Concurrence of gestational diabetes and pre-gravid obesity ("diabesity") in twin gestations

Objective: To assess the effect of the concurrence of gestational diabetes mellitus (GDM) and pre-gravid obesity in twin gestations ("diabesity"). Methods: We compared perinatal outcomes of twin gestation in mothers with GDM and pre-gravid obesity (1.7%), mothers with GDM but with normal B...

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Published in:The journal of maternal-fetal & neonatal medicine 2017-08, Vol.30 (15), p.1813-1815
Main Authors: Simões, Teresinha, Queirós, Alexandra, Valdoleiros, Sandra, Marujo, Ana Teresa, Felix, Nisa, Blickstein, Isaac
Format: Article
Language:English
Subjects:
Adult
Birth Weight
Body Mass Index
Cesarean Section - statistics & numerical data
Diabetes, Gestational - epidemiology
Female
Gestational Age
Gestational diabetes
Humans
Hypertension - complications
Hypertension - epidemiology
obesity
Obesity - complications
Obesity - epidemiology
Pre-Eclampsia - epidemiology
Pregnancy
Pregnancy Complications - epidemiology
Pregnancy, Twin
Stillbirth - epidemiology
twins
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Summary:Objective: To assess the effect of the concurrence of gestational diabetes mellitus (GDM) and pre-gravid obesity in twin gestations ("diabesity"). Methods: We compared perinatal outcomes of twin gestation in mothers with GDM and pre-gravid obesity (1.7%), mothers with GDM but with normal BMI (6.2%), and obese mothers without GDM (7.0%). Results: Twin pregnancies with "diabesity" were associated with significantly higher incidence of stillbirth (OR = 6.4; 95%CI = 1.4, 33.4) and existing chronic hypertension (OR = 4.2; 95%CI = 1.2, 14.8) than in GDM pregnancies without obesity, and with births at 33-36 weeks as compared with the other groups. Otherwise, the comparisons showed remarkable similar results in terms of gestational age, birth weight, preeclampsia, cesarean section rate, and fetal-neonatal outcomes. Conclusion: It appears that diabesity has a relatively minor effect in twins. If this will be confirmed by other studies, it would be important to elucidate how twins ameliorate the adverse outcomes of diabesity.
ISSN:1476-7058
1476-4954
DOI:10.1080/14767058.2016.1226797