Our study demonstrated that high AMH levels increased the risk of PIH and GDM in multiple deliveries after ART (Gestational hypertension: aOR2 = 2.26, 95% CI: 1.20-4.22; Gestational diabetes mellitus: aOR2 = 2.40, 95% CI: 1.48-3.91), low AMH levels increase the risk of oligohydramnios. The gene discussed is AMH; the disease is gestational diabetes.