| Gestational Diabetes: Maternal Weight Gain in Relation to Fetal Growth, Treatment Modality, BMI and Glycemic Control. | |
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MedLine Citation:
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PMID: 22185433 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Abstract Objectives: We sought to determine the impact of maternal weight gain on fetal growth in gestational diabetes (GDM) in relation to treatment modality, body mass index (BMI) and glycemic control. Study Design: 2454 GDMs were evaluated. Obesity was defined as BMI >29; good glycemic control < 100mg/dl; maternal age < and >30 years; parity ±1; large for gestational age (LGA) >90(th) percentile and small for gestational age (SGA) <10(th) percentile. Results: SGA rates were similar in all groups. Obese/overweight diet-treated in glycemic control showed a 4-fold higher rate of LGA compared to insulin treated women. A 36 lb. weight gain in insulin treated patients had a 6-fold higher risk. In poor glycemic control, LGA rates were higher in all BMI/weight gain categories. Logistic regressions for LGA/SGA revealed that level of glycemia, weight gain, parity, obesity and treatment (for LGA only) were significant. Conclusion: Different thresholds used for different maternal BMI categories in addition to the achievement of glycemic control and pharmacological therapy will enhance pregnancy outcome. |
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Authors:
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Orli Most; Oded Langer |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-12-20 |
Journal Detail:
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Title: The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians Volume: - ISSN: 1476-4954 ISO Abbreviation: - Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2011-12-21 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101136916 Medline TA: J Matern Fetal Neonatal Med Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Atlantic Maternal Fetal Medicine 95 Madison Avenue Morristown, NJ 07960. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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