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DOI: 10.1055/s-0031-1280857
Excessive Gestational Weight Gain in Women with Gestational and Pregestational Diabetes
Publikationsverlauf
Publikationsdatum:
22. Juni 2011 (online)
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ABSTRACT
We sought to determine the frequency of excessive gestational weight gain (GWG) and its impact on perinatal outcomes in women with gestational (GDM) and pregestational diabetes mellitus (DM). A retrospective cohort of diabetic women was studied. GWG was categorized by the 2009 Institute of Medicine guidelines. Perinatal outcomes were compared between those women with and without excessive GWG. There were 153 women who met study criteria. There was no difference in excessive GWG between women with GDM and pregestational DM (44.4% versus 38.5%, p = 0.51) or based on White's class (p = 0.17). After adjusting for confounders, excessive GWG was not associated with an increased rate of adverse perinatal outcomes (odds ratio 1.49, 95% confidence interval 0.56 to 2.35) and had similar associations with both pregestational DM and GDM. Although excessive GWG was common in our diabetic population, it was not associated with an increased rate of adverse perinatal outcomes.
KEYWORDS
Gestational diabetes - pregestational diabetes - adverse outcomes - gestational weight gain - excessive gestational weight gain - Institute of Medicine
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Benjamin A. KaseM.D.
Division of Maternal Fetal Medicine, Department of Obstetrics, Gynecology and Reproductive Sciences, The University of Texas Health Science Center at Houston
6431 Fannin St., Suite 3.430, Houston, TX 77030
eMail: benjamin.a.kase@uth.tmc.edu