Perinatal Outcome in Twin Pregnancies Complicated by Gestational Diabetes Mellitus: A Comparative Study.
10.3346/jkms.2006.21.3.457
- Author:
Hye Jin CHO
1
;
Joong Sik SHIN
;
Jae Hyug YANG
;
Hyun Mee RYU
;
Moon Young KIM
;
Jung Yeol HAN
;
Joo Oh KIM
;
Hyun Kyong AHN
;
June Seek CHOI
;
Jin Hoon CHUNG
;
Su Hyun PARK
;
Min Hyoung KIM
;
Kyu Hong CHOI
Author Information
1. Department of Obstetrics and Gynecology, Cheil General Hospital and Women's Healthcare Center, Sungkyunkwan University School of Medicine, Seoul, Korea. jmjyjw@hanmail.net
- Publication Type:Original Article ; Comparative Study ; Twin Study
- Keywords:
Diabetes, Gestational;
Pregnancy, Multiple;
Perinatal Outcome;
Pregnancy Outcome
- MeSH:
Twins;
Treatment Outcome;
Retrospective Studies;
Pregnancy, Multiple;
Pregnancy Outcome;
Pregnancy;
Humans;
Female;
Diseases in Twins;
Diabetes, Gestational/*pathology/*therapy;
Adult
- From:Journal of Korean Medical Science
2006;21(3):457-459
- CountryRepublic of Korea
- Language:English
-
Abstract:
The purpose of this study is to compare perinatal outcomes of twin pregnancies complicated by gestational diabetes (GDM) with those unaffected by GDM. A total of 1,154 twin pregnancies who delivered at Cheil General Hospital, between January 1998 and December 2002 were recruited to participate in a retrospective analysis. Out of these twin pregnancies, 37 women were had GDM. Four pregnancies exposed to GDM were excluded due to the loss of medical records; therefore 33 twin pregnancies exposed to GDM were enrolled. We matched the GDM pregnancies with pregnancies unaffected by GDM in a 1:2 ratio; therefore there were 33 GDM/66 without GDM who delivered during the study period. Our findings show that there were no significant differences including birth weight, Apgar score, respiratory distress syndrome, meconium aspiration pneumonia, transient tachypnea of new born, hyperbilirubinemia, hypoglycemia, hypocalcemia and congenital anomalies. Therefore, well controlled GDM may not increase perinatal complications in twin pregnancies. Careful pregnancy management and fetal surveillance in twin pregnancies is important to decrease perinatal complications and maintain a sound pregnancy and healthy offspring.
