Infertility and pregnancy outcome in an unselected group of women with insulin-dependent diabetes mellitus.

Abstract

OBJECTIVES:

The null hypothesis of this study is that infertility and pregnancy outcomes in women with insulin-dependent diabetes are identical to those of nondiabetic control subjects.

STUDY DESIGN:

A questionnaire survey comprising an unselected population of 18- to 49-year-old diabetic women and a comparable control group was performed. Reply rates were 94% (n = 245) and 88% (n = 253), respectively.

RESULTS:

Cumulative rates of pregnancies and involuntary infertility (17%) did not differ between the two groups. Diabetic women had significantly fewer pregnancies (1.4 vs 1.7) and fewer births per pregnancy than controls, and more diabetic women were nulliparous (48% vs 38%). Half of all diabetic pregnancies were planned. Diabetic women reported that their diabetes had a negative influence on their attitude toward having children.

CONCLUSION:

In insulin-dependent diabetic women the ability to conceive is normal, but diabetic women have fewer pregnancies and fewer births per pregnancy than controls.

• Authors: K Kjaer, C Hagen, S H Sandø, O Eshøj
• Journal: American journal of obstetrics and gynecology (Am J Obstet Gynecol) Vol. 166 Issue 5 Pg. 1412-8 (May 1992) ISSN: 0002-9378 [Print] United States
• PMID: 1595796 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)

Topics

• Adolescent
• Adult
• Attitude
• Cesarean Section
• Diabetes Mellitus, Type 1 (complications, psychology)
• Female
• Humans
• Infertility, Female (complications)
• Middle Aged
• Parity
• Pregnancy
• Pregnancy Outcome
• Pregnancy in Diabetics (psychology)
• Surveys and Questionnaires