Diabetes Plus Excess Weight In Pregnancy Bad Combo

Women diagnosed with gestational diabetes mellitus (GDM) who gain more than the Institute of Medicine-recommended amount of weight are at increased risk for undesirable outcomes, including preterm delivery and cesarean delivery, research shows.

These women are also more likely to require medical therapy to control their diabetes.

A “paucity” of information exists about the association between pregnancy weight gain and outcome in women with GDM, diabetes that develops during pregnancy and resolves after delivery, the study team notes in the journal Obstetrics & Gynecology.

To investigate, Dr. Yvonne W. Cheng, from the University of California, San Francisco, and colleagues performed a study in which they reviewed the medical records of 31,074 women with GDM and single pregnancies.

The women were enrolled in the Sweet Success California Diabetes and Pregnancy Program, which provides comprehensive educational, nutritional, psychosocial, and medical services offered by a multidisciplinary team.

One third of the women had weight gain below the IOM guidelines, based on their prepregnancy weight; one third gained weight within the guidelines, and the remaining third gained weight above the guidelines.

According to Cheng and colleagues, the women who exceeded the recommended weight gain, were more likely to have a primary cesarean delivery compared with the women in the other two groups.

Read more at Reuters