“…Domestic and foreign studies have shown that GDM is not associated with adverse perinatal outcomes (such as preterm birth, “babies large for gestational age” and neonatal respiratory distress) in women with twin pregnancies after standardized management of GDM. 35 36 Moreover, compared with the effect on singleton pregnancy outcomes, the effect of GDM on twin pregnancy outcomes was somewhat weakened. 37 GDM appears to have a protective effect on the occurrence of SGA neonates in twin pregnancies.…”