The trends and risk factors to predict adverse outcomes in gestational diabetes mellitus: a 10-year experience from 2006 to 2015 in a single tertiary center

Obstetrics & Gynecology Science
Minji KimCheong-Rae Roh

Abstract

To investigate the change of maternal characteristics, delivery and neonatal outcomes in gestational diabetes mellitus (GDM) over recent 10 years and to identify the risk factors associated with adverse outcome. Consecutive GDM patients (n=947) delivered in our institution were included. Research period was arbitrarily divided into 2 periods (period 1: from 2006 to 2010, period 2: from 2011 to 2015). Multiple pregnancies or preexisting diabetes were excluded. Maternal baseline characteristics, delivery and neonatal outcomes were reviewed. Fetal biometric findings by prenatal ultrasonography were collected. Adverse pregnancy outcome (APO) was defined by the presence of one of the followings; shoulder dystocia, neonatal macrosomia (>4 kg), neonatal hypoglycemia (<35 mg/dL), respiratory distress syndrome (RDS), and admission to the neonatal intensive care unit (NICU) in term pregnancy. Period 2 was associated with older maternal age (34 vs. 33, P<0.001) and higher proportion of GDM A2 compared to period 1 (30.9% vs. 23.0%, P=0.009). By univariate analysis, APO was associated with increased body mass index (BMI) at pre-pregnancy (23.4 kg/m2 vs. 21.8 kg/m2, P=0.001) or delivery (27.9 kg/m2 vs. 25.8 kg/m2, P<0.001), higher HbA1c at d...Continue Reading

References

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Citations

Jul 14, 2020·Archives of Gynecology and Obstetrics·Kristina Aaskjær AagaardFinn Friis Lauszus
May 21, 2020·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Kai Wei LeeNavin Kumar Devaraj
Jan 4, 2021·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Anna McLeanLouise Maple-Brown
Oct 6, 2021·Systems Biology in Reproductive Medicine·Zhiying HuMan Zhang

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Methods Mentioned

BETA
cesarean section

Software Mentioned

SPSS

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