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Table 5 Adjusted odds ratio of adverse pregnancy outcomes among women who received metformin monotherapy in switching group and metformin group 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 = 273)a

Metformin Group

(n = 596)a

Maternal outcome

 Primary cesarean section

1.06 (0.73–1.54)

0.57 (0.40–0.82)

 Pregnancy-related hypertension

1.20 (0.78–1.86)

0.81 (0.53–1.23)

 Preeclampsia

1.17 (0.70–1.95)

0.83 (0.51–1.34)

Fetal outcome

 Preterm birth (<  37 week)

1.07 (0.73–1.58)

0.97 (0.64–1.48)

 Very preterm delivery (< 32 weeks)

0.51 (0.18–1.49)

0.93 (0.38–2.27)

 Low birth weight (<  2500 g)

1.14 (0.64–2.04)

1.33 (0.76–2.34)

 High birth weight (>  4000 g)

1.60 (0.98–2.60)

0.84 (0.49–1.45)

 Small for gestational age

1.00 (0.51–1.97)

 Large for gestational age

1.54 (1.05–2.25)

0.86 (0.60–1.23)

 Congenital malformations

0.72 (0.38–1.35)

0.47 (0.25–0.89)

 Apgar score < 7 at 5 min

1.48 (0.28–7.79)

 Stillbirth

0.79 (0.26–2.39)

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