TY  - BOOK
AU  - Overcash, R T
TI  - The impact of inadequate gestational weight gain in obese diabetic women
SN  - 0743-8346
KW  - *Cesarean Section/sn [Statistics & Numerical Data]
KW  - *Diabetes Mellitus, Type 2
KW  - *Hypertension, Pregnancy-Induced
KW  - *Infant, Low Birth Weight
KW  - *Obesity
KW  - *Pregnancy Complications/di [Diagnosis]
KW  - *Weight Gain
KW  - Adult
KW  - Body Mass Index
KW  - California/ep [Epidemiology]
KW  - Diabetes Mellitus, Type 2/co [Complications]
KW  - Diabetes Mellitus, Type 2/di [Diagnosis]
KW  - Diabetes Mellitus, Type 2/ep [Epidemiology]
KW  - Female
KW  - Humans
KW  - Hypertension, Pregnancy-Induced/ep [Epidemiology]
KW  - Hypertension, Pregnancy-Induced/et [Etiology]
KW  - Infant, Newborn
KW  - Obesity/co [Complications]
KW  - Obesity/di [Diagnosis]
KW  - Obesity/ep [Epidemiology]
KW  - Pregnancy
KW  - Pregnancy Outcome/ep [Epidemiology]
KW  - Retrospective Studies
KW  - Risk Assessment
KW  - Risk Factors
KW  - Statistics as Topic
KW  - MedStar Washington Hospital Center
KW  - Obstetrics and Gynecology/Maternal-Fetal Medicine
KW  - Journal Article
N1  - Available online through MWHC library: 1999 - 2009, Available in print through MWHC library: 1999 - 2006
N2  - CONCLUSION: Inadequate GWG was associated lower mean birth weights, lower rates of cesarean delivery and lower rates of pregnancy-related hypertensive disorders; OBJECTIVE: To determine the effect of inadequate gestational weight gain (GWG) on neonatal birth weight in diabetic obese women; RESULT: A total of 211 obese diabetic women were identified. Of those, 37% had inadequate GWG, 25% had adequate GWG and 38% had excessive GWG. Women with inadequate GWG had lower mean birth weights (P=0.048), as well as lower rates of cesarean delivery (P=0.017) and lower rates of pregnancy-related hypertensive disorders (P=0.026) compared with those with adequate and excessive GWG; STUDY DESIGN: Retrospective cohort study of women with an initial body mass index (BMI) 30kgm(-2) and gestational or type 2 diabetes was conducted. GWG was stratified: inadequate (<11lbs), adequate (11 to 20lbs) or excessive (>20lbs). The primary outcome was birth weight. Secondary outcomes included hypertensive disorders, gestational age at delivery, mode of delivery and Apgar scores
UR  - http://dx.doi.org/10.1038/jp.2015.155
ER  -