Insufficient weight management in pregnant women with gestational diabetes mellitus.

Kyunghee Han; Dong Wook Kwak; Hyun Mee Ryu; Hyun-Young Park

Objectives: This study investigated whether weight was managed appropriately in pregnant women with gestational diabetes mellitus (GDM) and examined the association between insufficient gestational weight gain (GWG) and adverse pregnancy outcomes. Methods: The study included 235 pregnant women with GDM from the Korean Pregnancy Outcome Study. GWG from the second to the third trimester (kg/wk) and total GWG (kg) were classified as insufficient, appropriate, or excessive according to the 2009 Institute of Medicine guidelines. Adverse pregnancy outcomes included maternal (hypertensive disorders of pregnancy, preterm birth, cesarean delivery, and delivery complications) and infant (low birth weight, high birth weight, neonatal intensive care unit admission, and congenital anomalies) outcomes. Results: The proportion of pregnant women with GDM who had insufficient GWG from the second to the third trimester was 52.3%, and that of participants with total insufficient GWG was 48.1%. There were no significant associations between insufficient GWG from the second to the third trimester and adverse pregnancy outcomes. Participants with total insufficient GWG had a significantly lower risk of preterm birth (odds ratio [OR], 0.17; 95% confidence interval [CI], 0.05–0.60) and high birth weight (OR, 0.23; 95% CI, 0.07–0.80). Conclusion: Our findings suggest the importance of appropriate weight management and the need for GWG guidelines for pregnant women with GDM.

SOUTH Korea; REGULATION of body weight; WEIGHT gain in pregnancy; HYPERTENSION in pregnancy; PREMATURE infants; NEONATAL intensive care; CONFIDENCE intervals; THIRD trimester of pregnancy; NEONATAL intensive care units; RISK assessment; LOW birth weight; PREGNANCY complications; DESCRIPTIVE statistics; GESTATIONAL diabetes; SECOND trimester of pregnancy; CESAREAN section; ODDS ratio; BODY mass index; DISEASE risk factors; PREGNANCY

Osong Public Health & Research Perspectives, 2022, Vol 13, Issue 4, p242

2210-9099

Academic Journal

10.24171/j.phrp.2022.0182