Gestational weight gain and body mass indexes have an impact on the outcomes of diabetic mothers and infants

Ayala Maayan-Metzger, Irit Schushan-Eisen, Tzipora Strauss, Omer Globus, Leah Leibovitch

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Aim This study evaluated mothers with diabetes to determine whether prepregnancy body mass index (BMI), BMI on delivery or gestational weight gain (GWG) had the greatest impact on maternal and neonatal outcomes. Methods We retrospectively examined the medical charts of 634 full-term infants born to mothers with gestational diabetes mellitus not requiring insulin (n = 476), gestational diabetes mellitus requiring insulin (n = 140) and insulin-dependent diabetes mellitus (n = 18). Data regarding maternal BMI before pregnancy and on delivery were recorded, as well as maternal and neonatal complications. Results Infants born to women who gained more than the recommended weight during pregnancy had higher birthweights, higher rates of meconium-stained amniotic fluid and neonatal hypoglycaemia. Using logistic regression, Caesarean section delivery was predicted by gestational diabetes requiring insulin, with an odds ratio (OR) of 1.76, maternal hypertension (OR 2.4), infants born large for gestational age (OR 2.78) and maternal BMI ≥30 on delivery (OR 1.06). Neonatal complications were predicted by maternal insulin-dependent diabetes (OR 5.21), lower gestational age (OR 0.8) and GWG above the recommended amount (OR 1.56). Conclusion Women with diabetes should be made aware that higher GWG can lead to Caesarean section delivery, infant macrosomia and other neonatal complications.

Original languageEnglish
Pages (from-to)1150-1155
Number of pages6
JournalActa Paediatrica, International Journal of Paediatrics
Volume104
Issue number11
DOIs
StatePublished - 1 Nov 2015
Externally publishedYes

Keywords

  • Body mass index
  • Gestational diabetes
  • Gestational weight gain
  • Neonatal outcome
  • Obesity

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