Table 5.
Prevalence* of non-chromosomal congenital anomaly subgroups by treatment of diabetes in the first trimester
| Human insulin only N=870 |
Insulin analogues only N=397 |
Human insulin and insulin analogue N=394 | |
| EUROCAT subgroups | n (per 1000) | n (per 1000) | n (per 1000) |
| Nervous system | 11 (12.6) | 2 (5.0) | 2 (5.1) |
| Ear, face and neck | 1 (1.1) | 0 | 0 |
| Congenital heart defects | 35 (40.2) | 3 (7.6) | 14 (35.5) |
| Severe congenital heart defects | 2 (2.3) | 0 | 4 (10.2) |
| Transposition of great vessels | 0 | 0 | 2 (5.1) |
| Single ventricle | 1 (1.1) | 0 | 0 |
| Ventricular septal defect | 20 (23.0) | 1 (2.5) | 9 (22.8) |
| Atrial septal defect | 12 (13.8) | 2 (5.0) | 2 (5.1) |
| Tetralogy of Fallot | 0 | 0 | 1 (2.5) |
| PDA as only congenital heart defects in term infants (GA +37 weeks) | 1 (1.1) | 0 | 1 (2.5) |
| Respiratory | 1 (1.1) | 1 (2.5) | 1 (2.5) |
| Orofacial clefts | 1 (1.1) | 2 (5.0) | 0 |
| Digestive system | 5 (5.7) | 0 | 2 (5.1) |
| Urinary | 10 (11.5) | 3 (7.6) | 1 (2.5) |
| Genital | 3 (3.4) | 2 (5.0) | 2 (5.1) |
| Limb | 9 (10.3) | 4 (10.1) | 1 (2.5) |
| Other anomalies/syndromes | 4† (4.6) | 0 | 1‡ (2.5) |
*One fetus can be counted in more than one subgroup if it has multiple malformations, but only once in total.
†Including craniosynostosis (n=2), teratogenic syndromes with malformations (n=1), genetic syndromes+microdeletions (n=1).
‡Situs inversus (n=1).
GA, gestational age; PDA, patent ductus arteriosus.