showed lower blood glucose levels. No serious side effects other than hypoglycemia were observed. Atosiban administration in pregnant women results in significantly elevated maternal blood glucose, which results in hypoglycemia in neonates after birth. Therefore, neonates from mothers who received atosiban require a blood glucose test and close monitoring after birth.
Key words:  Atosiban      Preterm labor      Maternal hyperglycemia      Neonatal hypoglycemia     
Submitted:  16 November 2020      Revised:  13 December 2020      Accepted:  31 December 2020      Published:  15 April 2021     
*Corresponding Author(s):  Jin Young Bae     E-mail:  bjy2014@cu.ac.kr
About author:  These authors contributed equally.

Cite this article: 

Hyun Jin Ko, Seong Yeon Hong, Jin Young Bae. Pregnancy and neonatal outcomes of hyperglycemia caused by atosiban administration during pregnancy. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(2): 257-262.

URL: 

https://ceog.imrpress.com/EN/10.31083/j.ceog.2021.02.2364     OR     https://ceog.imrpress.com/EN/Y2021/V48/I2/257

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