The impact of inadequate gestational weight gain in obese diabetic women.

MedStar author(s):
Citation: Journal of Perinatology. 36(2):86-9, 2016 Feb.PMID: 26540247Institution: MedStar Washington Hospital CenterDepartment: Obstetrics and Gynecology/Maternal-Fetal MedicineForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Cesarean Section/sn [Statistics & Numerical Data] | *Diabetes Mellitus, Type 2 | *Hypertension, Pregnancy-Induced | *Infant, Low Birth Weight | *Obesity | *Pregnancy Complications/di [Diagnosis] | *Weight Gain | Adult | Body Mass Index | California/ep [Epidemiology] | Diabetes Mellitus, Type 2/co [Complications] | Diabetes Mellitus, Type 2/di [Diagnosis] | Diabetes Mellitus, Type 2/ep [Epidemiology] | Female | Humans | Hypertension, Pregnancy-Induced/ep [Epidemiology] | Hypertension, Pregnancy-Induced/et [Etiology] | Infant, Newborn | Obesity/co [Complications] | Obesity/di [Diagnosis] | Obesity/ep [Epidemiology] | Pregnancy | Pregnancy Outcome/ep [Epidemiology] | Retrospective Studies | Risk Assessment | Risk Factors | Statistics as TopicYear: 2016Local holdings: Available online through MWHC library: 1999 - 2009, Available in print through MWHC library: 1999 - 2006ISSN:
  • 0743-8346
Name of journal: Journal of perinatology : official journal of the California Perinatal AssociationAbstract: 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.All authors: Kurnit KC, LaCoursiere DY, Overcash RT, Ramos GAFiscal year: 2016Digital Object Identifier: Date added to catalog: 2017-03-06
Holdings
Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 26540247 Available 26540247

Available online through MWHC library: 1999 - 2009, Available in print through MWHC library: 1999 - 2006

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.

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