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Table 4 Adjusted odds ratio of adverse pregnancy outcomes in women with duration of type 2 diabetes < 3 years 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 = 154)a

Metformin Group

(n = 427)a

Maternal outcome

 Primary cesarean section

1.01 (0.59–1.74)

0.50 (0.30–0.83)

 Pregnancy-related hypertension

1.65 (0.86–3.16)

1.08 (0.55–2.11)

 Preeclampsia

1.39 (0.67–2.88)

0.97 (0.44–2.14)

Fetal outcome

 Preterm birth (<  37 week)

1.08 (0.60–1.95)

0.79 (0.43–1.47)

 Very preterm delivery (< 32 weeks)

 Low birth weight (<  2500 g)

1.26 (0.49–3.22)

1.27 (0.52–3.09)

 High birth weight (>  4000 g)

 Small for gestational age

 Large for gestational age

1.43 (0.83–2.49)

0.79 (0.47–1.33)

 Congenital malformations

0.60 (0.26–1.37)

0.40 (0.17–0.93)

 Apgar score < 7 at 5 min

 Stillbirth

0.23 (0.06–0.92)

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