Maternal and Neonatal Outcomes in Korean Women with Type 1 and Type 2 Diabetes

• Published in: Diabetes & metabolism journal Vol. 39; no. 4; pp. 316 - 320
• Main Authors: Kim, Hee-Sook, Jang, Hye-Jung, Park, Jeong-Eun, Kim, Moon-Young, Ko, Sun-Young, Kim, Sung-Hoon
• Format: Journal Article
• Language: English
• Published: Korea (South) Korean Diabetes Association 01.08.2015; 대한당뇨병학회
• Subjects: Original; Pregnancy outcome; Type 1 diabetes; Type 2 diabetes; 내과학; Type 2 diabetes; Type 1 diabetes; Pregnancy outcome
• ISSN: 2233-6079; 2233-6087
• DOI: 10.4093/dmj.2015.39.4.316

The purpose of this study was to evaluate maternal and neonatal outcomes in Korean women with type 1 diabetes and type 2 diabetes. We performed a retrospective survey of 163 pregnancies in women with type 1 diabetes (n=13) and type 2 diabetes (n=150) treated from 2003 to 2010 at Cheil General Hospital & Women's Healthcare Center, Korea. We compared maternal characteristics as well as maternal and neonatal outcomes between groups. Differences in glycosylated hemoglobin between type 1 and type 2 diabetes were not significant. Birth weight (3,501±689.6 g vs. 3,366±531.4 g) and rate of major congenital malformations (7.7% vs. 5.6%) were not significantly different. However, women with type 1 diabetes had higher rates of preeclampsia (38.5% vs. 8.2%, P=0.006), large for gestational age (LGA; 46.2% vs. 20.4%, P=0.004), macrosomia (38.5% vs. 13.4%, P=0.032), and admission for neonatal care (41.7% vs. 14.8%, P=0.03) than women with type 2 diabetes. Maternal and neonatal outcomes for women with type 1 diabetes were poorer than for women with type 2 diabetes, especially preeclampsia, LGA, macrosomia and admission to the neonatal intensive care unit.