ATLANTIC DIP: The Impact of Obesity on Pregnancy Outcome in Glucose-Tolerant Women
Open Access
- 19 January 2010
- journal article
- research article
- Published by American Diabetes Association in Diabetes Care
- Vol. 33 (3), 577-579
- https://doi.org/10.2337/dc09-0911
Abstract
OBJECTIVE: A prospective study of the impact of obesity on pregnancy outcome in glucose-tolerant women. RESEARCH DESIGN AND METHODS: The Irish Atlantic Diabetes in Pregnancy network advocates universal screening for gestational diabetes. Women with normoglycemia and a recorded booking BMI were included. Maternal and infant outcomes correlated with booking BMI are reported. RESULTS: A total of 2,329 women fulfilled the criteria. Caesarean deliveries increased in overweight (OW) (odds ratio 1.57 [95% CI 1.24–1.98]) and obese (OB) (2.65 [2.03–3.46]) women. Hypertensive disorders increased in OW (2.30 [1.55–3.40]) and OB (3.29 [2.14–5.05]) women. Reported miscarriages increased in OB (1.4 [1.11–1.77]) women. Mean birth weight was 3.46 kg in normal BMI (NBMI), 3.54 kg in OW, and 3.62 kg in OB (P < 0.01) mothers. Macrosomia occurred in 15.5, 21.4, and 27.8% of babies of NBMI, OW, and OB mothers, respectively (P < 0.01). Shoulder dystocia occur in 4% (>4 kg) compared with 0.2% (<4 kg) babies (P < 0.01). Congenital malformation risk increased for OB (2.47 [1.09–5.60]) women. CONCLUSIONS: OW and OB glucose-tolerant women have greater adverse pregnancy outcomes.Keywords
This publication has 11 references indexed in Scilit:
- ATLANTIC DIP: Pregnancy Outcome for Women With Pregestational Diabetes Along the Irish Atlantic SeaboardDiabetes Care, 2009
- Maternal Overweight and Obesity and the Risk of Congenital AnomaliesJAMA, 2009
- Prevention of Diabetes in Women with a History of Gestational Diabetes: Effects of Metformin and Lifestyle InterventionsJournal of Clinical Endocrinology & Metabolism, 2008
- Hyperglycemia and Adverse Pregnancy OutcomesNew England Journal of Medicine, 2008
- Diagnosis and Classification of Diabetes MellitusDiabetes Care, 2008
- Gestational Weight Gain and Pregnancy Outcomes in 481 Obese Glucose-Tolerant WomenDiabetes Care, 2005
- Obesity, obstetric complications and cesarean delivery rate–a population-based screening studyAmerican Journal of Obstetrics and Gynecology, 2004
- Pregnancy outcome and prepregnancy body mass index in 2459 glucose-tolerant Danish womenAmerican Journal of Obstetrics and Gynecology, 2003
- Maternal obesity and pregnancy outcome: a study of 287 213 pregnancies in LondonInternational Journal of Obesity, 2001
- Relation between weight and length at birth and body mass index in young adulthood: cohort studyBMJ, 1997