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Gestational diabetes and adiposity are independent risk factors for perinatal outcomes: a population based cohort study in Sweden
Department of Obstetrics & Gynaecology, School of Medical Sciences, Örebro University, Örebro, Sweden.
School of Medical Sciences, Örebro University, Örebro, Sweden; Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Department of Medicine, Clinical Epidemiology Unit, Karolinska Universitetssjukhuset, Solna, Sweden.
Örebro University, Örebro, Sweden. (Clinical Epidemiology and Biostatistics)
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2019 (English)In: Diabetic Medicine, ISSN 0742-3071, E-ISSN 1464-5491, Vol. 36, no 2, p. 151-157Article in journal (Refereed) Published
Abstract [en]

AIMS: To evaluate the interaction effects of gestational diabetes (GDM) with obesity on perinatal outcomes.

METHODS: A population-based cohort study in Sweden excluding women without pre-gestational diabetes with a singleton birth between 1998 and 2012. Logistic regression was performed to evaluate the potential independent associations of GDM and BMI with adverse perinatal outcomes as well as their interactions. Main outcome measures were malformations, stillbirths, perinatal mortality, low Apgar score, fetal distress, prematurity and Erb's palsy.

RESULTS: ) had significantly increased risks of all outcomes including stillbirth 1.51 (1.40-1.62) to 2.85 (2.52-3.22) and perinatal mortality 1.49 (1.40-1.59) to 2.83 (2.54-3.15).

CONCLUSIONS: There is no interaction effect between GDM and BMI for the studied outcomes. Higher BMI and GDM are major independent risk factors for most serious adverse perinatal outcomes. More effective pre-pregnancy and antenatal interventions are required to prevent serious adverse pregnancy outcomes among women with either GDM or high BMI.

Place, publisher, year, edition, pages
Wiley-Blackwell Publishing Inc., 2019. Vol. 36, no 2, p. 151-157
National Category
Endocrinology and Diabetes
Identifiers
URN: urn:nbn:se:oru:diva-72039DOI: 10.1111/dme.13843ISI: 000457530200003PubMedID: 30698864Scopus ID: 2-s2.0-85060805274OAI: oai:DiVA.org:oru-72039DiVA, id: diva2:1288043
Note

Funding Agency:

Örebro County Council 

Available from: 2019-02-12 Created: 2019-02-12 Last updated: 2019-02-19Bibliographically approved

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Simmons, DavidFadl, Helena

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