The impact of inadequate gestational weight gain in obese diabetic women.
The impact of inadequate gestational weight gain in obese diabetic women.
- 2016
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
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
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
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