Korean J Obstet Gynecol.  2001 Mar;44(3):478-485.

Clinical Comparison of Maternal Characteristics and Pregnancy Outcomes between Gestational Diabetes and General Obstetric Population

Affiliations
  • 1Depratment of Obstetrics and Gynecology, Il Sin Christian Hospital, Pusan, Korea.

Abstract


OBJECTIVE
To compare maternal characteristics and pregnancy outcomes in a group of women with gestational diabetes mellitus(GDM) diagnosed in our hospital with those of women without this disorder. MATERIALS AND METHOD: This is a retrospective study of 402 gestational diabetic women with singleton cephalic presenting pregnancies delivered at Ilsin Christian Hospital during the period January 1, 1997, through December 31, 1999. National Diabetes Data Group thresholds were used to diagnose gestational diabetes. Women in this group were compared with a nondiabetic control group(n=430) randomly selected and effects of confounding variables were analyzed using stratified analysis.
RESULTS
Prevalence of GDM was 2.36%. Women with gestational diabetes were significantly older, heavier, of greater parity and more often had the following risk factors for GDM. Hypertension, cesarean delivery, macrosomia, and large for gestational age(LGA) rate were significantly increased. The adequate treatment group diagnosed before 32wks and received glucose control was compared with a inadequate treatment group. And there was no significant difference in maternal characteristics and pregnancy outcomes between the two groups. Within the adequate treatment group, three groups were subdivided by birth weight as SGA(small for gestational age), AGA(appropriate for gestational age) and LGA. The group with LGA had no difference in age, parity, pregnancy-induced hypertension, 2hr mean postprandial glucose level except body mass index and insulin treatment rate. After adjusting these two factors with stratified analysis, there was no general association between birth weight and glucose level(p=0.342).
CONCLUSIONS
Maternal characteristics of gestational diabetes were significantly different compared with those of nondiabetic women. Pregnancy outcomes of gestational diabetic women were not improved by our conventional management and more intensified but acceptable and compliable treatment should be tried.

Keyword

gestational diabetes mellitus; pregnancy outcome; maternal characteristics; macrosomia; blood glucose level

MeSH Terms

Birth Weight
Body Mass Index
Confounding Factors (Epidemiology)
Diabetes, Gestational*
Female
Glucose
Humans
Hypertension
Hypertension, Pregnancy-Induced
Insulin
Parity
Pregnancy
Pregnancy Outcome*
Pregnancy*
Prevalence
Retrospective Studies
Risk Factors
Glucose
Insulin
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