Perinatal outcome in twin pregnancies complicated by gestational diabetes mellitus: a comparative study.
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.
Cho
Hye Jin
HJ
Department of Obstetrics and Gynecology, Cheil General Hospital and Women's Healthcare Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Shin
Joong Sik
JS
Yang
Jae Hyug
JH
Ryu
Hyun Mee
HM
Kim
Moon Young
MY
Han
Jung Yeol
JY
Kim
Joo Oh
JO
Ahn
Hyun Kyong
HK
Choi
June Seek
JS
Chung
Jin Hoon
JH
Park
Su Hyun
SH
Kim
Min Hyoung
MH
Choi
Kyu Hong
KH
D000328:Adult; D016640:Diabetes, Gestational / Q000473:pathology* / Q000628:therapy*; D004200:Diseases in Twins; D005260:Female; D006801:Humans; D011247:Pregnancy; D011256:Pregnancy Outcome; D011272:Pregnancy, Multiple; D012189:Retrospective Studies; D016896:Treatment Outcome; D014427:Twins