Gestational weight gain and adverse maternal and perinatal outcomes among women with gestational diabetes mellitus according to International Association of Diabetes and Pregnancy Study Group (IADPSG) criteria: A cross sectional study

Souza, Érica da Silva Soares de; Saunders, Cláudia; Carmo, Cléber Nascimento do; Lacerda, Elisa Maria de Aquino; Zajdenverg, Lenita; Castro, Maria Beatriz Trindade de; Almeida, Nathalia Ferreira Antunes de; Padilha, Patrícia de Carvalho

doi:10.1016/j.clnesp.2022.05.016

Cited by 3 publications

(2 citation statements)

References 32 publications

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“…Estudios recientes en China y Brasil han demostrado que la obesidad o sobrepeso previo al embarazo y el peso excesivo gestacional son variables fundamentales para presentar preeclampsia y mayor probabilidad de trastornos hipertensivos maternos del embarazo (15,43). Los trastornos hipertensivos estuvieron presentes en el 4,8 % de pacientes con excesivo peso gestacional, mas no hubo relación significativa.…”

Section: Discussionunclassified

Complicaciones del embarazo en pacientes con ganancia excesiva de peso gestacional en un hospital público peruano

Poma-Tovar,

Paredes-Orue

2024

RSOGV

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Objective: TTo determine the demographic and clinical characteristics, of pregnant women with excessive gestational weight gain. And determine their relationship with maternal complications. Methods: Analytical, retrospective study. Full-term pregnant women, older than 18 years and with single live fetuses, with legible clinical history and prenatal care card with first and last check-up, treated at a public hospital in Peru between January - June 2022, were included. Patients with mental problems and those with fetuses with malformations, were excluded. The variables measured were: sociodemographic characteristics, obstetric, gestational weight gain, and maternal complications. Excess gestational weight was defined using pre-pregnancy body mass index, difference in weight between the first and last prenatal check-up, and Institute of Medicine guidelines. A descriptive analysis was made and to recognize the relationship between excessive gestational weight and maternal results, the X2 test was used. The National University of San Agustín Institutional Research Ethics Committee granted approval of the study. Results: We included 1021 pregnant women in the study. Of these, 49.0% had excessive gestational weight. 43.0% of overweight patients had maternal complications. A relationship was found between excessive weight gain in pregnancy and gestational diabetes. Conclusions: Patients with excessive weight gain in pregnancy were more likely to have gestational diabetes. Keywords: Body mass index, Gestational weight gain, Pregnancy complications, Gestational diabetes, Peru.

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Section: Discussionunclassified

Complicaciones del embarazo en pacientes con ganancia excesiva de peso gestacional en un hospital público peruano

Poma-Tovar,

Paredes-Orue

2024

RSOGV

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“…Being one of the most common obstetrical complications ( 2 ), GDM is the leading cause for preeclampsia, preterm birth, macrosomia, and cesarean delivery ( 6 ). Although GDM is transient, as a vast majority of cases with GDM recover after parturition, GDM imposes a long-lasting adverse impact on the health of both mothers and infants ( 1 , 7 , 8 ). Women with the first diagnosis of GDM are predisposed to developing recurrent GDM in subsequent pregnancies ( 9 ).…”

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confidence: 99%

Beta-cell compensation and gestational diabetes

Usman,

Chhetri,

Yeh

et al. 2023

Journal of Biological Chemistry

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Effect of Gestational Weight Gain during the First Half of Pregnancy on the Incidence of GDM, Results from a Pregnant Cohort in Northern Greece

et al. 2023

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The aim of this study was to evaluate the effect of gestational weight gain (GWG) up to 23+6 weeks of gestation on the incidence of Gestational Diabetes Mellitus (GDM). A pregnant cohort of 5948 women in Northern Greece was recruited. Anthropometric features before and during pregnancy were recorded, the GWG by 23+6 weeks was calculated and a Generalized Linear Regression Model (GLM) with subgroup analyses based on weight status were computed. GDM was diagnosed in 5.5% of women. GLM results showed that GDM likelihood increased with maternal age (MA) and pre-pregnancy BMI (aOR: 1.08, 95%CI: [1.06, 1.11] and aOR: 1.09, 95%CI: [1.09, 1.11], respectively). Ιn the normal pre-pregnancy weight group, when the extra weight gain was >8 kgs, the odds of GDM increased (OR: 2.13, 95%CI: [0.98, 4.21], p = 0.03). Women with pre-pregnancy level 2 clinical obesity (OB2 pre) (BMI > 35 and <40 kg/m2) that shifted to OB3 category (BMI ≥ 40 kg/m2) had an increased GDM likelihood (OR: 4.85, 95%CI: [1.50, 15.95]). Women of higher MA may require stricter monitoring for GDM from early pregnancy, while in obese women, recommended GWG may need to be re-evaluated, since refraining from any weight gain may have a preventive effect for GDM.

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Gestational weight gain and adverse maternal and perinatal outcomes among women with gestational diabetes mellitus according to International Association of Diabetes and Pregnancy Study Group (IADPSG) criteria: A cross sectional study

Cited by 3 publications

References 32 publications

Complicaciones del embarazo en pacientes con ganancia excesiva de peso gestacional en un hospital público peruano

Complicaciones del embarazo en pacientes con ganancia excesiva de peso gestacional en un hospital público peruano

Beta-cell compensation and gestational diabetes

Effect of Gestational Weight Gain during the First Half of Pregnancy on the Incidence of GDM, Results from a Pregnant Cohort in Northern Greece

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