Gestational diabetes & diabetes in pregnancy

Adverse perinatal outcomes in gestational diabetes mellitus with and without SARS-CoV-2 infection during pregnancy: results from two nationwide registries in Germany

BMJ Open Diabetes Res CarePublished Registry-based comparative cohort study

Authors' conclusion

GDM with SARS-CoV-2 infection in pregnancy is associated with an increased risk of adverse fetal and neonatal outcomes as compared with GDM without SARS-CoV-2 infection.

Study context

Population
Pregnant women with gestational diabetes mellitus (GDM) in two German registries
Participants
409 vs 4,598
Exposure
GDM with SARS-CoV-2 infection vs GDM without infection
  • CRONOSn = 409
  • GestDiabn = 4,598reference
Methodological detailstwo nationwide registries, CRONOS: multicenter prospective observational study, historical comparison (GestDiab 2018-2019)
  • Two nationwide registries
  • CRONOS: multicenter prospective observational study
  • Historical comparison (GestDiab 2018-2019)

Main finding

As reported in the abstract

CRONOS vs GestDiabAdjusted odds ratio (95% CI)
Combined primary outcome
1.48(1.11–1.97)
Preterm birth
1.50(1.07–2.10)

Observational data: associations, not effects.

Secondary outcomes

Fasting glucose

Maternal age

BMI

Fasting glucose — Each 0.1 mmol/L increase in fasting glucose and preterm birth risk, CRONOS only
aOR 1.05 (95% CI 1.01 to 1.09)

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Adverse perinatal outcomes in gestational diabetes mellitus with and without SARS-CoV-2 infection during pregnancy: results from two nationwide registries in Germany. BMJ Open Diabetes Res Care. Published 25 January 2024. doi:10.1136/bmjdrc-2023-003724

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