Changes in diabetes status between pregnancies and impact on subsequent newborn outcomes

American Journal of Obstetrics and Gynecology
Nansi S BoghossianCuilin Zhang

Abstract

Pregnancies complicated by gestational diabetes mellitus (GDM) or preexisting diabetes mellitus (DM) are at high risk for adverse newborn outcomes. Whether GDM history, recurrence, or transition to DM modifies such risks is unknown. Medical record data on 62,013 repeat singleton pregnancies were collected retrospectively from women who delivered at least twice in Utah (2002 through 2010). Poisson regression models with robust variance estimators were used to estimate relative risks (RR) and 95% confidence intervals (CI) associated with GDM/DM status at the previous and/or current pregnancy relative to those without GDM/DM at either. Large for gestational age (LGA), shoulder dystocia, preterm birth (<37 weeks), respiratory distress syndrome, and other neonatal morbidities were examined adjusting for study site, maternal age, race, parity, interpregnancy interval, prepregnancy body mass index, and smoking status. GDM in the previous pregnancy alone increased the risk of LGA in the current pregnancy (RR, 1.20; 95% CI, 1.05-1.38). Recurrent GDM increased the risks of LGA (RR, 1.76; 95% CI, 1.56-1.98), shoulder dystocia (RR, 1.98; 95% CI, 1.46-2.70), and preterm birth (RR, 1.68; 95% CI, 1.44-1.96) beyond that observed for pregnancie...Continue Reading

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Citations

Oct 4, 2015·American Journal of Obstetrics and Gynecology·Daoyin DongPeixin Yang
Mar 24, 2016·Endocrine·Naama SchwartzManfred S Green
Mar 17, 2016·American Journal of Obstetrics and Gynecology·Jianxiang ZhongPeixin Yang
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Sep 14, 2018·Chronobiology International·Cristiana Araújo GontijoCibele Aparecida Crispim
Jul 19, 2018·The Journal of Clinical Endocrinology and Metabolism·Yuanlin DongChandra Yallampalli
Jan 5, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Meertien K SijpkensAgeeth N Rosman
Jul 2, 2017·The Journal of Clinical Endocrinology and Metabolism·Yuanlin DongChandrasekhar Yallampalli
Oct 21, 2016·Clinical Obstetrics and Gynecology·Edith D Gurewitsch Allen
Apr 26, 2019·Journal of Korean Medical Science·Kwang Sig Lee, Ki Hoon Ahn
Aug 23, 2018·Archives of Gynecology and Obstetrics·Liran HierschEran Ashwal
Jan 12, 2021·The Journal of Obstetrics and Gynaecology Research·Mamoru MorikawaHidemichi Watari
Feb 13, 2021·Journal of Clinical Medicine·Fahimeh Ramezani TehraniSamira Behboudi-Gandevani

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