972: Is there an association between gestational diabetes mellitus in twin pregnancies and long-term maternal cardiovascular morbidity? Academic Article uri icon

abstract

  • Objective To investigate whether a diagnosis of gestational diabetes mellitus (GDM) in twin gestation poses a risk for subsequent maternal long-term cardiovascular morbidity. Study Design A population-based cohort study was conducted, comparing the incidence of cardiovascular morbidity within a cohort of women with and without a diagnosis of GDM who delivered twins in a tertiary medical center. Kaplan-Meier survival curve was used to estimate cumulative incidence of simple, complex (ie, angina pectoris and congestive heart failure, respectively) cardiovascular-related hospitalizations. Cox proportional hazard model was used to estimate the adjusted HRs for cardiovascular morbidity. Results Of 4,256 twin deliveries that met the inclusion criteria, 336 (7.9%) occurred in patients that were diagnosed with GDM. During a follow-up period of more than 10 years, patients with GDM …

publication date

  • January 1, 2018