Interdelivery Interval and Diabetes Mellitus in a Subsequent Pregnancy

Annie M. Dude; Ashley Battarbee; Lynn M. Yee

doi:10.1055/s-0038-1676114

American Journal of Perinatology, Table of Contents

Am J Perinatol 2019; 36(10): 1039-1044
DOI: 10.1055/s-0038-1676114

Original Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Interdelivery Interval and Diabetes Mellitus in a Subsequent Pregnancy

Annie M. Dude

¹Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Feinberg School of Medicine, Chicago, Illinois

,

Ashley Battarbee

²Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina

,

Lynn M. Yee

¹Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Feinberg School of Medicine, Chicago, Illinois

› Author Affiliations

Abstract

Objective We determined whether time between deliveries is associated with developing diabetes at the time of a subsequent delivery.

Study Design This is a case–control study of women who had two consecutive singleton births at the same institution with no pregestational diabetes in the baseline pregnancy. Cases were defined as women who were diagnosed with any type of diabetes at the time of the subsequent delivery. Controls were defined as women who had no diagnosis of diabetes at the time of the subsequent delivery. Interdelivery interval (IDI) was categorized as < 18, 18 to 60, or > 60 months.

Results Of 12,263 women, 4.1% (N = 501) were diagnosed with diabetes at the subsequent delivery. Women with diabetes were more likely to have an IDI of >60 months than women without diabetes (9.0 vs. 4.2%, p < 0.001). After controlling for confounding factors, an IDI > 60 months remained associated with development of pregestational or gestational diabetes by the conclusion of the subsequent pregnancy (adjusted odds ratio = 2.13 compared with an IDI of 18–60 months, 95% confidence interval 1.44–3.15).

Conclusion A longer IDI is an independent risk factor for the development of diabetes at the time of a subsequent delivery.

