Maternal and Fetal Outcomes among Pregnant Women with Diabetes.

Autor:	Gojnic M; Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia.; Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia., Todorovic J; Institute of Social Medicine, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia., Stanisavljevic D; Institute for Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia., Jotic A; Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.; Clinic for Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, 11000 Belgrade, Serbia., Lukic L; Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.; Clinic for Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, 11000 Belgrade, Serbia., Milicic T; Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.; Clinic for Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, 11000 Belgrade, Serbia., Lalic N; Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.; Clinic for Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, 11000 Belgrade, Serbia., Lalic K; Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.; Clinic for Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, 11000 Belgrade, Serbia., Stoiljkovic M; Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.; Clinic for Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, 11000 Belgrade, Serbia., Stanisavljevic T; Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia., Stefanovic A; Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia.; Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia., Stefanovic K; Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia.; Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia., Vrzic-Petronijevic S; Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia.; Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia., Petronijevic M; Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia.; Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia., Terzic-Supic Z; Institute of Social Medicine, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia., Macura M; Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia., Perovic M; Clinic for Gynecology and Obstetrics 'NarodniFront', Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia., Babic S; Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia., Piperac P; Department for Humanities, Faculty of Medicine, University of Belgrade, 11000 belgrade, Serbia., Jovanovic M; General Hospital Bor, 19210 Bor, Serbia., Parapid B; Clinic for Cardiology, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia., Doklestic K; Emergency Department, University Clinical Centre of Serbia, 11000 Belgrade, Serbia., Cerovic R; Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia., Djurasevic S; Faculty of Biology, University of Belgrade, 11000 Belgrade, Serbia., Dugalic S; Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia.; Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.
Jazyk:	angličtina
Zdroj:	International journal of environmental research and public health [Int J Environ Res Public Health] 2022 Mar 20; Vol. 19 (6). Date of Electronic Publication: 2022 Mar 20.
DOI:	10.3390/ijerph19063684
Abstrakt:	The aim of this study was to examine the differences in pregnancy complications, delivery characteristics, and neonatal outcomes between women with type 1 diabetes mellitus (T1DM), type 2 diabetes mellitus (T2DM), and gestational diabetes mellitus (GDM). This study included all pregnant women with diabetes in pregnancy in Belgrade, Serbia, between 2010 and 2020. The total sample consisted of 6737 patients. In total, 1318 (19.6%) patients had T1DM, 138 (2.0%) had T2DM, and 5281 patients (78.4%) had GDM. Multivariate logistic regression with the type of diabetes as an outcome variable showed that patients with T1DM had a lower likelihood of vaginal delivery (OR: 0.73, 95% CI: 0.64-0.83), gestational hypertension (OR: 0.47, 95% CI: 0.36-0.62), higher likelihood of chronic hypertension (OR: 1.88, 95% CI: 1.55-2.29),and a higher likelihood ofgestational age at delivery before 37 weeks (OR: 1.38, 95% CI: 1.18-1.63) compared to women with GDM. Multivariate logistic regression showed that patients with T2DM had a lower likelihood ofgestational hypertension compared to women with GDM (OR: 0.37, 95% CI: 0.15-0.92).Our results indicate that the highest percentage of diabetes in pregnancy is GDM, and the existence of differences in pregnancy complications, childbirth characteristics, and neonatal outcomes are predominantly between women with GDM and women with T1DM.
Databáze:	MEDLINE
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