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. 2021 Nov 22;18(11):e1003856. doi: 10.1371/journal.pmed.1003856

Table 1. Association between diabetic nephropathy and/or retinopathy and adverse maternal and perinatal outcomes.

Outcomes No. of studies Events in women with disease Events in women with no disease OR (95% CI) p-value I2
Maternal outcomes
Preeclampsia 9 92/273 95/1,196 5.89 (3.85, 9.02) <0.01 13.8%
Pregnancy-induced hypertension 2 26/172 15/455 2.33 (0.10, 51.95) 0.59 86.7%
Preterm birth <34/40 3 19/73 17/371 8.49 (1.87, 38.63) 0.01 64.9%
Preterm birth <37/40 7 253/502 575/1,882 2.29 (1.85, 2.83) <0.01 0.0%
Caesarean birth 6 210/248 341/769 5.40 (2.48, 11.78) <0.01 60.4%
Perinatal outcomes
Congenital abnormality 3 30/102 58/245 1.30 (0.75, 2.26) 0.35 0.0%
Small for gestational age fetus 5 21/349 11/505 2.49 (1.12, 5.57) 0.03 0.0%
Large for gestational age fetus 5 129/284 185/447 1.10 (0.80, 1.52) 0.54 0.0%
Perinatal death 5 18/733 24/1,218 2.85 (0.46, 17.77) 0.26 75.9%
Neonatal unit admission 2 129/643 149/648 1.21 (0.91, 1.63) 0.19 0.0%
Neonatal hypoglycemia 4 53/145 146/514 1.09 (0.56, 2.14) 0.80 55.6%

CI, confidence interval; OR, odds ratio.