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Neurodevelopmental outcomes of children born to diabetic mothers in the Qatari population: a retrospective study
Razan M Masri1, Mohammad A A Bayoumi2, Rasha I Amin3
1Department of Developmental Pediatrics, Hamad Medical Corporation, Doha, Qatar.
Insights
Maternal diabetes, including gestational diabetes mellitus, did not show a significant link to autism or speech delays in children after adjusting for other factors. Further region-specific research is recommended for child neurodevelopmental outcomes.
Area of Science:
- Perinatal health
- Neurodevelopmental pediatrics
- Endocrinology
Background:
- Maternal diabetes is a known risk factor for adverse perinatal outcomes.
- The association between maternal diabetes and neurodevelopmental delays in offspring requires further investigation.
Purpose of the Study:
- To examine the relationship between maternal diabetes (gestational and pre-pregnancy) and neurodevelopmental outcomes in children of Qatari mothers.
- To assess risks for autism spectrum disorder (ASD), speech delay, and motor delays.
Main Methods:
- Retrospective, population-based cohort study of children born in 2017 to Qatari mothers.
- Included mothers with gestational diabetes, pre-pregnancy diabetes, and no diabetes.
- Neurodevelopmental outcomes assessed at age 4 years using electronic medical records.
Main Results:
- Of 5141 children, 1222 (23.8%) were born to mothers with GDM and 140 (2.7%) to mothers with pre-pregnancy diabetes.
- Crude analysis showed higher odds of autism and speech delay in children of mothers with GDM.
- Adjusted analyses revealed no statistically significant associations between maternal diabetes and autism, speech delay, or motor delays.
Conclusions:
- While crude analyses suggested potential links, adjusted findings indicate no significant association between maternal diabetes and the studied neurodevelopmental delays.
- Effective diabetes management during pregnancy is crucial.
- Longitudinal, region-specific research is needed to understand child neurodevelopmental trajectories.
Objectives:
Maternal diabetes is linked to adverse perinatal outcomes, but its association with neurodevelopmental delays in offspring remains unclear. This study aimed to investigate the relationship between maternal diabetes and neurodevelopmental outcomes in children born to Qatari mothers.
Methods:
This retrospective population-based cohort study included full-term children born in 2017 to Qatari mothers with gestational diabetes, pre-pregnancy diabetes, or no diabetes. Neurodevelopmental outcomes such as autism spectrum disorder (ASD), speech delay, and gross and fine motor delays were assessed at the age of 4 years. Data for the study were retrieved from electronic medical records.
Results:
Of the 5141 eligible children, 1222 (23.8%) were born to mothers with gestational diabetes mellitus (GDM), 140 (2.7%) to mothers with pre-pregnancy diabetes and 3779 (73.5%) to non-diabetic mothers. Overall, 70 (1.58%) children were diagnosed with autism, 161 (3.63%) with speech delay, 44 (0.99%) with gross motor delay and 43 (0.97%) with fine motor delay. In crude analyses, children of mothers with GDM had significantly higher odds of autism (OR 1.70, 95% CI 1.03 to 2.81) and speech delay (OR 1.44, 95% CI 1.02 to 2.04) compared with controls. However, these associations were not statistically significant after adjusting for confounders (autism: adjusted odds ratio (aOR) 1.58, 95% CI 0.94 to 2.66; speech delay: adjusted odds ratio (aOR) 1.39, 95% CI 0.97 to 2.00). No significant associations were observed between maternal diabetes and gross or fine motor delays in either crude or adjusted models.
Conclusion:
Despite non-significant associations, findings highlight the role of effective diabetes management and the need for region-specific, longitudinal research on child neurodevelopment.
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