Gestational diabetes mellitus in in-vitro fertilization pregnancies – Clinical and placental histological characteristics

Hadas Ganer Herman*, Or Marom, Liron Koren, Eran Horowitz, Letizia Schreiber, Omer Okmian, Arieh Raziel, Michal Kovo

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: We aimed to investigate obstetric and neonatal outcomes and placental histological findings in in vitro fertilization (IVF) pregnancies complicated by gestational diabetes mellitus (GDM) as compared to unassisted pregnancies. Methods: This was a retrospective cohort of deliveries at a single university affiliated center between 12/2008 and 01/2020. Included were singleton pregnancies complicated by GDM, for which placental histopathological examination was performed. Obstetric, neonatal and placental outcomes were compared between pregnancies following IVF and unassisted pregnancies. Placental lesions were categorized according to the “Amsterdam” criteria. Results: Included were 688 deliveries with a diagnosis of GDM with placental examination – 69 IVF pregnancies (IVF group) and 619 unassisted pregnancies (control group). The IVF group was characterized by a significantly higher maternal age and higher rate of nulliparous women - 60.8% vs. 32.9%, p < 0.001. There were no differences in GDM type between the study groups – about two thirds of cases were GDMA1 and on third GDMA2. A higher incidence of preeclampsia was noted in the IVF group – 17.3% vs. 9.3%, p = 0.03, with no difference in cesarean deliveries and birthweight. IVF deliveries were characterized by a significantly higher rate of adverse neonatal outcomes – 18.8% vs. 8.8%, p = 0.008, although this did not attain significance after adjustment to gestational age. No differences were noted in placental histology between the groups. Discussion: GDM in IVF is associated with a significantly higher rate of adverse neonatal outcomes, as compared with non-assisted pregnancies complicated by GDM. Placental histology does not shed light on these clinical associations.

Original languageEnglish
Pages (from-to)156-160
Number of pages5
JournalPlacenta
Volume117
DOIs
StatePublished - Jan 2022

Keywords

  • Gestational diabetes mellitus (GDM)
  • In vitro fertilization (IVF)
  • Placenta

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