First-Trimester Screening for Gestational Diabetes Mellitus in Twin Pregnancies. 2021

Olga Buerger, and Tania Elger, and Antonia Varthaliti, and Argyro Syngelaki, and Alan Wright, and Kypros H Nicolaides
Fetal Medicine Research Institute, King's College Hospital, London SE5 8BB, UK.

We previously reported a logistic regression model for prediction of GDM from maternal characteristics and medical history in 75,161 singleton pregnancies. In this study of 1376 twin and 13,760 singleton pregnancies recruited at 11-13 weeks' gestation, we extend the model to include terms for twin pregnancies. We found the respective odds of GDM in dichorionic and monochorionic twin pregnancies to be 1.36 (95% CI: 1.02-1.81) and 2.78 (95% CI: 1.72-4.48) times higher than in singleton pregnancies. In both singleton and twin pregnancies, the risk for GDM increased with maternal age and weight and birth weight z-score of a baby in a previous pregnancy and is higher in women with a previous pregnancy complicated by GDM; in those with a first- or second-degree relative with diabetes mellitus; in women of Black, East Asian, and South Asian racial origin; and in pregnancies conceived through the use of ovulation-induction drugs. In singleton pregnancies, at 10% and 20% false-positive rate, the detection rate was 43% and 58%, respectively. In twin pregnancies, using risk cut-offs corresponding to 10% and 20% false-positive rates in singletons, the respective false-positive rates were 27% and 47%, and the detection rates were 63% and 81%.

UI MeSH Term Description Entries

Related Publications

Olga Buerger, and Tania Elger, and Antonia Varthaliti, and Argyro Syngelaki, and Alan Wright, and Kypros H Nicolaides
September 2021, Taiwanese journal of obstetrics & gynecology,
Olga Buerger, and Tania Elger, and Antonia Varthaliti, and Argyro Syngelaki, and Alan Wright, and Kypros H Nicolaides
July 2011, Journal of perinatal medicine,
Olga Buerger, and Tania Elger, and Antonia Varthaliti, and Argyro Syngelaki, and Alan Wright, and Kypros H Nicolaides
December 2014, American journal of obstetrics and gynecology,
Olga Buerger, and Tania Elger, and Antonia Varthaliti, and Argyro Syngelaki, and Alan Wright, and Kypros H Nicolaides
December 2016, Taiwanese journal of obstetrics & gynecology,
Olga Buerger, and Tania Elger, and Antonia Varthaliti, and Argyro Syngelaki, and Alan Wright, and Kypros H Nicolaides
November 2015, Metabolism: clinical and experimental,
Olga Buerger, and Tania Elger, and Antonia Varthaliti, and Argyro Syngelaki, and Alan Wright, and Kypros H Nicolaides
June 1998, American journal of obstetrics and gynecology,
Olga Buerger, and Tania Elger, and Antonia Varthaliti, and Argyro Syngelaki, and Alan Wright, and Kypros H Nicolaides
March 2020, Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology,
Olga Buerger, and Tania Elger, and Antonia Varthaliti, and Argyro Syngelaki, and Alan Wright, and Kypros H Nicolaides
January 2022, Fetal diagnosis and therapy,
Olga Buerger, and Tania Elger, and Antonia Varthaliti, and Argyro Syngelaki, and Alan Wright, and Kypros H Nicolaides
January 2023, Current diabetes reviews,
Olga Buerger, and Tania Elger, and Antonia Varthaliti, and Argyro Syngelaki, and Alan Wright, and Kypros H Nicolaides
January 2021, Prenatal diagnosis,
Copied contents to your clipboard!