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Diabetes mellitus and birth defects
Journal article   Peer reviewed

Diabetes mellitus and birth defects

Adolfo Correa, Suzanne M Gilboa, Lilah M Besser, Lorenzo D Botto, Cynthia A Moore, Charlotte A Hobbs, Mario A Cleves, Tiffany J Riehle-Colarusso, D. Kim Waller, E. Albert Reece, …
American journal of obstetrics and gynecology, Vol.199(3), pp.237.e1-237.e9
2008
DOI: 10.1016/j.ajog.2008.06.028
PMCID: PMC4916956
PMID: 18674752

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Abstract

The purpose of this study was to examine associations between diabetes mellitus and 39 birth defects. This was a multicenter case-control study of mothers of infants who were born with (n = 13,030) and without (n = 4895) birth defects in the National Birth Defects Prevention Study (1997-2003). Pregestational diabetes mellitus (PGDM) was associated significantly with noncardiac defects (isolated, 7/23 defects; multiples, 13/23 defects) and cardiac defects (isolated, 11/16 defects; multiples, 8/16 defects). Adjusted odds ratios for PGDM and all isolated and multiple defects were 3.17 (95% CI, 2.20-4.99) and 8.62 (95% CI, 5.27-14.10), respectively. Gestational diabetes mellitus (GDM) was associated with fewer noncardiac defects (isolated, 3/23 defects; multiples, 3/23 defects) and cardiac defects (isolated, 3/16 defects; multiples, 2/16 defects). Odds ratios between GDM and all isolated and multiple defects were 1.42 (95% CI, 1.17-1.73) and 1.50 (95% CI, 1.13-2.00), respectively. These associations were limited generally to offspring of women with prepregnancy body mass index ≥25 kg/m 2. PGDM was associated with a wide range of birth defects; GDM was associated with a limited group of birth defects.
Obesity birth defect gestational diabetes mellitus pregestational diabetes mellitus

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