Pregnancy outcomes in women with diabetes mellitus – the impact of diabetes type and treatment
Bapayeva G. Terzic S. Dotlic J. Togyzbayeva K. Bugibaeva U. Mustafinova M. Alisheva A. Garzon S. Terzic M. Laganà A.S.
2022Termedia Publishing House Ltd.
Przeglad Menopauzalny
2022#21Issue 137 - 46 pp.
Introduction: It has been estimated that approximately 16% of pregnancies worldwide are affected by preexisting or gestational insulin-dependent (type 1) or independent (type 2) diabetes mellitus (DM). Diabetes mellitus in pregnancy remains a high-risk condition for both mother and child. This study aimed to investigate pregnancy outcomes regarding DM types. Material and methods: The study included 323 DM patients delivered for 6 years (2012–2017). General and obstetric history data and all complications throughout the pregnancy and the early neonatal period were noted. Based on DM type, women were divided into 4 groups: pre-pregnancy/pre-existing DM, insulin-dependent or independent, and gestational diabetes mellitus with or without insulin therapy. Results: The majority of women had pre-existing insulin-independent DM (type II 62%). Some types of pregnancy/maternal complications were registered in almost 85% of examined pregnancies. However, all babies were live born and mostly with good outcome (36.85% with early neonatal complications). Diabetes mellitus type could not predict the occurrence of neonatal complications (p = 0.342). Pre-existing insulin-dependent DM increased the risk for pregnancy complications (p = 0.031; OR = 1.656). Conclusions: Diabetes mellitus type has a limited impact on pregnancy outcomes and the occurrence of maternal and neonatal complications. With adequate therapy the pregnancy outcome can be good regardless of DM type.
diabetes mellitus type , maternal complications , pregnancy outcome
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Clinical Academic Department of Womens Health, Corporate Fund University Medical Center, Nur-Sultan, Kazakhstan
Department of Medicine, School of Medicine, Nazarbayev University, Nur-Sultan, Kazakhstan
Clinic of Obstetrics and Gynaecology, Clinical Centre of Serbia, Belgrade, Serbia
School of Medicine, University of Belgrade, Belgrade, Serbia
Department of Obstetrics and Gynecology, AOUI Verona, University of Verona, Verona, Italy
Department of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States
Department of Obstetrics and Gynecology, Filippo Del Ponte Hospital, University of Insubria, Varese, Italy
Clinical Academic Department of Womens Health
Department of Medicine
Clinic of Obstetrics and Gynaecology
School of Medicine
Department of Obstetrics and Gynecology
Department of Obstetrics
Department of Obstetrics and Gynecology
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