Preeclampsia Neonatal Outcome in Pregnant Women with and without Gestational Diabetes Mellitus and Polycystic Ovary Syndrome

Introduction: Gestational diabetes mellitus is the most common metabolic disorder. Polycystic ovary syndrome (PCO) is one of the most important causes of infertility during the fertility period, resulting in preeclampsia and many maternal and fetal complications. Methods: This case-control study was...

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Main Authors: Akram Hemmatipur, Azam Jahangiri Mehr, Elham Touriaie, Masoumeh Salehi Kombu
Format: Article
Language:fas
Published: Mashhad University of Medical Sciences 2018-07-01
Series:Majallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān
Subjects:
Online Access:https://ijogi.mums.ac.ir/article_11384_a59c36d0a526cc98058d6914a6bbc032.pdf
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author Akram Hemmatipur
Azam Jahangiri Mehr
Elham Touriaie
Masoumeh Salehi Kombu
author_facet Akram Hemmatipur
Azam Jahangiri Mehr
Elham Touriaie
Masoumeh Salehi Kombu
author_sort Akram Hemmatipur
collection DOAJ
description Introduction: Gestational diabetes mellitus is the most common metabolic disorder. Polycystic ovary syndrome (PCO) is one of the most important causes of infertility during the fertility period, resulting in preeclampsia and many maternal and fetal complications. Methods: This case-control study was conducted on 152 pregnant women with preeclampsia admitted to the Maternity Ward of Shoushtar Al-Hadi Hospital in 2016-2017. The study population was assigned of case (n=76) and control (n=76) based on infliction with gestational diabetes mellitus and PCO. Data analysis was performed in SPSS (version 16) using Kolmogorov–Smirnov test, independent t-test, and Chi-square test. P-value less than 0.05 was considered statistically significant. Results: The mean ages of the mothers and pregnancy termination were 31±6 years and 34±5.02 months, respectively. There was a statistically significant difference between the two groups in terms of the history of PCO, infertility, gestational diabetes, and preeclampsia, as well as, body mass index (P<0.001). Among the neonatal complications, the two groups were significantly different regarding the decreased intrauterine growth (P=0.03). In this regard, the ratio of decreased intrauterine growth was 2.1 times higher in the case group, compared to that in the control group (OR: -1.2, CI: 1.76-2.46). Conclusion: Gestational diabetes mellitus and polycystic ovarian syndrome in the presence of preeclampsia are associated with a significant reduction in fetal intrauterine growth.
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spelling doaj.art-a1574ca66bdb473f96f8432b789b2b922022-12-22T03:39:59ZfasMashhad University of Medical SciencesMajallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān1680-29932008-23632018-07-01215475710.22038/ijogi.2018.1138411384Preeclampsia Neonatal Outcome in Pregnant Women with and without Gestational Diabetes Mellitus and Polycystic Ovary SyndromeAkram Hemmatipur0Azam Jahangiri Mehr1Elham Touriaie2Masoumeh Salehi Kombu3M.Sc. in Nursing, Shoushtar School of Medical Sciences, Shoushtar, Iran.M.Sc. in Biostatistics, Shoushtar School of Medical Sciences, Shoushtar, Iran.B.Sc. Student of Midwifery, Student Research Committee, Shoushtar School of Medical Sciences, Shoushtar, Iran.M.Sc. in Nursing, Shoushtar School of Medical Sciences, Shoushtar, Iran.Introduction: Gestational diabetes mellitus is the most common metabolic disorder. Polycystic ovary syndrome (PCO) is one of the most important causes of infertility during the fertility period, resulting in preeclampsia and many maternal and fetal complications. Methods: This case-control study was conducted on 152 pregnant women with preeclampsia admitted to the Maternity Ward of Shoushtar Al-Hadi Hospital in 2016-2017. The study population was assigned of case (n=76) and control (n=76) based on infliction with gestational diabetes mellitus and PCO. Data analysis was performed in SPSS (version 16) using Kolmogorov–Smirnov test, independent t-test, and Chi-square test. P-value less than 0.05 was considered statistically significant. Results: The mean ages of the mothers and pregnancy termination were 31±6 years and 34±5.02 months, respectively. There was a statistically significant difference between the two groups in terms of the history of PCO, infertility, gestational diabetes, and preeclampsia, as well as, body mass index (P<0.001). Among the neonatal complications, the two groups were significantly different regarding the decreased intrauterine growth (P=0.03). In this regard, the ratio of decreased intrauterine growth was 2.1 times higher in the case group, compared to that in the control group (OR: -1.2, CI: 1.76-2.46). Conclusion: Gestational diabetes mellitus and polycystic ovarian syndrome in the presence of preeclampsia are associated with a significant reduction in fetal intrauterine growth.https://ijogi.mums.ac.ir/article_11384_a59c36d0a526cc98058d6914a6bbc032.pdfpolycystic ovary syndromegestational diabetes mellituspreeclampsianeonatal complications
spellingShingle Akram Hemmatipur
Azam Jahangiri Mehr
Elham Touriaie
Masoumeh Salehi Kombu
Preeclampsia Neonatal Outcome in Pregnant Women with and without Gestational Diabetes Mellitus and Polycystic Ovary Syndrome
Majallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān
polycystic ovary syndrome
gestational diabetes mellitus
preeclampsia
neonatal complications
title Preeclampsia Neonatal Outcome in Pregnant Women with and without Gestational Diabetes Mellitus and Polycystic Ovary Syndrome
title_full Preeclampsia Neonatal Outcome in Pregnant Women with and without Gestational Diabetes Mellitus and Polycystic Ovary Syndrome
title_fullStr Preeclampsia Neonatal Outcome in Pregnant Women with and without Gestational Diabetes Mellitus and Polycystic Ovary Syndrome
title_full_unstemmed Preeclampsia Neonatal Outcome in Pregnant Women with and without Gestational Diabetes Mellitus and Polycystic Ovary Syndrome
title_short Preeclampsia Neonatal Outcome in Pregnant Women with and without Gestational Diabetes Mellitus and Polycystic Ovary Syndrome
title_sort preeclampsia neonatal outcome in pregnant women with and without gestational diabetes mellitus and polycystic ovary syndrome
topic polycystic ovary syndrome
gestational diabetes mellitus
preeclampsia
neonatal complications
url https://ijogi.mums.ac.ir/article_11384_a59c36d0a526cc98058d6914a6bbc032.pdf
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AT elhamtouriaie preeclampsianeonataloutcomeinpregnantwomenwithandwithoutgestationaldiabetesmellitusandpolycysticovarysyndrome
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