Significant risk of repeat adverse outcomes in recurrent gestational diabetes pregnancy: a retrospective cohort study

The risk of adverse outcomes in recurrent GDM pregnancy has not been well documented, particularly in women who have already had an adverse outcome. The aim of this study was to compare the risk of recurrent adverse delivery outcome (ADO) or adverse neonatal outcome (ANO) between consecutive gestati...

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Published in:Clinical diabetes and endocrinology 2023-03, Vol.9 (1), p.2-2, Article 2
Main Authors: Lau, Sue Lynn, Chung, Alex, Kao, Joanna, Hendon, Susan, Hawke, Wendy, Lau, Sue Mei
Format: Article
Language:English
Subjects:
Birth weight
Births
Cesarean section
Childbirth & labor
Cohort analysis
Dextrose
Diabetes in pregnancy
Diseases
Ethnicity
Fasting
Gestational age
Gestational diabetes
Gestational diabetes mellitus
Glucose
Hospitals
Hypoglycemia
Insulin
Large for gestational age
Pregnancy
Pregnant women
Relapse
Risk factors
Small for gestational age
Statistical analysis
Type 2 diabetes
Vagina
Womens health
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Summary:The risk of adverse outcomes in recurrent GDM pregnancy has not been well documented, particularly in women who have already had an adverse outcome. The aim of this study was to compare the risk of recurrent adverse delivery outcome (ADO) or adverse neonatal outcome (ANO) between consecutive gestational diabetes (GDM) pregnancies. In this retrospective study of 424 pairs of consecutive ("index" and "subsequent") GDM pregnancies, we compared the risk of ADO (instrumental delivery, emergency Caesarean section) and ANO (large for gestational age (LGA and small for gestational age (SGA)) in women with and without a history of adverse outcome in their index pregnancy. Subsequent pregnancies had higher rates of elective Caesarean (30.4% vs 17.0%, p 
ISSN:2055-8260
2055-8260
DOI:10.1186/s40842-023-00149-2