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Table 3 Adjusted odds ratio of adverse pregnancy outcomes among women who received metformin to insulin switching therapy or metformin therapy as compared to insulin therapy

From: Association of pregnancy outcomes in women with type 2 diabetes treated with metformin versus insulin when becoming pregnant

Cohort

Switching Group

(n = 318)a

Metformin Group

(n = 626)a

Maternal outcome

 Primary cesarean section

1.14 (0.80–1.63)

0.57 (0.40–0.82)

 Pregnancy-related hypertension

1.26 (0.83–1.92)

0.92 (0.61–1.40)

 Preeclampsia

1.24 (0.75–2.05)

0.92 (0.57–1.49)

Fetal outcome

 Preterm birth (<  37 week)

1.21 (0.84–1.75)

1.05 (0.69–1.59)

 Very preterm delivery (< 32 weeks)

0.81 (0.33–2.02)

1.01 (0.42–2.46)

 Low birth weight (<  2500 g)

1.32 (0.76–2.29)

1.30 (0.75–2.25)

 High birth weight (>  4000 g)

1.47 (0.92–2.36)

0.91 (0.54–1.53)

 Small for gestational age

0.98 (0.51–1.90)

 Large for gestational age

1.39 (0.96–2.02)

0.99 (0.69–1.42)

 Congenital malformations

0.75 (0.41–1.37)

0.51 (0.27–0.94)

 Apgar score < 7 at 5 min

1.55 (0.31–7.67)

 Stillbirth

0.82 (0.28–2.36)

  1. aAdjusted for age, duration of type 2 diabetes, hypertension, hyperlipidemia, retinopathy, and aspirin use