Temporal trend of diabetes in pregnant women and its association with birth outcomes, 2011 to 2017.
J Diabetes Complications
; 34(4): 107550, 2020 04.
Article
en En
| MEDLINE
| ID: mdl-32037288
ABSTRACT
AIM:
To assess changes in the prevalence of diabetes in pregnant women, and its association with selected birth outcomes (including caesarean section, episiotomy, admission to the special care nursery/neonatal intensive care unit, postpartum haemorrhage and neonatal birth weight) from 2011 to 2017.METHODS:
In a single-centre, retrospective cohort study, we examined records of pregnant women who attended an Australian tertiary hospital between 2011 and 2017, identifying women with gestational diabetes mellitus and pre-existing diabetes mellitus, and examined trends associated with diabetes and their effects on birth outcomes.RESULTS:
The average incidence of women with diabetes increased by 9% annually (RRâ¯=â¯0.09, 95% CIâ¯=â¯1.08-1.11), which was 6% greater in women who received antenatal doctor-led care (RRâ¯=â¯1.06, 95% CIâ¯=â¯1.01-1.13), 42% greater in women who had other endocrine diseases (including thyroid, adrenal or pituitary diseases) (RRâ¯=â¯1.42, 95% CIâ¯=â¯1.31-1.53), and 61% greater in women with hypertension during pregnancy (RRâ¯=â¯1.61, 95% CIâ¯=â¯1.47-1.78). The presence of diabetes did not affect the relative risks of caesarean section, episiotomy, postpartum haemorrhage, decreased neonatal birth weight or special care nursery/neonatal intensive care unit admission, after adjustment for demographics and health and care status and behaviours.CONCLUSIONS:
The rate of diabetes during pregnancy increased from 2011 to 2017. Diabetes did not affect the relative risk of untoward birth outcomes.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Embarazo en Diabéticas
/
Resultado del Embarazo
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Diabetes Gestacional
Tipo de estudio:
Etiology_studies
/
Incidence_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
País/Región como asunto:
Oceania
Idioma:
En
Revista:
J Diabetes Complications
Asunto de la revista:
ENDOCRINOLOGIA
Año:
2020
Tipo del documento:
Article