Accessible Requires Authentication Published by De Gruyter February 11, 2010

Metabolic parameters and perinatal outcomes of gestational diabetes mellitus in women with polycystic ovary syndrome

Guanghui Li, Ling Fan, Li Zhang, Weiyuan Zhang and Xinghua Huang
From the journal

Abstract

Aims: To investigate metabolic characteristics and perinatal outcomes of gestational diabetes mellitus (GDM) in women with polycystic ovary syndrome (PCOS).

Methods: We evaluated 34 GDM in women with PCOS and 70 GDM in women without PCOS in this prospective study. All GDM women were treated with medical nutrition therapy (MNT). Pre-pregnancy clinical data, fasting glucose, fasting insulin (FINS), blood lipid, homeostasis model assessment index of insulin resistance (HOMA-IR) and perinatal outcomes were investigated.

Results: GDM in women with PCOS had higher pre-pregnancy body mass index (BMI), higher incidence of overweight than in the non-PCOS group (each P<0.001). Incidence of history of infertility was also significantly higher in the PCOS group than in the non-PCOS group (20.6% vs. 2.9%, P<0.01). A higher incidence of early pregnancy loss (EPL) was found in the PCOS group than in the non-PCOS group (20.6% vs. 7.1%, P<0.05). Significantly higher in vitro fertilization and embryo transfer (IVF-ET) rate and insulin administration was also observed in the PCOS group than in the controls. No significant difference was found in the prevalence of preeclampsia, premature delivery, macrosomia, fetal death and neonatal congenital anomaly between GDM in women with and without PCOS (all P<0.05).

Conclusions: Compared with the controls, no significant increase in the incidence of adverse perinatal outcomes was detected in GDM in women with PCOS by appropriate management.


Corresponding author: Weiyuan Zhang, MD, PhD, Professor Beijing Obstetrics and Gynecology Hospital Capital Medical University Yao Jiayuan Rd 251 Beijing 100026 P.R. China Tel.: +86 (010) 8596 8401 Fax: +86 (010) 8596 8397

Received: 2009-7-21
Revised: 2009-9-30
Accepted: 2009-10-20
Published Online: 2010-02-11
Published Online: 2010-02-11
Published in Print: 2010-03-01

©2010 by Walter de Gruyter Berlin New York