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Fetal anomalies in gestational diabetes mellitus and risk of fetal anomalies in relation to pre-conceptional blood sugar and glycosylated hemoglobin Cover

Fetal anomalies in gestational diabetes mellitus and risk of fetal anomalies in relation to pre-conceptional blood sugar and glycosylated hemoglobin

Open Access
|Feb 2023

Figures & Tables

The maternal age, medical disorders, HbA1c, daily insulin dose, and the obstetrics outcome of the studied women with GDM

VariablesStudied population Number 151
Maternal characteristics
Age (years)26.9 ± 3.28
History of hypertension11.9% (18/151)
Family history of diabetes63.6% (96/151)

HbA1c (g%)5.57 ± 0.91
Daily insulin dose25.7 ± 19.03

Obstetrics Outcome
Past history of Miscarriage73.5% (111/151)
Cesarean section (CS)30.5% (46/151)
Gestational age at delivery (weeks)37.8 ± 0.6
Birth weight (kg)3.26 ± 0.2

The fetal anomalies (FAs) recorded in studied women with GDM

Fetal anomalies (FAs)Number and (%)
Cardiovascular system (TGA, VSD, ASD)(4/151) 2.6%
Musculoskeletal system (caudal dysgenesis and limb reduction)(2/151) 1.3%
Urogenital anomalies (renal agenesis and hydronephrosis)(2/151) 1.3%
Gastrointestinal system (pyloric stenosis and duodenal atresia)(2/151) 13%
Facial anomalies (cleft lip and palate)(1/151) 0.7%
Central nervous system (ONTD (spina bifida))(1/151) 0.7%
Multiple FA anomalies(1/151) 0.7%
Total(13/150) 8.6%

The RR and OR of FAs in relation to the pre-conceptional blood sugar and HbA1c

Studied women with GDM (N = 151)FAs group Exposed group (N = 13)Non-FAs group Controls (N = 138)RR (95%CI) P-valueOR (95%CI) P-value
Pre-conceptional blood sugar 2.217.05
Controlled (N = 82)181(1.7-2.9)(2.2-134.9)
Uncontrolled (N = 69)1257<0.001*0.007*
HbA1c in first trimester 2.824.8
<6.5 (N = 94)193(2.1 – 3.8)(3.1-196.7)
≥6.5 (N = 57)1245<0.001*0.002*
DOI: https://doi.org/10.34763/jmotherandchild.20222601.d-22-00040 | Journal eISSN: 2719-535X | Journal ISSN: 2719-6488
Language: English
Page range: 73 - 77
Submitted on: Aug 5, 2022
Accepted on: Nov 9, 2022
Published on: Feb 22, 2023
Published by: Institute of Mother and Child
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2023 Rami M. M. Al-Shwyiat, Ahmed M. Radwan, published by Institute of Mother and Child
This work is licensed under the Creative Commons Attribution 4.0 License.