J Korean Med Sci.  2006 Jun;21(3):457-459. 10.3346/jkms.2006.21.3.457.

Perinatal Outcome in Twin Pregnancies Complicated by Gestational Diabetes Mellitus: A Comparative Study

• Cho HJ
• Shin JS
• Yang JH
• Ryu HM
• Kim MY
• Han JY
• Kim JO
• Ahn HK
• Choi JS
• Chung JH
• Park SH
• Kim MH
• Choi KH

• KMID: 1778428
• DOI: http://doi.org/10.3346/jkms.2006.21.3.457

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.

Keyword

Diabetes, Gestational; Pregnancy, Multiple; Perinatal Outcome; Pregnancy Outcome

MeSH Terms

Twins
Treatment Outcome
Retrospective Studies
Pregnancy, Multiple
Pregnancy Outcome
Pregnancy
Humans
Female
Diseases in Twins
Diabetes, Gestational/*pathology/*therapy
Adult

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