Perinatal Outcomes and Related Risk Factors of Single vs Twin Pregnancy Complicated by Gestational Diabetes Mellitus: Meta-Analysis

作者全名："Zhu, Xiaofang; Huang, Chan; Wu, Li; Deng, Yufeng; Lai, Xuemei; Gu, Huayan; Zhang, Haiyan"

作者地址："[Zhu, Xiaofang; Huang, Chan; Wu, Li; Deng, Yufeng; Lai, Xuemei; Gu, Huayan; Zhang, Haiyan] Chongqing Med Univ, Dept Obstet & Gynecol, Women & Childrens Hosp, Chongqing 401147, Peoples R China"

通信作者："Wu, L (通讯作者)，Chongqing Med Univ, Dept Obstet & Gynecol, Women & Childrens Hosp, Chongqing 401147, Peoples R China."

来源：COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE

ESI学科分类：MATHEMATICS

WOS号：WOS:000829461900013

JCR分区：Q2

影响因子：2.809

年份：2022

卷号：2022

期号：　

开始页：　

结束页：　

文献类型：Review

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摘要："Objective. Perinatal outcomes and related risk factors of single vs twin pregnancy complicated with gestational diabetes mellitus (GDM) were clarified, providing evidence for developing preventive measures. Methods. The Chinese National Knowledge Infrastructure (CNKI), China Biology Medicine (CBM), CQVIP, Wanfang, and PubMed databases were searched for published research on the perinatal outcomes and risk factors of single and twin pregnancy complicated by GDM from 2000 to 2021. The quality of the included literature was evaluated according to the Newcastle-Ottawa Scale (NOS). Meta-analysis of the included literature was conducted using RevMan5.3 software. Results. Relative to a single pregnancy group, infertility, gestational weight gain, and family history of diabetes presented statistical significance in the twin pregnancy group (P < 0.05); gestational age at delivery, cesarean section, preterm birth < 37 weeks, and preeclampsia presented statistical significance in the twin pregnancy group (P < 0.05); and neonatal birth weight, small for gestational age (SGA), neonatal asphyxia, neonatal hypoglycemia, neonatal respiratory distress syndrome (NRDS), neonatal hyperbilirubinemia, and neonatal death presented statistical significance in the twin pregnancy group (P < 0.05). Conclusion. Infertility, prenatal weight gain, and diabetes in the family are all risk factors for postpartum impaired glucose metabolism in pregnant women with GDM who are carrying twins. The gestational age at delivery, cesarean section, preterm birth < 37 weeks, and preeclampsia of twin pregnant women with diabetes will affect the perinatal status of twin pregnant women. Neonatal birth weight, SGA, neonatal asphyxia, neonatal hypoglycemia, NRDS, neonatal hyperbilirubinemia, neonatal death, etc. should be paid special attention in the perinatal process."

基金机构：2020 Scientific Research Plan of Yuzhong District [20200159]

基金资助正文：AcknowledgmentsThis work was supported by the 2020 Scientific Research Plan of Yuzhong District (grant number: 20200159).