Am J Perinatol 2011; 28(10): 761-766
DOI: 10.1055/s-0031-1280857
© Thieme Medical Publishers

Excessive Gestational Weight Gain in Women with Gestational and Pregestational Diabetes

Benjamin A. Kase1 , Clint M. Cormier2 , Maged M. Costantine3 , Maria Hutchinson1 , Susan M. Ramin1 , George R. Saade3 , Manju Monga1 , Sean C. Blackwell1
  • 1Division of Maternal Fetal Medicine, Department of Obstetrics, Gynecology and Reproductive Sciences, University of Texas Health Science Center at Houston, Houston, Texas
  • 2Regional Perinatal Group, Willis Knighton Medical Center, Shreveport, Louisiana
  • 3Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas
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Publication History

Publication Date:
22 June 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.

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