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Maternal weight gain in women with gestational diabetes mellitus

  • Edyta Horosz EMAIL logo , Dorota A. Bomba-Opon , Monika Szymanska and Miroslaw Wielgos
Published/Copyright: March 15, 2013
Journal of Perinatal Medicine
From the journal Journal of Perinatal Medicine Volume 41 Issue 5

Abstract

Objective: The aim of the study was to examine the perinatal outcomes in gestational diabetes in women with body mass index (BMI)-adjusted gestational weight gain (GWG) according to the Institute of Medicine (IOM) 2009 recommendations.

Material and methods: The clinic’s database was used to analyze 675 singleton GDM pregnancy outcomes. GWG for the entire pregnancy was compared to IOM recommendations and adjusted for prepregnancy BMI categories: underweight <18.5; normal 18.5–24.9; overweight 25–29.9; and obese >30. The study group was divided into three categories: below IOM limits, within IOM limits and above IOM limits.

Results: Only 37% of women achieved the proper weight gain (n=256). Almost 30% of women with GDM (n=196) had an excessive weight gain. GWG above limits was associated with a significantly higher neonatal measurements and a higher rate of large-for-gestational-age neonates. In underweight and normal-prepregnancy-weight women, no relation between GWG and birth-weight percentile was noted. For the overweight and obese women, a positive significant correlation between GWG until GDM diagnosis and birth-weight percentile was noted (P=0.002), which was not present when GWG until delivery was considered.

Conclusions: Limited weight gain in overweight and obese women with gestational diabetes mellitus results in favourable pregnancy outcomes.

Keywords: Gestational diabetes mellitus; gestational weight gain; IOM recommendations; neonatal macrosomia; perinatal outcome
Corresponding author: Edyta Horosz, MD, PhD, First Department of Obstetrics and Gynaecology, Medical University of Warsaw, Pl. Starynkiewicza 1/3, 02-015 Warsaw, Poland, Tel.: +48 225021430, Fax: +48 225021159

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The authors stated that there are no conflicts of interest regarding the publication of this article.

Received: 2012-10-29
Accepted: 2013-2-25
Published Online: 2013-03-15
Published in Print: 2013-09-01

©2013 by Walter de Gruyter Berlin Boston

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https://doi.org/10.1515/jpm-2012-0254
Keywords for this article
Gestational diabetes mellitus; gestational weight gain; IOM recommendations; neonatal macrosomia; perinatal outcome

Articles in the same Issue

  1. Masthead
  2. Masthead
  3. Review Article
  4. Is 5-methyltetrahydrofolate an alternative to folic acid for the prevention of neural tube defects?
  5. Original Articles – Obstetrics
  6. Differences and similarities in the transcriptional profile of peripheral whole blood in early and late-onset preeclampsia: insights into the molecular basis of the phenotype of preeclampsiaa
  7. The correlation of ultrasonographic placental architecture with placental histology in the low-risk primigravid population
  8. The course of angiogenic factors in early- vs. late-onset preeclampsia and HELLP syndrome
  9. Effect of maternal body mass index on oxytocin treatment for arrest of dilatation1)
  10. Maternal weight gain in women with gestational diabetes mellitus
  11. Clinical risk factors for complete and partial placental retention – a case-control study
  12. Diagnostic problems in case of twin pregnancies: US vs. MRI study
  13. Subsequent pregnancy after stillbirth: obstetrical and medical risks
  14. MTHFR C677T polymorphism, folate, vitamin B12 and homocysteine in recurrent pregnancy losses: a case control study among north Indian women
  15. Acupuncture and/or sweeping of the fetal membranes before induction of labor: a prospective, randomized, controlled trial
  16. First trimester maternal serum placental protein 13 levels in singleton vs. twin pregnancies with and without severe pre-eclampsia
  17. Relaparotomies after cesarean sections: risk factors, indications, and management
  18. The impact of route of anesthesia on maternal and fetal ischemia modified albumin levels at cesarean section: a prospective randomized study
  19. Infection and smoking are associated with decreased plasma concentration of the anti-aging protein, α-klothoa
  20. Effect of oxygen tension on bacteria-stimulated cytokine production by fetal membranes
  21. Original Articles – Fetus
  22. Is there a relationship between fetal brain function and the fetal behavioral state? A fetal MEG-study
  23. Original Articles – Newborn
  24. Infrared thermography for detailed registration of thermoregulation in premature infants
  25. Short Communication
  26. Are there gender related differences in neonatal abstinence syndrome following exposure to buprenorphine during pregnancy?
  27. Congress Calendar
  28. Congress Calendar
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