title: Obstetric and Neonatal Outcome in PCOS with Gestational Diabetes Mellitus.
abstract: OBJECTIVE
  There are some metabolic similarities between women with gestational diabetes mellitus (GDM) and polycystic ovary syndrome (PCOS); it is still uncertain, however, to what extent coexistence GDM and PCOS affects pregnancy outcome. The present study was designed to determine the obstetric and neonatal outcome in PCOS with GDM.
  
  
  METHODS
  A case-control study was conducted involving 261 GDM women. Thirty hundred-one cases had PCOS based on Rotterdam criteria and the other thirty hundred cases (control group) were women without PCOS. The subjects in each group were evaluated regarding obstetric and those women whose documentation's were complete entered the study.
  
  
  RESULTS
  In present study, women with PCOS and GDM had more than twofold increased odds of preeclampsia (p = 0.003, CI = 1.56-5.01, and OR = 2.8) and PIH (p= 0.04, CI = 1.28-4.5, and OR= 2.4). Maternal PCOS and GDM were also associated with threefold increased odds of neonatal hypoglycemia (p= 0.004, CI= 1.49-6.58, and OR= 3.13).
  
  
  CONCLUSIONS
  Our finding emphasized that pregnant PCOS patients should be followed carefully for the occurrence of various pregnancy and neonatal complications including hypertension and hypoglycemia. We suggested that these neonates should be given more care regarding hypoglycemia symptoms.
authors: Gynecology and Obstetrics Department, Kashan University of Medical Sciences, Kashan, Iran.
authors: Fatemeh
authors: F
authors: Foroozanfard
authors: Biostatistics Department, Kashan University of Medical Sciences, Kashan, Iran.
authors: Seyed Gholam Abbas
authors: SG
authors: Moosavi
authors: Gynecology and Obstetrics Department, Kashan University of Medical Sciences, Kashan, Iran.
authors: Fariba
authors: F
authors: Mansouri
authors: Cellular and Molecular Research Center, Yasuj University of Medical Sciences, Yasuj, Iran.
authors: Fatemeh
authors: F
authors: Bazarganipour
keywords: Gestational Diabetes Mellitus (GDM); Hypoglycemia; Polycystic Ovarian Syndrome (PCOS); Preeclampsia