Associations of Body Mass Index (Maternal BMI) and Gestational Diabetes Mellitus with Neonatal and Maternal Pregnancy Outcomes in a Multicentre European Database (Diabetes and Pregnancy Vitamin D and Lifestyle Intervention for Gestational Diabetes Mellitus Prevention)
نویسندگان
چکیده
Objective. Assess the impact of Gestational Diabetes Mellitus (GDM) and obesity on neonatal and maternal pregnancy outcomes. Methods. Cross-sectional data (3343 pregnancies) from seven European centres were included in a multilevel analysis of the association between GDM/obesity and caesarean section, macrosomia and neonatal morbidities. Results. Comparison of databases identified reporting differences between countries due to the inclusion of true population based samples or pregnancies from specialised tertiary centres, resulting in higher prevalences of GDM for some countries. The analysis showed that obesity and GDM were independent risk factors of perinatal complications. Only BMI had a dose-dependent effect on the risk of macrosomia and caesarean section. Both obesity (BMI > 30 kg/m(2)) and GDM were independent risk factors of neonatal morbidities. Conclusions. Obesity and GDM were independent risk factors of perinatal complications. The effect of the worldwide obesity and diabetes epidemic is extending to the next generation.
منابع مشابه
Correlation of Pre-pregnancy Body Mass Index, Prenatal Weight Gain and Gestational Diabetes – A Case-Control Study
Introduction: Obese and overweight women are more prone to gestational diabetes. Body mass index and weight gain during pregnancy play an important role in pregnancy and is considered as an important indicator of maternal and neonatal health. Because the prevalence of obesity in Yazd is remarkable, we studied the relationship between gestational diabetes with Pre-pregnancy BMI and weight gainin...
متن کاملThe Impact of Body Mass Index on Pregnancy Outcome
Background & aim: Pre-pregnancy obesity is considered as a significant predictor for neonatal and maternal morbidity and mortality. Several studies have indicated conflicting associations between body mass index (BMI) and pregnancy outcomes. This study aimed to evaluate the effects of pre-pregnancy BMI on adverse pregnancy outcomes. Methods:Thiscohort study was conducted from 2010 to 2013 in Qa...
متن کاملRelationship between body mass index and gestational diabetes mellitus
Background: Gestational diabetes mellitus (GDM) is one of the most common medical complications in pregnancy, which is associated with many serious consequences for mother and her fetus. Body mass index (BMI) in pregnant women is considered as one of most effective factor for the incidence of GDM. The aim of this study was to determine the relationship between BMI at pregnant women in the early...
متن کاملDiagnostic Accuracy of Body Mass Index and Fasting Glucose for The Prediction of Gestational Diabetes Mellitus after Assisted Reproductive Technology
Objective Background: To determine maternal pre-pregnancy body mass index (BMI), first trimester fasting blood sugar (FBS) and the combination (BMI+FBS) cut-points for at risk pregnant women conceived by assisted reproduction technology (ART) to better prediction of infertile women’s risk of developing gestational diabetes mellitus (GDM). MaterialsAndMethods In this nested case-control study, 2...
متن کاملThe relationship between vitamin D and gestational diabetes
Background: Gestational diabetes is one of the common causes of maternal and fetal complications. Due to fetal and maternal complications of diabetes, it is very important to reduce the prevalence of diabetes and its consequences. The relationship between vitamin D deficiency and type 2 diabetes has been reported. There is little information about the relationship between serum vitamin D levels...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 2012 شماره
صفحات -
تاریخ انتشار 2012