Table 3.
Multinomial logistic regression analysis of the associations between mid-pregnancy glucose status and specific congenital heart defect subtypes
| Variable | AVSD | Othera | ||||
|---|---|---|---|---|---|---|
| n (%) | OR (95%CI) | P value | n (%) | OR (95%CI) | P value | |
| GDM | ||||||
| No | 265 (0.5) | 1 (Ref) | 112 (0.2) | 1 (Ref) | ||
| Yes | 118 (0.8) | 1.48 (1.18 ~ 1.84) | 0.001 | 38 (0.2) | 1.25 (0.86 ~ 1.82) | 0.242 |
| OGTT 0 h | ||||||
| < 5.1 mmol/L | 331 (0.5) | 1 (Ref) | 129 (0.2) | 1 (Ref) | ||
| ≥ 5.1 mmol/L | 52 (0.7) | 1.32 (0.98 ~ 1.77) | 0.069 | 21 (0.3) | 1.47 (0.93 ~ 2.35) | 0.102 |
| OGTT 1 h | ||||||
| < 10 mmol/L | 318 (0.5) | 1 (Ref) | 138 (0.2) | 1 (Ref) | ||
| ≥ 10 mmol/L | 65 (0.9) | 1.6 (1.22 ~ 2.11) | 0.001 | 12 (0.2) | 0.77 (0.42 ~ 1.4) | 0.388 |
| OGTT 2 h | ||||||
| < 8.5 mmol/L | 331 (0.5) | 1 (Ref) | 129 (0.2) | 1 (Ref) | ||
| ≥ 8.5 mmol/L | 52 (0.8) | 1.33 (0.99 ~ 1.8) | 0.061 | 21 (0.3) | 1.63 (1.02 ~ 2.62) | 0.041 |
| OGTT statusb | ||||||
| Group 1 | 265 (0.5) | 1 (Ref) | 112 (0.2) | 1 (Ref) | ||
| Group 2 | 30 (0.6) | 1.21 (0.83 ~ 1.77) | 0.333 | 14 (0.3) | 1.39 (0.8 ~ 2.43) | 0.247 |
| Group 3 | 66 (0.8) | 1.53 (1.16 ~ 2.01) | 0.003 | 17 (0.2) | 1.05 (0.63 ~ 1.76) | 0.858 |
| Group 4 | 22 (1.1) | 1.91 (1.23 ~ 2.99) | 0.004 | 7 (0.4) | 1.72 (0.79 ~ 3.74) | 0.169 |
| P for trend | < 0.001 | 0.257 | ||||
All models adjusted for infant sex, maternal age, assisted reproduction, gestational hypertension, gravidity, parity, and gestational week of delivery
Abbreviations: AVSD atrial or ventricular septal defect, GDM gestational diabetes mellitus, OGTT oral glucose tolerance test
a Congenital heart defect other than atrial or ventricular septal defect, and patent ductus arteriosus
b OGTT status: Group 1 represents OGTT 0 h, 1 h and 2 h are both normal; Group 2 indicates that OGTT 0 h is abnormal, while OGTT 1 h and 2 h is normal; Group 3 indicates that OGTT 0 h is normal, while OGTT 1 h or 2 h is abnormal; Group 4 represents OGTT 0 h,1 h and 2 h are all abnormal. Adjusted for infant sex, maternal age, assisted reproduction, gestational hypertension, gravidity, parity, and gestational week of delivery