Optimal Gestational Weight Gain for Women with Gestational Diabetes and Morbid Obesity.

Diabetes and pregnancy, diabetes, La Paz University Hospital, Paseo de la Castellana 261, CP 28046, Madrid, Spain. Beatriz.barquiel@gmail.com

Spain, Madrid, La Paz Paseo de la Castellana University Hospital Diabetes and pregnancy department 261, CP 28046

Our aim was to investigate the maximum weight gain during pregnancy (GWG) in morbidly obese women without gestational diabetes (GDM) and harmful pregnancy complications.

Observative retrospective studies have completed a study of 3284 lists of fetal pregnancies and GDM patients. Of these patients, 131 (4.0%) were classified as having morbid obesity (BMI ≧ 35 kg / m 2) before pregnancy. We compare perinatal complications of BMI group. In the group with morbid obesity, the GWG threshold used to predict the outcome was examined based on sensitivity and specificity values ​​under the recipient operating characteristic curve.

Morbid obesity and mothers with large newborns had higher GWG: 11.3 (4.4-15.7) and 8 (1.5-8.2) kg (p = 0.033). GWG correlated positively with the neonatal weight index (r = 0.305, p = 0.001). GWG was 0 (2.9 - 11.6) kg for hypertensive patients and 5 (1.0 - 7.5) kg for normotensive women (p = 0.017). GWG in excess of 5 kg is a risk factor for giant children (sensitivity of 87.8%, specificity of 54.7%) and hypertensive disease (sensitivity of 70.0%, specificity of 48.4%). Maintain GWG association after managing glycemic control, maternal and pregnancy period, birth history, smoking and neonatal sex

For women with GDM and morbidly obese, GWG of less than 5 kg is recommended. Among these women, adequate GWG can prevent huge children, fetal overgrowth and hypertension

Pregnancy diabetes, weight gain during pregnancy, prevention and management of obesity, pregnancy outcome, risk mitigation behavior

Overweight weight gain and obesity during pregnancy are considered independent risk factors for maternal and fetal complications and result in serious lifelong consequences. These organizations question the weight gain during pregnancy, especially the recently announced Medical Institute (IOM) recommendations for obese women. Because the higher Body Mass Index Level is associated with more severe pregnancy complications such as pre-eclampsia and gestational diabetes, the International Migration Organization is also concerned with a single weight gain criterion for all obesity categories It is recommended. The IOM recommendation holds the theoretical relevance between harmful pregnancy weight gain and low birth weight (LBW), which was a concern in 1990. Less weight gain during pregnancy can often be a result than lower birth weight. In developed countries, there is no evidence that dietary supplements increase birth weight. (Obstet Gynecol 2010; 115: 152-5)

Weight gain due to pregnancy and the spread of obesity Raul Artal, MD, Charles J. Lockwood, MD and Haywood L. Brown, MD

In order to avoid pregnancy complications, we aimed to investigate gestational diabetes (GDM) and weight gain (GWG) during pregnancy of morbidly obese women. Observative retrospective studies have completed a study of 3284 lists of fetal pregnancies and GDM patients. Of these patients, 131 (4.0%) were classified as having morbid obesity (BMI ≧ 35 kg / m 2) before pregnancy. We compare perinatal complications of BMI group. Morbid obesity, in groups with GWG threshold ... Read More