Excessive gestational weight gain in women with gestational and pregestational diabetes

Benjamin A. Kase, Clint M. Cormier, Maged M. Costantine, Maria Hutchinson, Susan M. Ramin, George R. Saade, Manju Monga, Sean C. Blackwell

Research output: Contribution to journalArticle

3 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)761-765
Number of pages5
JournalAmerican Journal of Perinatology
Volume28
Issue number10
DOIs
StatePublished - Jun 24 2011

Keywords

  • Gestational diabetes
  • Institute of Medicine
  • adverse outcomes
  • excessive gestational weight gain
  • gestational weight gain
  • pregestational diabetes

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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  • Cite this

    Kase, B. A., Cormier, C. M., Costantine, M. M., Hutchinson, M., Ramin, S. M., Saade, G. R., Monga, M., & Blackwell, S. C. (2011). Excessive gestational weight gain in women with gestational and pregestational diabetes. American Journal of Perinatology, 28(10), 761-765. https://doi.org/10.1055/s-0031-1280857