Consequences of Gestational Diabetes Could Run Deeper Than Once Thought

In a French national study, neonates of mothers with GDM had excess risk for respiratory distress and congenital malformations.

The associations between gestational diabetes mellitus (GDM) and maternal outcomes such as hypertensive disorders of pregnancy and cesarean delivery are well known, but adverse neonatal outcomes have been less consistently demonstrated. Investigators used French national data from 2012 to determine perinatal consequences of GDM in an observational cohort study that included separating GDM from previously unrecognized pregestational diabetes.

Among almost 800,000 deliveries after 22 weeks' gestation, prevalence of GDM was 7.2%, and prevalences of type 1 and type 2 diabetes were each 0.2%. Rates of cesarean delivery, preterm birth, and hypertensive disorders were higher among women with GDM than those without diabetes. Women with GDM were mode…

Reviewing Author

Allison Bryant, MD, MPH

Disclosures

RoyaltiesUpToDate

Leadership Positions in Professional SocietiesSociety for Maternal-Fetal Medicine (Board of Directors)

Allison Bryant, MD, MPH

Disclosures

RoyaltiesUpToDate

Leadership Positions in Professional SocietiesSociety for Maternal-Fetal Medicine (Board of Directors)

Consequences of Gestational Diabetes Could Run Deeper Than Once Thought

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Reviewing Author