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. 2021 Jul 23;16(7):e0254895. doi: 10.1371/journal.pone.0254895

Table 5. Pregnancy complications in patients treated with metformin and placebo, women with and without GDM.

GDM Non-GDM
Metformin Placebo p-value Metformin Placebo p-value
WHO 1999 criteria N 97 103 248 258
Hypertension 3 (3) 3 (3) 0.31 14 (6) 14 (6) 0.92
Preeclampsia 6 (6) 3 (3) 0.26 14 (6) 20 (8) 0.34
Late miscarriage/preterm birth 2 (2) 10 (10) 0.023 10 (4) 26 (10) 0.008
SGA/LGA 9 (9)/9 (9) 16 (16)/10 (10) 0.33 29 (12)/24 (10) 23 (9)/21 (8) 0.47
Birth weight, g 3527 ± 511 3366 ± 761 0.08 3580 ± 522 3571 ± 600 0.86
Birth weight, z-score -0.09 ± 1.05 -0.18 ± 1.11 0.09 -0.06 ± 1.07 0.04 ± 0.96 0.27
Gest. age, days 277 ± 11 270 ± 30 0.036 278 ± 16 277 ±20 0.45
Maternal weight gain, kg 6.6 ± 7.6 9.2 ± 5.2 0.009 9.8 ± 4.9 11.8 ± 4.7 <0.001
Insulin treatment 9 (9) 14 (14) 0.339 1 (0.4)* 0 (0) 0.31
WHO 2013 criteria N 139 150 198 215
Hypertension 9 (6) 5 (3) 0.23 8 (4) 11 (5) 0.78
Preeclampsia 9 (6) 10 (7) 0.95 11 (6) 13 (9) 0.83
Late miscarriage/preterm birth 3 (2) 18 (12) 0.001 9 (5) 20 (10) 0.06
SGA/LGA 9 (6)/14 (10) 20 (14)/15 (10) 0.12 26 (13)/17 (9) 21 (10)/16 (8) 0.51
Birth weight 3631 ± 480 3406 ± 811 0.005 3521 ± 533 3556 ± 592 0.54
Birth weight, z-score 0.10 ± 1.03 -0.08 ± 1.11 0.17 -0.17 ± 1.05 0.01 ± 0.95 0.06
Gest. age, days 277 ± 19 270 ± 30 0.022 278 ± 11 277 ± 20 0.49
Maternal weight gain, kg 8.0 ± 5.4 10.0 ± 5.6 0.004 9.9 ± 4.8 11.8 ± 4.4 <0.001
Insulin treatment 10 (7) 14 (9) 0.51 0 0

Values given as mean ± SD or N (%) as appropriate. SGA small for gestational age, LGA large for gestational age.

*One patient receiving metformin was treated with insulin due to GDM diagnosed using the new WHO 2013 criteria, but she did not have GDM using the WHO 1999 criteria.