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Effects of preeclampsia on perinatal outcomes in women with gestational diabetes mellitus: A retrospective cohort study.
- Source :
- International Journal of Diabetes in Developing Countries; 2024 Suppl 1, Vol. 44, p53-60, 8p
- Publication Year :
- 2024
-
Abstract
- Background: To date, studies on the effects of preeclampsia on perinatal outcomes in women with gestational diabetes mellitus (GDM) are comparatively few, and the results are inconsistent. Objective: This study aimed to explore the effects of preeclampsia on perinatal outcomes in women with GDM. Methods: This retrospective cohort study collected data of women with GDM whose babies were delivered in a Chinese hospital between July 2017 and June 2020. We divided eligible pregnant women with GDM into two groups based on whether they were diagnosed with preeclampsia: GDM with preeclampsia group and GDM without preeclampsia group. Logistic regression analysis was performed to evaluate the risks for perinatal outcomes which were used as the dependent variables. Results: We identified 7533 eligible women with GDM (245 in GDM with preeclampsia group and 7288 in GDM without preeclampsia group). After adjusting for covariates, preeclampsia was significantly associated with higher risks of fetal malformations (OR: 1.67, 95% CI: 1.08–2.57), fetal growth restriction (OR: 5.36, 95% CI: 2.91–9.88), cesarean section (OR: 2.48, 95% CI: 1.83–3.37), emergency cesarean section (OR: 2.32, 95% CI: 1.77–3.05), preterm birth (OR: 1.89, 95% CI: 1.27–2.81), low birth weight (LBW) (OR: 3.30, 95% CI: 2.16–5.05), small for gestational age (SGA) (OR: 3.05, 95% CI: 2.01–4.63) and neonatal hypoglycemia (OR: 1.77, 95% CI: 1.10–2.85). Conclusion: Women with GDM complicated with preeclampsia were at higher risks of fetal malformations, fetal growth restriction, cesarean section, emergency cesarean section, preterm birth, LBW, SGA and neonatal hypoglycemia. [ABSTRACT FROM AUTHOR]
- Subjects :
- PREECLAMPSIA diagnosis
FETAL abnormalities -- Risk factors
FETAL growth retardation -- Risk factors
RISK assessment
CESAREAN section
HYPOGLYCEMIA in children
MATERNAL health services
WOMEN
SMALL for gestational age
RESEARCH funding
GESTATIONAL diabetes
LOGISTIC regression analysis
PREMATURE infants
PREGNANCY outcomes
RETROSPECTIVE studies
HOSPITALS
LONGITUDINAL method
ODDS ratio
LOW birth weight
PREECLAMPSIA
PREGNANCY complications
CONFIDENCE intervals
DISEASE risk factors
DISEASE complications
Subjects
Details
- Language :
- English
- ISSN :
- 09733930
- Volume :
- 44
- Database :
- Complementary Index
- Journal :
- International Journal of Diabetes in Developing Countries
- Publication Type :
- Academic Journal
- Accession number :
- 178968807
- Full Text :
- https://doi.org/10.1007/s13410-023-01236-x