Marcela Del Carlo Bernardi
Current Organizations / Institutes
The organizations/institutes from the scholar's latest article
Research Subjects
Marcela Del Carlo Bernardi has a total of 6 co-authors. Here are the top co-authors by number of shared publications:
- Ana Paula Veiga de Oliveira
Disciplina de Obstetrícia, Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina da Universidade de São Paulo (FMUSP), Universidade de São Paulo, São Paulo, Brazil
2 shared publications - Cristiane de Freitas Paganoti
Divisão de Obstetricia, Instituto Central, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil
2 shared publications - Fernanda Cristina Ferreira Mikami
Divisão de Obstetricia, Instituto Central, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil
2 shared publications - Rafaela Alkmin da Costa
Department of Obstetrics and Gynecology, Faculty of Medicine, University of São Paulo, São Paulo, Brazil
2 shared publications - Rossana Pulcineli Vieira Francisco
Disciplina de Obstetricia, Departamento de Obstetricia e Ginecologia, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, Brazil
2 shared publications - Tatiana Assunção Zaccara
Divisão de Obstetricia, Instituto Central, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil
2 shared publications
Latest Publications
- Open Access
- 27 January 2025
- Published by Universidade de São Paulo. Agência de Bibliotecas e Coleções Digitais in Revista de Medicina
- Vol. 104 (esp.)
Fatores de risco e principais indicações para cesárea em pacientes gestantes com Diabetes Melito Gestacional
Gestational Diabetes Mellitus (GDM) is a common pregnancy complication and is linked to high cesarean rates, particularly in Brazil, where national data on the subject is limited. This study analyzed risk factors and primary indications for c-sections among GDM-affected pregnancies. It included a retrospective cohort of women receiving prenatal care at a tertiary hospital from January 2012 to March 2020, totaling 866 cases that met criteria: diagnosed GDM, pregnancies beyond 20 weeks, and delivery at this hospital. The cohort was divided into VAGINAL and CESAREAN groups, with statistical comparisons made between them. Of the 866 cases, 323 (37.3%) were vaginal deliveries, and 545 (62.7%) were c-sections. Primary indications for c-section included prior uterine surgeries (20.07%), iterative c-section (18.78%), fetal distress (9.76% intrapartum; 8.84% antepartum), non-cephalic presentation (7.37%), and functional dystocia (7.0%). Univariate analysis identified several factors associated with higher c-section risk, such as advanced maternal age (p<0.001), higher BMI (p=0.016), previous c-sections (p<0.001), hypertension (p=0.024), high glucose levels during pregnancy (p=0.031 for early fasting plasma glucose; p=0.002 for 1h and p<0.001 for 2h after glucose overload), nulliparity (p=0.012), multiple gestation (p<0.001), preeclampsia (p=0.012), and placenta previa (p=0.010). Conversely, spontaneous labor onset (p<0.001) and preterm labor (p=0.001) were associated with lower c-section rates. Multivariate analysis confirmed that age (OR 1,048), nulliparity (OR 2.892), previous c-section (OR 14.49), and spontaneous labor onset (OR 0.199) were independent predictors of c-section. The findings emphasize that prior uterine scars significantly increase c-section risk. In contrast, spontaneous labor onset reduces this risk by almost 80%.
- 27 January 2025
- Published by Universidade de São Paulo. Agência de Bibliotecas e Coleções Digitais in Revista de Medicina
- Vol. 104 (esp.)
Open AccessFatores de risco e principais indicações para cesárea em pacientes gestantes com Diabetes Melito Gestacional
Gestational Diabetes Mellitus (GDM) is a common pregnancy complication and is linked to high cesarean rates, particularly in Brazil, where national data on the subject is limited. This study analyzed risk factors and primary indications for c-sections among GDM-affected pregnancies. It included a retrospective cohort of women receiving prenatal care at a tertiary hospital from January 2012 to March 2020, totaling 866 cases that met criteria: diagnosed GDM, pregnancies beyond 20 weeks, and delivery at this hospital. The cohort was divided into VAGINAL and CESAREAN groups, with statistical comparisons made between them. Of the 866 cases, 323 (37.3%) were vaginal deliveries, and 545 (62.7%) were c-sections. Primary indications for c-section included prior uterine surgeries (20.07%), iterative c-section (18.78%), fetal distress (9.76% intrapartum; 8.84% antepartum), non-cephalic presentation (7.37%), and functional dystocia (7.0%). Univariate analysis identified several factors associated with higher c-section risk, such as advanced maternal age (p<0.001), higher BMI (p=0.016), previous c-sections (p<0.001), hypertension (p=0.024), high glucose levels during pregnancy (p=0.031 for early fasting plasma glucose; p=0.002 for 1h and p<0.001 for 2h after glucose overload), nulliparity (p=0.012), multiple gestation (p<0.001), preeclampsia (p=0.012), and placenta previa (p=0.010). Conversely, spontaneous labor onset (p<0.001) and preterm labor (p=0.001) were associated with lower c-section rates. Multivariate analysis confirmed that age (OR 1,048), nulliparity (OR 2.892), previous c-section (OR 14.49), and spontaneous labor onset (OR 0.199) were independent predictors of c-section. The findings emphasize that prior uterine scars significantly increase c-section risk. In contrast, spontaneous labor onset reduces this risk by almost 80%.