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Maternal and Fetal Outcomes among Pregnant Women with Diabetes

Author

Listed:
  • Miroslava Gojnic

    (Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia
    Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia)

  • Jovana Todorovic

    (Institute of Social Medicine, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia)

  • Dejana Stanisavljevic

    (Institute for Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia)

  • Aleksandra Jotic

    (Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
    Clinic for Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, 11000 Belgrade, Serbia)

  • Ljiljana Lukic

    (Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
    Clinic for Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, 11000 Belgrade, Serbia)

  • Tanja Milicic

    (Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
    Clinic for Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, 11000 Belgrade, Serbia)

  • Nebojsa Lalic

    (Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
    Clinic for Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, 11000 Belgrade, Serbia)

  • Katarina Lalic

    (Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
    Clinic for Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, 11000 Belgrade, Serbia)

  • Milica Stoiljkovic

    (Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
    Clinic for Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, 11000 Belgrade, Serbia)

  • Tamara Stanisavljevic

    (Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia)

  • Aleksandar Stefanovic

    (Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia
    Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia)

  • Katarina Stefanovic

    (Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia
    Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia)

  • Svetlana Vrzic-Petronijevic

    (Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia
    Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia)

  • Milos Petronijevic

    (Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia
    Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia)

  • Zorica Terzic-Supic

    (Institute of Social Medicine, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia)

  • Maja Macura

    (Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia)

  • Milan Perovic

    (Clinic for Gynecology and Obstetrics “NarodniFront”, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia)

  • Sandra Babic

    (Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia)

  • Pavle Piperac

    (Department for Humanities, Faculty of Medicine, University of Belgrade, 11000 belgrade, Serbia)

  • Marija Jovanovic

    (General Hospital Bor, 19210 Bor, Serbia)

  • Bijana Parapid

    (Clinic for Cardiology, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia)

  • Krisitna Doklestic

    (Emergency Department, University Clinical Centre of Serbia, 11000 Belgrade, Serbia)

  • Radmila Cerovic

    (Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia)

  • Sinisa Djurasevic

    (Faculty of Biology, University of Belgrade, 11000 Belgrade, Serbia)

  • Stefan Dugalic

    (Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia
    Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia)

Abstract

The aim of this study was to examine the differences in pregnancy complications, delivery characteristics, and neonatal outcomes between women with type 1 diabetes mellitus (T1DM), type 2 diabetes mellitus (T2DM), and gestational diabetes mellitus (GDM). This study included all pregnant women with diabetes in pregnancy in Belgrade, Serbia, between 2010 and 2020. The total sample consisted of 6737 patients. In total, 1318 (19.6%) patients had T1DM, 138 (2.0%) had T2DM, and 5281 patients (78.4%) had GDM. Multivariate logistic regression with the type of diabetes as an outcome variable showed that patients with T1DM had a lower likelihood of vaginal delivery (OR: 0.73, 95% CI: 0.64–0.83), gestational hypertension (OR: 0.47, 95% CI: 0.36–0.62), higher likelihood of chronic hypertension (OR: 1.88, 95% CI: 1.55–2.29),and a higher likelihood ofgestational age at delivery before 37 weeks (OR: 1.38, 95% CI: 1.18–1.63) compared to women with GDM. Multivariate logistic regression showed that patients with T2DM had a lower likelihood ofgestational hypertension compared to women with GDM (OR: 0.37, 95% CI: 0.15–0.92).Our results indicate that the highest percentage of diabetes in pregnancy is GDM, and the existence of differences in pregnancy complications, childbirth characteristics, and neonatal outcomes are predominantly between women with GDM and women with T1DM.

Suggested Citation

  • Miroslava Gojnic & Jovana Todorovic & Dejana Stanisavljevic & Aleksandra Jotic & Ljiljana Lukic & Tanja Milicic & Nebojsa Lalic & Katarina Lalic & Milica Stoiljkovic & Tamara Stanisavljevic & Aleksand, 2022. "Maternal and Fetal Outcomes among Pregnant Women with Diabetes," IJERPH, MDPI, vol. 19(6), pages 1-9, March.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:6:p:3684-:d:775215
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    Citations

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    Cited by:

    1. Stefan Dugalic & Milos Petronijevic & Brankica Vasiljevic & Jovana Todorovic & Dejana Stanisavljevic & Aleksandra Jotic & Ljiljana Lukic & Tanja Milicic & Nebojsa Lalić & Katarina Lalic & Milica Stoil, 2022. "Trends of the Prevalence of Pre-gestational Diabetes in 2030 and 2050 in Belgrade Cohort," IJERPH, MDPI, vol. 19(11), pages 1-9, May.

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