comparative study of d-dimer changes in women with gestational diabetes and healthy women after elective cesarean section

Background: d-dimer levels in the blood are analyzed to diagnose conditions such as deep vein thrombosis, aortic rupture, certain types of acute headaches resulting from vascular disorders, and pulmonary embolism. d-dimer levels can also be a determining factor in the prognosis of various cancers. this study aimed to compare d-dimer changes in women with gestational diabetes mellitus (gdm) to those in healthy women following elective cesarean section.methods: this study, based on the iran icu registry (iicur), collected data on women hospitalized in the women’s icu. data were extracted from the registry using a standardized checklist. the study method involved extracting information on women with gdm and healthy women from the registry checklist and patient clinical records, including laboratory results. all d-dimer measurements were performed using a standardized laboratory kit within the hospital and were documented in the patients’ clinical records.results: the findings showed no significant difference in d-dimer levels on the first day after the cs. additionally, there was a positive correlation between d-dimer levels and both advanced maternal age and higher bmi, with d-dimer levels rising as age and bmi increased among the study participants.conclusion: higher levels of d-dimer were detected in patients with gestational diabetes mellitus (gdm) compared to healthy women after cesarean delivery. these results indicate a potentially elevated risk of deep vein thrombosis (dvt) in women with gdm undergoing elective cs, underscoring the importance of targeted preventive and therapeutic measures.