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Obstetric and Perinatal Outcomes in Type 1 Diabetic Pregnancies: A large, population-based study

Diabetes care, 2009-11, Vol.32 (11), p.2005-2009 [Peer Reviewed Journal]

2009 INIST-CNRS ;Copyright American Diabetes Association Nov 2009 ;2009 by the American Diabetes Association. ;ISSN: 0149-5992 ;ISSN: 1935-5548 ;EISSN: 1935-5548 ;DOI: 10.2337/dc09-0656 ;PMID: 19675195 ;CODEN: DICAD2

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Title:
Obstetric and Perinatal Outcomes in Type 1 Diabetic Pregnancies: A large, population-based study
Author: Persson, Martina ; Norman, Mikael ; Hanson, Ulf
Subjects: Adult ; Biological and medical sciences ; Birth Weight ; Cesarean Section - statistics & numerical data ; Chromosome Aberrations - classification ; Diabetes ; Diabetes Mellitus, Type 1 - complications ; Diabetes. Impaired glucose tolerance ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Female ; Gestational Age ; Hospitals ; Humans ; Infant, Newborn ; Infant, Newborn, Diseases - epidemiology ; Maternal Age ; Medical sciences ; MEDICIN ; Medicin och hälsovetenskap ; MEDICINE ; Metabolic diseases ; Miscellaneous ; Odds Ratio ; Original Research ; Parity ; Pre-Eclampsia - epidemiology ; Pregnancy ; Pregnancy Complications - epidemiology ; Pregnancy in Diabetics - epidemiology ; Pregnancy Outcome ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Stillbirth - epidemiology ; Womens health
Is Part Of: Diabetes care, 2009-11, Vol.32 (11), p.2005-2009
Description: OBJECTIVE: To perform comparative analyses of obstetric and perinatal outcomes between type 1 diabetic pregnancies and the general obstetric population in Sweden between 1991 and 2003. RESEARCH DESIGN AND METHODS: This was a population-based study. Data were obtained from the Medical Birth Registry, covering >98% of all pregnancies in Sweden. A total of 5,089 type 1 diabetic pregnancies and 1,260,207 control pregnancies were included. Odds ratios (ORs) were adjusted for group differences in maternal age, parity, BMI, chronic hypertensive disease, smoking habits, and ethnicity. RESULTS: In type 1 diabetes, preeclampsia was significantly more frequent (OR 4.47 [3.77-5.31]) as was delivery by cesarean section (5.31 [4.97-5.69]) compared with results for the general population. Stillbirth (3.34 [2.46-4.55]), perinatal mortality (3.29 [2.50-4.33]), and major malformations (2.50 [2.13-2.94]) were more common in type 1 diabetic than in control pregnancies. The risk of very preterm birth (<32 gestational weeks) was also higher among type 1 diabetic women (3.08 [2.45-3.87]). The incidence of fetal macrosomia (birth weight greater-than-or-equal2 SD above the mean) was increased in the diabetic group (11.45 [10.61-12.36]). CONCLUSIONS: Type 1 diabetes in pregnancy is still associated with considerably increased rates of adverse obstetric and perinatal outcomes. The eightfold increased risk for fetal macrosomia in type 1 diabetic pregnancies is unexpected and warrants further investigation.
Publisher: Alexandria, VA: American Diabetes Association
Language: English
Identifier: ISSN: 0149-5992
ISSN: 1935-5548
EISSN: 1935-5548
DOI: 10.2337/dc09-0656
PMID: 19675195
CODEN: DICAD2
Source: GFMER Free Medical Journals
MEDLINE
Alma/SFX Local Collection
SWEPUB Freely available online
ProQuest Central

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Obstetric and Perinatal Outcomes in Type 1 Diabetic Pregnancies: A large, population-based study

2009 INIST-CNRS ;Copyright American Diabetes Association Nov 2009 ;2009 by the American Diabetes Association. ;ISSN: 0149-5992 ;ISSN: 1935-5548 ;EISSN: 1935-5548 ;DOI: 10.2337/dc09-0656 ;PMID: 19675195 ;CODEN: DICAD2

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