title: Perinatal outcome in twin pregnancies complicated by gestational diabetes mellitus: a comparative study.
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.
authors.affiliation: Department of Obstetrics and Gynecology, Cheil General Hospital and Women's Healthcare Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors.forename: Hye Jin
authors.initials: HJ
authors.lastname: Cho
authors.forename: Joong Sik
authors.initials: JS
authors.lastname: Shin
authors.forename: Jae Hyug
authors.initials: JH
authors.lastname: Yang
authors.forename: Hyun Mee
authors.initials: HM
authors.lastname: Ryu
authors.forename: Moon Young
authors.initials: MY
authors.lastname: Kim
authors.forename: Jung Yeol
authors.initials: JY
authors.lastname: Han
authors.forename: Joo Oh
authors.initials: JO
authors.lastname: Kim
authors.forename: Hyun Kyong
authors.initials: HK
authors.lastname: Ahn
authors.forename: June Seek
authors.initials: JS
authors.lastname: Choi
authors.forename: Jin Hoon
authors.initials: JH
authors.lastname: Chung
authors.forename: Su Hyun
authors.initials: SH
authors.lastname: Park
authors.forename: Min Hyoung
authors.initials: MH
authors.lastname: Kim
authors.forename: Kyu Hong
authors.initials: KH
authors.lastname: Choi
mesh_terms: 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