Maternal and Fetal Outcomes among Pregnant Women with Diabetes

Miroslava Gojnic, Jovana Todorovic, Dejana Stanisavljevic, Aleksandra Jotic, Ljiljana Lukic, Tanja Milicic, Nebojsa Lalic, Katarina Lalic, Milica Stoiljkovic, Tamara Stanisavljevic, Aleksandar Stefanovic, Katarina Stefanovic, Svetlana Vrzic-Petronijevic, Milos Petronijevic, Zorica Terzic-Supic, Maja Macura, Milan Perovic, Sandra Babic, Pavle Piperac, Marija Jovanovic, Bijana Parapid, Krisitna Doklestic, Radmila Cerovic, Sinisa Djurasevic and Stefan Dugalic
Additional contact information
Miroslava Gojnic: Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 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
Ljiljana Lukic: Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
Tanja Milicic: Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
Nebojsa Lalic: Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
Katarina Lalic: Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
Milica Stoiljkovic: Faculty of Medicine, University of Belgrade, 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
Katarina Stefanovic: Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia
Svetlana Vrzic-Petronijevic: Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia
Milos Petronijevic: Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 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

IJERPH, 2022, vol. 19, issue 6, 1-9

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.

Keywords: diabetesin pregnancy; pre-gestational diabetes; gestational diabetes (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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