The impact of inadequate gestational weight gain in obese diabetic women.
Publication details: ; 2016; ISSN:- 0743-8346
- *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 Topic
- MedStar Washington Hospital Center
- Obstetrics and Gynecology/Maternal-Fetal Medicine
- Journal Article
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.
English