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He J, Song J, Zou Z, Fan X, Tian R, Xu J, Yan Y, Bai J, Chen Z, Liu Y, Chen X. Association between neonatal hyperbilirubinemia and hypoglycemia in Chinese women with diabetes in pregnancy and influence factors. Sci Rep 2022; 12:16975. [PMID: 36216857 PMCID: PMC9550859 DOI: 10.1038/s41598-022-21114-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2022] [Accepted: 09/22/2022] [Indexed: 12/29/2022] Open
Abstract
This retrospective study aimed to investigate the correlation between neonatal hyperbilirubinemia (NHB) and hypoglycemia (NH) in Chinese women with diabetes in pregnancy (DIP), and the influencing factors. All the data were collected July 1, 2017 and June 30, 2020, and 10,558 Chinese women with DIP and live births were included. Two separate multivariate binary stepwise forward logistic regression analysis calculated OR with 95% CI. The prevalence rates of NHB and NH was respectively 3.65% and 5.82% among women with DIP. The comorbidity of both diseases was 0.59%. NH were 1.81 times (OR 1.81, 1.19-2.76) more likely to have hyperbilirubinemia. NHB is positively correlated with NH (OR 1.93, 1.27-2.92). Increased gestational age has a protective effect on both NH (OR 0.76, 0.68-0.85) and NHB (OR 0.80, 0.69-0.92). Abnormal placental morphology is related to NH (OR 1.55, 1.16-2.08) and NHB (OR 1.64, 1.10-2.45). Regarding neonatal outcomes, congenital heart disease (CHD) (OR 2.16, 1.25-3.73; and OR 10.14, 6.47-15.90) was a risk factor for NH and NHB. NHB and NH were significantly correlated in women with DIP. The offspring of DIP with multiple risk factors have a significantly increased risk of neonatal hyperbilirubinemia.
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Affiliation(s)
- Jing He
- grid.488412.3Department of gynaecology and obstetrics, Chongqing Health Center for Women and Children (Women and Children’s Hospital of Chongqing Medical University), 120 Longshan Road, Yubei District, Chongqing, 400021 China ,grid.49470.3e0000 0001 2331 6153Nursing Department, School of Health Sciences, Wuhan University, No. 115, Dong Hu Road, Wuhan, 430071 Hubei China
| | - Jiayang Song
- grid.49470.3e0000 0001 2331 6153Nursing Department, School of Health Sciences, Wuhan University, No. 115, Dong Hu Road, Wuhan, 430071 Hubei China
| | - Zhijie Zou
- grid.49470.3e0000 0001 2331 6153Nursing Department, School of Health Sciences, Wuhan University, No. 115, Dong Hu Road, Wuhan, 430071 Hubei China
| | - Xiaoxiao Fan
- grid.49470.3e0000 0001 2331 6153Nursing Department, School of Health Sciences, Wuhan University, No. 115, Dong Hu Road, Wuhan, 430071 Hubei China
| | - Ruixue Tian
- grid.49470.3e0000 0001 2331 6153Nursing Department, School of Health Sciences, Wuhan University, No. 115, Dong Hu Road, Wuhan, 430071 Hubei China
| | - Jingqi Xu
- grid.49470.3e0000 0001 2331 6153Nursing Department, School of Health Sciences, Wuhan University, No. 115, Dong Hu Road, Wuhan, 430071 Hubei China
| | - Yu Yan
- grid.488412.3Department of gynaecology and obstetrics, Chongqing Health Center for Women and Children (Women and Children’s Hospital of Chongqing Medical University), 120 Longshan Road, Yubei District, Chongqing, 400021 China
| | - Jinbing Bai
- grid.189967.80000 0001 0941 6502Emory University Nell Hodgson Woodruff School of Nursing, 1520 Clifton Road, Atlanta, GA 30322 USA
| | - Zhen Chen
- grid.488412.3Department of gynaecology and obstetrics, Chongqing Health Center for Women and Children (Women and Children’s Hospital of Chongqing Medical University), 120 Longshan Road, Yubei District, Chongqing, 400021 China
| | - Yanqun Liu
- grid.49470.3e0000 0001 2331 6153Nursing Department, School of Health Sciences, Wuhan University, No. 115, Dong Hu Road, Wuhan, 430071 Hubei China
| | - Xiaoli Chen
- grid.49470.3e0000 0001 2331 6153Nursing Department, School of Health Sciences, Wuhan University, No. 115, Dong Hu Road, Wuhan, 430071 Hubei China
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