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Table 3 Pregnancy outcomes of women with gestational diabetes mellitus by assignment

From: A randomised translational trial of lifestyle intervention using a 3-tier shared care approach on pregnancy outcomes in Chinese women with gestational diabetes mellitus but without diabetes

 

UC (n = 361)

SC (n = 339)

 

SC vs. UC

SC vs. UC

Outcomes

Mean (SD) or n(%)

Mean (SD) or n(%)

P value

Unadjusted RR (95% CI)

Adjusted RR†(95% CI)

Delivery at a tertiary hospital

237(65.7%)

237(69.9%)

0.228

  

Gestational weeks at delivery

39.2(2.1)

39.4(2.9)

0.243

  

Primary outcome

     

Birth weight ?4.0 kg

63(17.5%)

38(11.2%)

0.019

0.64(0.44-0.93)

0.66(0.45-0.95)

Secondary outcome

     

Pregnancy-induced hypertension

16(4.4%)

27(8.0%)

0.052

1.80(0.99-3.28)

1.77(0.98-3.21)

Other infant outcomes

    

Birth weight, g

3469(574)

3371(530)

0.021

  

Body stature of neonates, cm

50.2(1.9)

50.1(1.8)

0.248

  

Infant male gender

190(52.9%)

204(60.4%)

0.048

  

Large for gestational age†

72(19.9%)

44(13.0%)

0.013

0.65(0.46-0.92)

0.66(0.47-0.93)

Birth weight ≥4.5 kg

10(2.8%)

7(2.1%)

0.541

0.75(0.29-1.94)

0.75(0.28-1.99)

Birth weight < 2.5 kg

14(3.9%)

14(4.1%)

0.865

1.06(0.52-2.20)

1.00(0.48-2.08)

Apgar score at 1 min <7

7(1.9%)

0(0%)

0.016

  

Neonatal hypoglycemia†

4(1.1%)

2(0.6%)

0.457

0.53(0.10-2.89)

0.55(0.10-3.09)

Birth trauma or shoulder dystocia

0

0

-

-

-

Bone fracture

0

0

-

-

-

Stillbirth or neonatal death

4(1.1%)

4(1.2%)

0.929

1.06(0.27-4.22)

1.01(0.27-3.84)

Other maternal or delivery outcomes

   

Induced labor

1(0.3%)

0

-

  

Preterm birth

28(7.8%)

18(5.3%)

0.192

0.68(0.39-1.21)

0.64(0.36-1.14)

Premature rupture of membrane

69(19.1%)

49(14.5%)

0.100

0.76(0.54-1.06)

0.74(0.53-1.04)

Caesarean delivery

233(64.5%)

239(70.5%)

0.093

1.09(0.99-1.21)

1.09(0.98-1.21)

Preeclampsia

8(2.2%)

18(5.3%)

0.031

2.40(1.06-5.44)

2.35(1.05-5.26)

Gestational hypertension

8(2.2%)

9(2.7%)

0.706

1.20(0.47-3.07)

1.18(0.46-3.05)

  1. Abbreviations: SC shared intensive care, UC usual care.
  2. †Adjusted RR, derived from prevalence ratios that were adjusted for fasting plasma glucose and maternal body height that were marginally significant.
  3. †Large for gestational age was defined by gender and gestational age specific 90th percentiles.
  4. †Defined as capillary blood glucose <1.7 mmol/L.