PMID- 35329371 OWN - NLM STAT- MEDLINE DCOM- 20220418 LR - 20220418 IS - 1660-4601 (Electronic) IS - 1661-7827 (Print) IS - 1660-4601 (Linking) VI - 19 IP - 6 DP - 2022 Mar 20 TI - Maternal and Fetal Outcomes among Pregnant Women with Diabetes. LID - 10.3390/ijerph19063684 [doi] LID - 3684 AB - 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. FAU - Gojnic, Miroslava AU - Gojnic M AD - Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia. AD - Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia. FAU - Todorovic, Jovana AU - Todorovic J AD - Institute of Social Medicine, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia. FAU - Stanisavljevic, Dejana AU - Stanisavljevic D AD - Institute for Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia. FAU - Jotic, Aleksandra AU - Jotic A AD - Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia. AD - Clinic for Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, 11000 Belgrade, Serbia. FAU - Lukic, Ljiljana AU - Lukic L AUID- ORCID: 0000-0002-3513-4434 AD - Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia. AD - Clinic for Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, 11000 Belgrade, Serbia. FAU - Milicic, Tanja AU - Milicic T AD - Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia. AD - Clinic for Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, 11000 Belgrade, Serbia. FAU - Lalic, Nebojsa AU - Lalic N AD - Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia. AD - Clinic for Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, 11000 Belgrade, Serbia. FAU - Lalic, Katarina AU - Lalic K AD - Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia. AD - Clinic for Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, 11000 Belgrade, Serbia. FAU - Stoiljkovic, Milica AU - Stoiljkovic M AD - Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia. AD - Clinic for Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, 11000 Belgrade, Serbia. FAU - Stanisavljevic, Tamara AU - Stanisavljevic T AD - Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia. FAU - Stefanovic, Aleksandar AU - Stefanovic A AD - Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia. AD - Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia. FAU - Stefanovic, Katarina AU - Stefanovic K AD - Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia. AD - Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia. FAU - Vrzic-Petronijevic, Svetlana AU - Vrzic-Petronijevic S AD - Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia. AD - Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia. FAU - Petronijevic, Milos AU - Petronijevic M AD - Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia. AD - Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia. FAU - Terzic-Supic, Zorica AU - Terzic-Supic Z AD - Institute of Social Medicine, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia. FAU - Macura, Maja AU - Macura M AD - Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia. FAU - Perovic, Milan AU - Perovic M AD - Clinic for Gynecology and Obstetrics "NarodniFront", Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia. FAU - Babic, Sandra AU - Babic S AUID- ORCID: 0000-0002-7812-9002 AD - Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia. FAU - Piperac, Pavle AU - Piperac P AD - Department for Humanities, Faculty of Medicine, University of Belgrade, 11000 belgrade, Serbia. FAU - Jovanovic, Marija AU - Jovanovic M AD - General Hospital Bor, 19210 Bor, Serbia. FAU - Parapid, Bijana AU - Parapid B AD - Clinic for Cardiology, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia. FAU - Doklestic, Krisitna AU - Doklestic K AD - Emergency Department, University Clinical Centre of Serbia, 11000 Belgrade, Serbia. FAU - Cerovic, Radmila AU - Cerovic R AD - Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia. FAU - Djurasevic, Sinisa AU - Djurasevic S AUID- ORCID: 0000-0003-4406-8376 AD - Faculty of Biology, University of Belgrade, 11000 Belgrade, Serbia. FAU - Dugalic, Stefan AU - Dugalic S AD - Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia. AD - Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia. LA - eng PT - Journal Article DEP - 20220320 PL - Switzerland TA - Int J Environ Res Public Health JT - International journal of environmental research and public health JID - 101238455 SB - IM MH - *Diabetes Mellitus, Type 1/complications/epidemiology MH - *Diabetes Mellitus, Type 2/complications/epidemiology MH - *Diabetes, Gestational/epidemiology MH - Female MH - Humans MH - *Hypertension, Pregnancy-Induced/epidemiology MH - Infant, Newborn MH - Male MH - Pregnancy MH - *Pregnancy Complications/epidemiology MH - Pregnancy Outcome/epidemiology MH - Pregnant Women PMC - PMC8953700 OTO - NOTNLM OT - diabetesin pregnancy OT - gestational diabetes OT - pre-gestational diabetes COIS- The authors declare no conflict of interest. EDAT- 2022/03/26 06:00 MHDA- 2022/04/19 06:00 PMCR- 2022/03/20 CRDT- 2022/03/25 01:10 PHST- 2022/02/04 00:00 [received] PHST- 2022/03/12 00:00 [revised] PHST- 2022/03/15 00:00 [accepted] PHST- 2022/03/25 01:10 [entrez] PHST- 2022/03/26 06:00 [pubmed] PHST- 2022/04/19 06:00 [medline] PHST- 2022/03/20 00:00 [pmc-release] AID - ijerph19063684 [pii] AID - ijerph-19-03684 [pii] AID - 10.3390/ijerph19063684 [doi] PST - epublish SO - Int J Environ Res Public Health. 2022 Mar 20;19(6):3684. doi: 10.3390/ijerph19063684.