OBJECTIVE: We sought to examine associations between gestational weight gain according to the 2009 Institute of Medicine (IOM) guidelines and perinatal outcomes in overweight/obese women with type 2 diabetes mellitus (T2DM). STUDY DESIGN: This is a retrospective cohort study of 2310 women with T2DM enrolled in the California Diabetes and Pregnancy Program. Gestational weight gain was categorized by 2009 IOM guidelines. Perinatal outcomes were assessed using the χ(2) test and multivariable logistic regression analysis. RESULTS: With excessive gestational weight gain, the odds of having large-for-gestational age (adjusted odds ratio [aOR], 2.00; 95% confidence interval [CI], 1.33-3.00) or macrosomic (aOR, 2.59; 95% CI, 1.56-4.30) neonates and cesarean delivery (aOR, 1.47; 95% CI, 1.03-2.10) was higher. Women with excessive gestational weight gain per week had increased odds of preterm delivery (aOR, 1.57; 95% CI, 1.11-2.20). CONCLUSION: In overweight or obese women with T2DM, gestational weight gain greater than the revised IOM guidelines was associated with higher odds of perinatal morbidity, suggesting these guidelines are applicable to a diabetic population.
OBJECTIVE: We sought to examine associations between gestational weight gain according to the 2009 Institute of Medicine (IOM) guidelines and perinatal outcomes in overweight/obesewomen with type 2 diabetes mellitus (T2DM). STUDY DESIGN: This is a retrospective cohort study of 2310 women with T2DM enrolled in the California Diabetes and Pregnancy Program. Gestational weight gain was categorized by 2009 IOM guidelines. Perinatal outcomes were assessed using the χ(2) test and multivariable logistic regression analysis. RESULTS: With excessive gestational weight gain, the odds of having large-for-gestational age (adjusted odds ratio [aOR], 2.00; 95% confidence interval [CI], 1.33-3.00) or macrosomic (aOR, 2.59; 95% CI, 1.56-4.30) neonates and cesarean delivery (aOR, 1.47; 95% CI, 1.03-2.10) was higher. Women with excessive gestational weight gain per week had increased odds of preterm delivery (aOR, 1.57; 95% CI, 1.11-2.20). CONCLUSION: In overweight or obesewomen with T2DM, gestational weight gain greater than the revised IOM guidelines was associated with higher odds of perinatal morbidity, suggesting these guidelines are applicable to a diabetic population.
Authors: K M V Narayan; James P Boyle; Theodore J Thompson; Edward W Gregg; David F Williamson Journal: Diabetes Care Date: 2007-03-19 Impact factor: 19.112
Authors: Suzanne Phelan; Maureen G Phipps; Barbara Abrams; Francine Darroch; Andrew Schaffner; Rena R Wing Journal: Am J Clin Nutr Date: 2011-02-10 Impact factor: 7.045
Authors: B M Sibai; S N Caritis; J C Hauth; C MacPherson; J P VanDorsten; M Klebanoff; M Landon; R H Paul; P J Meis; M Miodovnik; M P Dombrowski; G R Thurnau; A H Moawad; J Roberts Journal: Am J Obstet Gynecol Date: 2000-12 Impact factor: 8.661
Authors: Yanqing Wu; E Albert Reece; Jianxiang Zhong; Daoyin Dong; Wei-Bin Shen; Christopher R Harman; Peixin Yang Journal: Am J Obstet Gynecol Date: 2016-03-31 Impact factor: 8.661
Authors: Björg Asbjörnsdóttir; Signe S Rasmussen; Louise Kelstrup; Peter Damm; Elisabeth R Mathiesen Journal: Diabetes Care Date: 2012-12-17 Impact factor: 19.112