{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T04:02:09Z","timestamp":1782964929501,"version":"3.54.5"},"reference-count":23,"publisher":"Wiley","license":[{"start":{"date-parts":[[2022,7,4]],"date-time":"2022-07-04T00:00:00Z","timestamp":1656892800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"2020 Scientific Research Plan of Yuzhong District","award":["20200159"],"award-info":[{"award-number":["20200159"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Computational and Mathematical Methods in Medicine"],"published-print":{"date-parts":[[2022,7,4]]},"abstract":"<jats:p>Objective. Perinatal outcomes and related risk factors of single vs twin pregnancy complicated with gestational diabetes mellitus (GDM) were clarified, providing evidence for developing preventive measures. Methods. The Chinese National Knowledge Infrastructure (CNKI), China Biology Medicine (CBM), CQVIP, Wanfang, and PubMed databases were searched for published research on the perinatal outcomes and risk factors of single and twin pregnancy complicated by GDM from 2000 to 2021. The quality of the included literature was evaluated according to the Newcastle-Ottawa Scale (NOS). Meta-analysis of the included literature was conducted using RevMan5.3 software. Results. Relative to a single pregnancy group, infertility, gestational weight gain, and family history of diabetes presented statistical significance in the twin pregnancy group (<jats:inline-formula>\n                     <a:math xmlns:a=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                        <a:mi>P<\/a:mi>\n                        <a:mo>&lt;<\/a:mo>\n                        <a:mn>0.05<\/a:mn>\n                     <\/a:math>\n                  <\/jats:inline-formula>); gestational age at delivery, cesarean section, preterm <jats:inline-formula>\n                     <c:math xmlns:c=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\">\n                        <c:mtext>birth<\/c:mtext>\n                        <c:mo>&lt;<\/c:mo>\n                        <c:mn>37<\/c:mn>\n                     <\/c:math>\n                  <\/jats:inline-formula> weeks, and preeclampsia presented statistical significance in the twin pregnancy group (<jats:inline-formula>\n                     <e:math xmlns:e=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\">\n                        <e:mi>P<\/e:mi>\n                        <e:mo>&lt;<\/e:mo>\n                        <e:mn>0.05<\/e:mn>\n                     <\/e:math>\n                  <\/jats:inline-formula>); and neonatal birth weight, small for gestational age (SGA), neonatal asphyxia, neonatal hypoglycemia, neonatal respiratory distress syndrome (NRDS), neonatal hyperbilirubinemia, and neonatal death presented statistical significance in the twin pregnancy group (<jats:inline-formula>\n                     <g:math xmlns:g=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\">\n                        <g:mi>P<\/g:mi>\n                        <g:mo>&lt;<\/g:mo>\n                        <g:mn>0.05<\/g:mn>\n                     <\/g:math>\n                  <\/jats:inline-formula>). Conclusion. Infertility, prenatal weight gain, and diabetes in the family are all risk factors for postpartum impaired glucose metabolism in pregnant women with GDM who are carrying twins. The gestational age at delivery, cesarean section, preterm <jats:inline-formula>\n                     <i:math xmlns:i=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M5\">\n                        <i:mtext>birth<\/i:mtext>\n                        <i:mo>&lt;<\/i:mo>\n                        <i:mn>37<\/i:mn>\n                     <\/i:math>\n                  <\/jats:inline-formula> weeks, and preeclampsia of twin pregnant women with diabetes will affect the perinatal status of twin pregnant women. Neonatal birth weight, SGA, neonatal asphyxia, neonatal hypoglycemia, NRDS, neonatal hyperbilirubinemia, neonatal death, etc. should be paid special attention in the perinatal process.<\/jats:p>","DOI":"10.1155\/2022\/3557890","type":"journal-article","created":{"date-parts":[[2022,7,5]],"date-time":"2022-07-05T03:50:08Z","timestamp":1656993008000},"page":"1-6","source":"Crossref","is-referenced-by-count":9,"title":["Perinatal Outcomes and Related Risk Factors of Single vs Twin Pregnancy Complicated by Gestational Diabetes Mellitus: Meta-Analysis"],"prefix":"10.1155","volume":"2022","author":[{"given":"Xiaofang","family":"Zhu","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Women and Children\u2019s Hospital of Chongqing Medical University, Chongqing 401147, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chan","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Women and Children\u2019s Hospital of Chongqing Medical University, Chongqing 401147, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8678-1770","authenticated-orcid":true,"given":"Li","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Women and Children\u2019s Hospital of Chongqing Medical University, Chongqing 401147, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yufeng","family":"Deng","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Women and Children\u2019s Hospital of Chongqing Medical University, Chongqing 401147, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuemei","family":"Lai","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Women and Children\u2019s Hospital of Chongqing Medical University, Chongqing 401147, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huayan","family":"Gu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Women and Children\u2019s Hospital of Chongqing Medical University, Chongqing 401147, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haiyan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Women and Children\u2019s Hospital of Chongqing Medical University, Chongqing 401147, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.2337\/dc16-0825"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1515\/jpm-2016-0186"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1055\/s-0041-1739358"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-003-0483-z"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.5468\/ogs.2015.58.6.439"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1111\/1753-0407.12255"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1080\/14767050802663194"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1507\/endocrj.EJ18-0575"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2586"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2021.04.225"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2014.01.022"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1016\/j.endinu.2018.01.011"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-018-4847-9"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1016\/j.placenta.2018.01.010"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.11648\/j.ejpm.20210902.12"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2009-1075"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2000.105395"},{"issue":"5","key":"18","first-page":"345","article-title":"Gestational diabetes does not increase the risk of adverse perinatal outcome of twin pregnancy","volume":"19","author":"H. 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