Keywords

gestational diabetes - interdelivery interval - pregestational diabetes

Full Text

References

References
1 Committee on Practice Bulletins—Obstetrics. ACOG Practice Bulletin No. 190: gestational diabetes mellitus. Obstet Gynecol 2018; 131 (02) e49-e64
2 Starikov R, Dudley D, Reddy UM. Stillbirth in the pregnancy complicated by diabetes. Curr Diab Rep 2015; 15 (03) 11
3 Admon LK, Winkelman TNA, Moniz MH, Davis MM, Heisler M, Dalton VK. Disparities in chronic conditions among women hospitalized for delivery in the United States, 2005-2014. Obstet Gynecol 2017; 130 (06) 1319-1326
4 Hauck YL, Lewis L, Nathan EA, White C, Doherty DA. Risk factors for severe perineal trauma during vaginal childbirth: a Western Australian retrospective cohort study. Women Birth 2015; 28 (01) 16-20
5 Kim SY, Kotelchuck M, Wilson HG, Diop H, Shapiro-Mendoza CK, England LJ. Prevalence of adverse pregnancy outcomes, by maternal diabetes status at first and second deliveries, Massachusetts, 1998-2007. Prev Chronic Dis 2015; 12: E218
6 Crowther CA, Hiller JE, Moss JR, McPhee AJ, Jeffries WS, Robinson JS. ; Australian Carbohydrate Intolerance Study in Pregnant Women (ACHOIS) Trial Group. Effect of treatment of gestational diabetes mellitus on pregnancy outcomes. N Engl J Med 2005; 352 (24) 2477-2486
7 Bellamy L, Casas JP, Hingorani AD, Williams D. Type 2 diabetes mellitus after gestational diabetes: a systematic review and meta-analysis. Lancet 2009; 373 (9677): 1773-1779
8 Page KA, Romero A, Buchanan TA, Xiang AH. Gestational diabetes mellitus, maternal obesity, and adiposity in offspring. J Pediatr 2014; 164 (04) 807-810
9 Holmes HJ, Lo JY, McIntire DD, Casey BM. Prediction of diabetes recurrence in women with class A1 (diet-treated) gestational diabetes. Am J Perinatol 2010; 27 (01) 47-52
10 Khambalia AZ, Ford JB, Nassar N, Shand AW, McElduff A, Roberts CL. Occurrence and recurrence of diabetes in pregnancy. Diabet Med 2013; 30 (04) 452-456
11 Ehrlich SF, Hedderson MM, Feng J, Davenport ER, Gunderson EP, Ferrara A. Change in body mass index between pregnancies and the risk of gestational diabetes in a second pregnancy. Obstet Gynecol 2011; 117 (06) 1323-1330
12 Xiang AH, Kjos SL, Takayanagi M, Trigo E, Buchanan TA. Detailed physiological characterization of the development of type 2 diabetes in Hispanic women with prior gestational diabetes mellitus. Diabetes 2010; 59 (10) 2625-2630
13 Hanley GE, Hutcheon JA, Kinniburgh BA, Lee L. Interpregnancy interval and adverse pregnancy outcomes: an analysis of successive pregnancies. Obstet Gynecol 2017; 129 (03) 408-415
14 Conde-Agudelo A, Rosas-Bermúdez A, Kafury-Goeta AC. Birth spacing and risk of adverse perinatal outcomes: a meta-analysis. JAMA 2006; 295 (15) 1809-1823
15 Yee LM, Truong YN, Caughey AB, Cheng YW. The association between interdelivery interval and adverse perinatal outcomes in a diverse US population. J Perinatol 2016; 36 (08) 593-597
16 ACOG Committee on Practice Bulletins. ACOG Practice Bulletin. Clinical Management Guidelines for Obstetrician-Gynecologists. Number 60, March 2005. Pregestational diabetes mellitus. Obstet Gynecol 2005; 105 (03) 675-685
17 Jain AP, Gavard JA, Rice JJ, Catanzaro RB, Artal R, Hopkins SA. The impact of interpregnancy weight change on birthweight in obese women. Am J Obstet Gynecol 2013; 208 (03) 205.e1-205.e7
18 Kjos SL, Peters RK, Xiang A, Thomas D, Schaefer U, Buchanan TA. Contraception and the risk of type 2 diabetes mellitus in Latina women with prior gestational diabetes mellitus. JAMA 1998; 280 (06) 533-538
19 Feig DS, Zinman B, Wang X, Hux JE. Risk of development of diabetes mellitus after diagnosis of gestational diabetes. CMAJ 2008; 179 (03) 229-234
20 Kim C, Newton KM, Knopp RH. Gestational diabetes and the incidence of type 2 diabetes: a systematic review. Diabetes Care 2002; 25 (10) 1862-1868
21 Eades CE, Styles M, Leese GP, Cheyne H, Evans JM. Progression from gestational diabetes to type 2 diabetes in one region of Scotland: an observational follow-up study. BMC Pregnancy Childbirth 2015; 15: 11
22 Perritt JB, Burke A, Jamshidli R, Wang J, Fox M. Contraception counseling, pregnancy intention and contraception use in women with medical problems: an analysis of data from the Maryland Pregnancy Risk Assessment Monitoring System (PRAMS). Contraception 2013; 88 (02) 263-268
23 Schwarz EB, Braughton MY, Riedel JC. , et al. Postpartum care and contraception provided to women with gestational and preconception diabetes in California's Medicaid program. Contraception 2017; 96 (06) 432-438
24 Ahrens KA, Thoma M, Copen C, Frederiksen B, Decker E, Moskosky S. Unintended pregnancy and interpregnancy interval by maternal age, National Survey of Family Growth. Contraception 2018; 98 (01) 52-55
25 Getahun D, Fassett MJ, Jacobsen SJ. Gestational diabetes: risk of recurrence in subsequent pregnancies. Am J Obstet Gynecol 2010; 203 (05) 467.e1-467.e6
26 England L, Kotelchuck M, Wilson HG. , et al. Estimating the recurrence rate of gestational diabetes mellitus (GDM) in Massachusetts 1998–2007: methods and findings. Matern Child Health J 2015; 19 (10) 2303-2313
27 Peters RK, Kjos SL, Xiang A, Buchanan TA. Long-term diabetogenic effect of single pregnancy in women with previous gestational diabetes mellitus. Lancet 1996; 347 (8996): 227-230
28 Boghossian NS, Yeung E, Albert PS. , et al. Changes in diabetes status between pregnancies and impact on subsequent newborn outcomes. Am J Obstet Gyneco l 2014; 210 (05) 431.e1-431.e14