Barquiel B, et al. - Researchers conducted this retrospective analysis to explore whether neonatal complications or death are poorer for neonates born small for gestational age (SGA) vs those born with adequate weight or large for gestation age (LGA) to women with gestational diabetes mellitus (GDM). They obtained clinical outcomes of neonates born to 3,413 women with GDM for this analysis. Neonatal hypoglycemia, hypocalcemia, hyperbilirubinemia, polycythemia, and death prevalence were contrasted among three birthweight groups: SGA, adequate, and LGA. Compared with adequate or LGA groups, neonatal complications were more frequent in the SGA group. The authors discovered that SGA is a risk factor for neonatal complications or death, regardless of maternal age, weight gain, fasting glucose, glycemic control, gestational hypertension, preeclampsia, smoking, or neonatal prematurity. Findings suggested that women with GDM and SGA babies should be carefully monitored.