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The Journal of Maternal-Fetal & Neonatal Medicine Volume 30, 2017 - Issue 15
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Original Article

Concurrence of gestational diabetes and pre-gravid obesity (“diabesity”) in twin gestations

Teresinha SimõesDepartment of Maternal–Fetal Medicine Maternity Dr. Alfredo da Costa, Centro Hospitalar Lisboa Central and Universidade Nova de Lisboa, Lisbon, Portugal,
,
Alexandra QueirósDepartment of Maternal–Fetal Medicine Maternity Dr. Alfredo da Costa, Centro Hospitalar Lisboa Central and Universidade Nova de Lisboa, Lisbon, Portugal,
,
Sandra ValdoleirosDepartment of Maternal–Fetal Medicine Maternity Dr. Alfredo da Costa, Centro Hospitalar Lisboa Central and Universidade Nova de Lisboa, Lisbon, Portugal,
,
Ana Teresa MarujoDepartment of Maternal–Fetal Medicine Maternity Dr. Alfredo da Costa, Centro Hospitalar Lisboa Central and Universidade Nova de Lisboa, Lisbon, Portugal,
,
Nisa FelixDepartment of Maternal–Fetal Medicine Maternity Dr. Alfredo da Costa, Centro Hospitalar Lisboa Central and Universidade Nova de Lisboa, Lisbon, Portugal,
&
Isaac BlicksteinDepartment of Maternal–Fetal Medicine Maternity Dr. Alfredo da Costa, Centro Hospitalar Lisboa Central and Universidade Nova de Lisboa, Lisbon, Portugal, ;Department of Obstetrics and Gynecology, Kaplan Medical Center, Rehovot, Israel, and ;The Hadassah-Hebrew University School of Medicine, Jerusalem, IsraelCorrespondence[email protected]
Pages 1813-1815 | Received 30 Jun 2016, Accepted 17 Aug 2016, Published online: 05 Sep 2016
 
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Abstract

Objective: To assess the effect of the concurrence of gestational diabetes mellitus (GDM) and pre-gravid obesity in twin gestations (“diabesity”).

Methods: We compared perinatal outcomes of twin gestation in mothers with GDM and pre-gravid obesity (1.7%), mothers with GDM but with normal BMI (6.2%), and obese mothers without GDM (7.0%).

Results: Twin pregnancies with “diabesity” were associated with significantly higher incidence of stillbirth (OR = 6.4; 95%CI = 1.4, 33.4) and existing chronic hypertension (OR = 4.2; 95%CI = 1.2, 14.8) than in GDM pregnancies without obesity, and with births at 33–36 weeks as compared with the other groups. Otherwise, the comparisons showed remarkable similar results in terms of gestational age, birth weight, preeclampsia, cesarean section rate, and fetal-neonatal outcomes.

Conclusion: It appears that diabesity has a relatively minor effect in twins. If this will be confirmed by other studies, it would be important to elucidate how twins ameliorate the adverse outcomes of diabesity.

Declaration of interest

The authors report no conflict of interest.

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