Document Detail


Gestational diabetes in twin pregnancy: prevalence and long-term implications.
MedLine Citation:
PMID:  1290428     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
During the period 1971-1991 at the Mercy Hospital for Women, gestational diabetes (GDM) was diagnosed in 3,447 of 61,914 tested singleton pregnancies (5.6%) and 59 of 798 tested twin pregnancies (7.4%, p = 0.025). A difference was apparent in the period 1971-1980, when the prevalences of GDM in singleton and twin pregnancies were 3.0% and 5.6% respectively (p = 0.012), but not in the period 1981-1991 when the corresponding prevalences were 7.4% and 8.4% (p = 0.36). Of the 59 patients in whom a diagnosis of GDM in a twin pregnancy was made, 27 attended the follow-up programme. These patients were matched to a control group of 27 patients who had GDM in a singleton pregnancy with similar characteristics for known risk factors for the development of permanent diabetes mellitus. On WHO criteria diabetes mellitus occurred in 5 (18.5%) of the subjects and 2 (7.4%) of the controls (p = 0.21). The difference in prevalence of GDM in twin and singleton pregnancies is less now that the overall prevalence of the disease has more than doubled (1971-1980 versus 1981-1991). Although the increased rate of permanent diabetes mellitus after twin pregnancy is not statistically significant, it would seem wise to make a special effort to enroll these women in the follow-up programme.
Authors:
P Wein; M M Warwick; N A Beischer
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Australian & New Zealand journal of obstetrics & gynaecology     Volume:  32     ISSN:  0004-8666     ISO Abbreviation:  Aust N Z J Obstet Gynaecol     Publication Date:  1992 Nov 
Date Detail:
Created Date:  1993-03-25     Completed Date:  1993-03-25     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0001027     Medline TA:  Aust N Z J Obstet Gynaecol     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  325-7     Citation Subset:  IM    
Affiliation:
University of Melbourne, Department of Obstetrics and Gynaecology, Mercy Hospital for Women, Victoria.
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MeSH Terms
Descriptor/Qualifier:
Adult
Case-Control Studies
Diabetes Mellitus / epidemiology,  etiology
Diabetes, Gestational / complications,  epidemiology*
Female
Follow-Up Studies
Hospitals, Special
Humans
Pregnancy
Pregnancy, Multiple*
Prevalence
Risk Factors
Twins
Victoria

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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