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Risk for gestational diabetes and hypertension for women with twin pregnancy compared to singleton pregnancy

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Risk for gestational diabetes and hypertension for women with twin pregnancy compared to singleton pregnancy. / Buhling, Kai J; Henrich, Wolfgang; Starr, Elizabeth; Lubke, Marion; Bertram, Silke; Siebert, Gerda; Dudenhausen, Joachim W.

In: ARCH GYNECOL OBSTET, Vol. 269, No. 1, 01.11.2003, p. 33-6.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Buhling, KJ, Henrich, W, Starr, E, Lubke, M, Bertram, S, Siebert, G & Dudenhausen, JW 2003, 'Risk for gestational diabetes and hypertension for women with twin pregnancy compared to singleton pregnancy', ARCH GYNECOL OBSTET, vol. 269, no. 1, pp. 33-6. https://doi.org/10.1007/s00404-003-0483-z

APA

Buhling, K. J., Henrich, W., Starr, E., Lubke, M., Bertram, S., Siebert, G., & Dudenhausen, J. W. (2003). Risk for gestational diabetes and hypertension for women with twin pregnancy compared to singleton pregnancy. ARCH GYNECOL OBSTET, 269(1), 33-6. https://doi.org/10.1007/s00404-003-0483-z

Vancouver

Buhling KJ, Henrich W, Starr E, Lubke M, Bertram S, Siebert G et al. Risk for gestational diabetes and hypertension for women with twin pregnancy compared to singleton pregnancy. ARCH GYNECOL OBSTET. 2003 Nov 1;269(1):33-6. https://doi.org/10.1007/s00404-003-0483-z

Bibtex

@article{8d815deca2464954a6a184e7f76395d0,
title = "Risk for gestational diabetes and hypertension for women with twin pregnancy compared to singleton pregnancy",
abstract = "OBJECTIVES: This study was undertaken to determine the incidence of pregnancy induced hypertension (PIH) and gestational diabetes (GDM) in twin pregnancies (TP) in comparison with singleton pregnancies (SP), and to test whether TP with GDM have a higher risk than TP without GDM, as is known to be the case in SP.MATERIALS AND METHODS: Eighty-nine patients with TP who sought prenatal care between 1 September 1994 and 30 October 1997, were asked to participate. One hundred and seventy-eight of the 1,416 patients were matched in a 1:2 ratio by age, body-mass-index, parity, gestational age at screening, and ethnicity with a singleton pregnancy from our database dating from the same period. The diagnosis {"}hypertension{"} or {"}preeclampsia{"} was made using clinical criteria including a repeated blood pressure above 140/90 mm Hg. Maternal and fetal outcome were compared between SP and TP, between TP with and without pathological screening, between TP with and without GDM.RESULTS: Patients with TP did not have a higher rate of GDM but of PIH (GDM 3.4% vs. 3.4%, p=0.63; PIH 2.8% vs. 9.0%, p=0.036). Expectant mothers of twins whose glucose screening test was pathological have a higher incidence of hypertension than those whose screening test was normal (17.9% vs. 4.9%, p=0.048). Twins of gestational diabetics have a higher rate of admission to the neonatal intensive care unit than twins of healthy pregnant patients (100% vs. 31%, p=0.028).CONCLUSIONS: TP are associated with a higher risk of hypertension than SP but not for GDM. Patients expecting twins who show a carbohydrate intolerance are at a higher risk for hypertension and fetal diabetes-associated complications.",
keywords = "Adult, Blood Pressure, Diabetes, Gestational, Female, Glucose Tolerance Test, Humans, Hypertension, Incidence, Infant, Newborn, Pregnancy, Pregnancy Complications, Pregnancy Outcome, Pregnancy, Multiple, Risk Factors, Twins",
author = "Buhling, {Kai J} and Wolfgang Henrich and Elizabeth Starr and Marion Lubke and Silke Bertram and Gerda Siebert and Dudenhausen, {Joachim W}",
year = "2003",
month = nov,
day = "1",
doi = "10.1007/s00404-003-0483-z",
language = "English",
volume = "269",
pages = "33--6",
journal = "ARCH GYNECOL OBSTET",
issn = "0932-0067",
publisher = "Springer",
number = "1",

}

RIS

TY - JOUR

T1 - Risk for gestational diabetes and hypertension for women with twin pregnancy compared to singleton pregnancy

