Table 2.
Measures of glycemic control and maternal and neonatal outcomes
| ≤ 8 visits n=83 |
≥15 n=96 |
Unadjusted RR (95% CI) |
Adjusted OR* (95% CI) |
|
|---|---|---|---|---|
| Primary Outcomes | ||||
|
LGA (Birthweight>90%) |
15 (18.07) | 27 (28.13) | 1.77 (0.87–3.62) | 1.69 (0.81–3.54) |
| NICU admission | 15 (18.07) | 4 (4.17) | 0.23 (0.08–0.67) | 0.15 (0.04–0.53) |
| Fetal Secondary Outcomes | ||||
|
Severe LGA (Birthweight>95%) |
9 (10.84) | 20 (20.83) | 2.16 (0.93–5.06) | 1.69 (0.81–3.54) |
|
SGA (Birthweight<10%) |
6 (7.23) | 8 (8.33) | 0.99 (0.37–2.61) | 0.93 (0.32–2.76) |
| Shoulder dystocia | 4 (4.82) | 4 (4.21) | 1.10 (0.28–4.23) | 1.64 (0.37–7.21) |
|
Hyperbilirubinemia requiring Phototherapy |
28 (34.15) | 26 (27.66) | 0.74 (0.39–1.40) | 0.74 (0.38–1.42) |
|
Neonatal Hypoglycemia |
5 (6.02) | 4 (4.17) | 0.70 (0.19–2.49) | 0.74 (0.19–2.92) |
|
5 minute APGAR<7 |
9 (10.84) | 3 (3.13) | 0.29 (0.08–1.03) | 0.19 (0.04–0.91) |
| pH<7.10 | 11 (13.25) | 12 (12.50) | 1.01 (0.90–1.13) | 1.31 (0.53–3.29) |
| PTB < 37 weeks | 34 (40.96) | 21 (21.88) | 0.53 (0.34–0.84) | 0.41 (0.21–0.80) |
| Maternal Secondary Outcomes | ||||
|
Mean 3rd trimester fasting BG (mg/dL) |
94.63 ± 30.21 | 90.2 ± 14.77 | - - | - - |
|
Mean Hgb A1c in labor‡ |
6.89±1.34 | 6.44±0.78 | -- | -- |
|
Hgb A1c > 7.0% at delivery |
36 (43.37) | 27 (28.13) | 0.65 (0.43–0.97) | 0.62 (0.32–1.18) |
| Preeclampsia | 29 (34.94) | 26 (27.08) | 0.78 (0.50–1.20) | 0.67 (0.35–1.29) |
|
Gestational weight gain over IOM |
42 (50.60) | 60 (62.50) | 1.24 (0.95–1.61) | 1.44 (0.78–2.67) |
| Vaginal Delivery | 34 (40.96) | 38 (39.58) | 0.97 (0.68–1.38) | 1.13 (0.61–2.10) |
|
Operative Vaginal Delivery |
3 (8.82) | 2 (5.26) | 0.60 (0.11–3.36) | 0.31 (0.03–2.97) |
| Cesarean | 49 (59.04) | 58 (60.42) | 1.02 (0.80–1.30) | 0.89 (0.48–1.65) |
|
Maternal Readmission within 30 days |
7 (8.43) | 3 (3.13) | 0.37 (0.10–1.39) | 0.39 (0.09–1.57) |
Data are in the form of n (%) or mean±standard deviation
Adjusted for African American race, nulliparity, and obesity
Denotes p<0.05