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

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

In 2009, the medical laboratory changed the recommendation on weight gain of obese women during pregnancy from "at least 15 pounds" to "11 - 20 pounds". According to past studies, obese women who showed excessive weight gain during pregnancy are at high risk of complications, including preterm birth, caesarean section, failure to induce labor, infants in early pregnancy and infants with hypoglycemia. Obesity women are likely to have preterm birth - early birth due to medical reasons such as maternal diabetes or hypertension. Paradoxically speaking, however, when women give birth for unknown reasons - the risk of premature birth spontaneously is actually 20% lower than that of non-obese women. There is no clear explanation as to why this will happen, but Thornburg said the current idea suggests that this may be related to changes in hormones in obese women.

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

For extremely obese women, women who receive less weight or lose weight during pregnancy can reduce the risk of babies whose birth weight exceeds the 90th percentile (pregnancy period) of gestational age I can do it. Child However, research has shown that the weight of premature birth is higher than pregnancy period (less than pregnancy period), if the weight is decreased or increased too much during pregnancy, the risk of premature birth also increases

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