Gestational diabetes & diabetes in pregnancy

Prevalence of gestational diabetes mellitus risk factors in singleton pregnancies obtained by assisted reproductive technology: An observational, retrospective, real-world study from a pregnancy registry

Diabetes Res Clin PractPublished Retrospective cohort study

Authors' conclusion

Prevalence of GDM traditional risk factors in singleton ART pregnancies complicated by GDM is considerable. Such pregnancies need appropriate clinical attention because of the risk of adverse outcomes.

Study context

Population
Women with singleton pregnancy obtained by Assisted Reproductive Technology (ART) and complicated by gestational diabetes mellitus (GDM), consecutively cared for at a specialized center for diabetes and pregnancy care; mean age 40.4 ± 4.7 years, mean pre-pregnancy BMI 26.3 ± 6.2 kg/m²
Participants
50 women
Outcome
Prevalence of GDM risk factors
Methodological detailsobservational, real-world, pregnancy registry, single specialized center
  • Observational
  • Real-world
  • Pregnancy registry
  • Single specialized center

Main finding

As reported in the abstract

Prevalence of GDM traditional risk factors
Age ≥ 35 years
94 %
Family history of diabetes
44 %
Overweight
29 %
Obesity
19 %
1 risk factor
28 %
2 risk factors
46 %
3 risk factors
20 %
4 risk factors
4 %
5 risk factors
2 %

Observational data: associations, not effects.

Further findings

Pre-pregnancy weight and BMI across the 5 risk-factor groups

Pre-pregnancy weight differed significantly among the 5 groups, increasing with higher numbers of risk factors
P < 0.0001
Pre-pregnancy BMI differed significantly among the 5 groups, increasing with higher numbers of risk factors
P < 0.0001

Neonatal outcomes across the 5 risk-factor groups

Only neonatal hypoglycemia differed significantly among the groups, higher with more combined risk factors
P = 0.03

Original publication

Prevalence of gestational diabetes mellitus risk factors in singleton pregnancies obtained by assisted reproductive technology: An observational, retrospective, real-world study from a pregnancy registry. Diabetes Res Clin Pract. Published 2 April 2024. doi:10.1016/j.diabres.2024.111654

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