Association between polycystic ovary syndrome and glucose intolerance during pregnancy

Lesser, Karen B.; García, Francisco

doi:10.1002/(sici)1520-6661(199709/10)6:5<303::aid-mfm14>3.0.co;2-l

Cited by 27 publications

(18 citation statements)

References 26 publications

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“…Its minor effect on the outcome did not justify the loss of the data the study provided. One study (Lesser and Garcia [11]) defined PCOS in a way not fully consistent with either NIH or Rotterdam criteria. Finally, all of these studies were included in the meta-analysis, and their effect on the outcome was controlled for through sensitivity analysis and effort to communicate with the authors.…”

Section: Discussionmentioning

confidence: 99%

Risk of gestational diabetes mellitus in women with polycystic ovary syndrome: a systematic review and a meta-analysis

Toulis

Goulis

Kolibianakis

et al. 2009

Fertility and Sterility

119

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Section: Discussionmentioning

confidence: 99%

Risk of gestational diabetes mellitus in women with polycystic ovary syndrome: a systematic review and a meta-analysis

Toulis

Goulis

Kolibianakis

et al. 2009

Fertility and Sterility

119

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“…Outcomes of interest were reported in a total of n = 224 136 pregnant women comprising 39 retrospective 23,31,[33][34][35][36][37][38][39][40][42][43][44][47][48][49]51,53,54,56,57,59,61,62,65,67,69,70,73,74,78,79,81,84,85,87,[89][90][91] (n = 157 899) and 24 prospective 30,32,41,45,46,50,52,55,58,60,63,64,66,…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Eighteen studies were conducted in Europe, 36,37,42,43,50,51,53,54,57,60,64,75,76,[79][80][81][82]91 16 in Americas, 23,31,32,34,38,39,45,47,49,52,56,58,61,65,72,87 23 in Asia, 30,33,35,44,46,48,55,59,62,66,67,69,70,73,74,77,[83][84]…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…23 Twelve studies measured GWG. 34,35,37,[43][44][45][46]57,58,64,65,86 Of these, only one study mentioned the initial and last time points for weight measurements 46 while the last time point for measurement is not stated in other studies. None of the included studies reported GWG by the Institute of Medicine (IOM) GWG recommendations according to pre-conception BMI.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

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Increased maternal pregnancy complications in polycystic ovary syndrome appear to be independent of obesity—A systematic review, meta‐analysis, and meta‐regression

et al. 2019

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Summary Polycystic ovary syndrome (PCOS) is associated with an increased risk of maternal pregnancy and delivery complications. However, the impact of clinical features of PCOS and other potential risk factors in PCOS is still unknown. We aimed to investigate the association of PCOS with maternal pregnancy and delivery complications with consideration of risk factors and potential confounders. The meta‐analysis included 63 studies. PCOS was associated with higher miscarriage, gestational diabetes mellitus, gestational hypertension, pre‐eclampsia, induction of labour, and caesarean section. The association of PCOS with these outcomes varied by geographic continent, PCOS phenotypes, and study quality. Pre‐eclampsia and induction of labour were not associated with PCOS on body mass index‐matched studies. No outcome was associated with PCOS on assisted pregnancies. Age was significantly associated with higher miscarriage on meta‐regression. There were no studies assessing perinatal depression. We confirm that PCOS is associated with an increased risk of maternal pregnancy and delivery complications. The association of PCOS with the outcomes is worsened in hyperandrogenic PCOS phenotypes, in specific geographic continents, and in the highest quality studies but disappears in assisted pregnancies. Future studies in PCOS are warranted to investigate proper timing for screening and prevention of maternal pregnancy and delivery complications with consideration of clinical features of PCOS.

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“…2 Those who develop gestational diabetes are likely to have underlying PCOS and women with PCOS are likely to develop gestational diabetes. [15][16][17][18][19][20][21][22] Gestational diabetes, which is related to increasing insulin resistance, is associated with increased latter risk for type 2 diabetes mellitus, 23 fetal macrosomia, increased rate of birth trauma and cesarean section. 24,25 So proper management is essential to prevent perinatal, neonatal and long-term pediatric complications.…”

Section: Introductionmentioning

confidence: 99%

Prevention of gestational diabetes mellitus by continuing metformin therapy throughout pregnancy in women with polycystic ovary syndrome

Begum

Khanam

Quadir³

et al. 2009

J of Obstet and Gynaecol

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Association between polycystic ovary syndrome and glucose intolerance during pregnancy

Cited by 27 publications

References 26 publications

Risk of gestational diabetes mellitus in women with polycystic ovary syndrome: a systematic review and a meta-analysis

Risk of gestational diabetes mellitus in women with polycystic ovary syndrome: a systematic review and a meta-analysis

Increased maternal pregnancy complications in polycystic ovary syndrome appear to be independent of obesity—A systematic review, meta‐analysis, and meta‐regression

Prevention of gestational diabetes mellitus by continuing metformin therapy throughout pregnancy in women with polycystic ovary syndrome

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