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.