AU - Buhling, Kai J

AU - Henrich, Wolfgang

AU - Starr, Elizabeth

AU - Lubke, Marion

AU - Bertram, Silke

AU - Siebert, Gerda

AU - Dudenhausen, Joachim W

PY - 2003/11/1

Y1 - 2003/11/1

N2 - OBJECTIVES: This study was undertaken to determine the incidence of pregnancy induced hypertension (PIH) and gestational diabetes (GDM) in twin pregnancies (TP) in comparison with singleton pregnancies (SP), and to test whether TP with GDM have a higher risk than TP without GDM, as is known to be the case in SP.MATERIALS AND METHODS: Eighty-nine patients with TP who sought prenatal care between 1 September 1994 and 30 October 1997, were asked to participate. One hundred and seventy-eight of the 1,416 patients were matched in a 1:2 ratio by age, body-mass-index, parity, gestational age at screening, and ethnicity with a singleton pregnancy from our database dating from the same period. The diagnosis "hypertension" or "preeclampsia" was made using clinical criteria including a repeated blood pressure above 140/90 mm Hg. Maternal and fetal outcome were compared between SP and TP, between TP with and without pathological screening, between TP with and without GDM.RESULTS: Patients with TP did not have a higher rate of GDM but of PIH (GDM 3.4% vs. 3.4%, p=0.63; PIH 2.8% vs. 9.0%, p=0.036). Expectant mothers of twins whose glucose screening test was pathological have a higher incidence of hypertension than those whose screening test was normal (17.9% vs. 4.9%, p=0.048). Twins of gestational diabetics have a higher rate of admission to the neonatal intensive care unit than twins of healthy pregnant patients (100% vs. 31%, p=0.028).CONCLUSIONS: TP are associated with a higher risk of hypertension than SP but not for GDM. Patients expecting twins who show a carbohydrate intolerance are at a higher risk for hypertension and fetal diabetes-associated complications.

AB - OBJECTIVES: This study was undertaken to determine the incidence of pregnancy induced hypertension (PIH) and gestational diabetes (GDM) in twin pregnancies (TP) in comparison with singleton pregnancies (SP), and to test whether TP with GDM have a higher risk than TP without GDM, as is known to be the case in SP.MATERIALS AND METHODS: Eighty-nine patients with TP who sought prenatal care between 1 September 1994 and 30 October 1997, were asked to participate. One hundred and seventy-eight of the 1,416 patients were matched in a 1:2 ratio by age, body-mass-index, parity, gestational age at screening, and ethnicity with a singleton pregnancy from our database dating from the same period. The diagnosis "hypertension" or "preeclampsia" was made using clinical criteria including a repeated blood pressure above 140/90 mm Hg. Maternal and fetal outcome were compared between SP and TP, between TP with and without pathological screening, between TP with and without GDM.RESULTS: Patients with TP did not have a higher rate of GDM but of PIH (GDM 3.4% vs. 3.4%, p=0.63; PIH 2.8% vs. 9.0%, p=0.036). Expectant mothers of twins whose glucose screening test was pathological have a higher incidence of hypertension than those whose screening test was normal (17.9% vs. 4.9%, p=0.048). Twins of gestational diabetics have a higher rate of admission to the neonatal intensive care unit than twins of healthy pregnant patients (100% vs. 31%, p=0.028).CONCLUSIONS: TP are associated with a higher risk of hypertension than SP but not for GDM. Patients expecting twins who show a carbohydrate intolerance are at a higher risk for hypertension and fetal diabetes-associated complications.

KW - Adult

KW - Blood Pressure

KW - Diabetes, Gestational

KW - Female

KW - Glucose Tolerance Test

KW - Humans

KW - Hypertension

KW - Incidence

KW - Infant, Newborn

KW - Pregnancy

KW - Pregnancy Complications

KW - Pregnancy Outcome

KW - Pregnancy, Multiple

KW - Risk Factors

KW - Twins

U2 - 10.1007/s00404-003-0483-z

DO - 10.1007/s00404-003-0483-z

M3 - SCORING: Journal article

C2 - 12682848

VL - 269

SP - 33

EP - 36

JO - ARCH GYNECOL OBSTET

JF - ARCH GYNECOL OBSTET

SN - 0932-0067

IS - 1

ER -