ATLANTIC DIP: the impact of obesity on pregnancy outcome in glucose-tolerant women.

Hdl Handle:
http://hdl.handle.net/10147/129919
Title:
ATLANTIC DIP: the impact of obesity on pregnancy outcome in glucose-tolerant women.
Authors:
Owens, Lisa A; O'Sullivan, Eoin P; Kirwan, Breeda; Avalos, Gloria; Gaffney, Geraldine; Dunne, Fidelma
Affiliation:
Department of Medicine, National University of Ireland, Galway, Ireland.
Citation:
ATLANTIC DIP: the impact of obesity on pregnancy outcome in glucose-tolerant women. 2010, 33 (3):577-9 Diabetes Care
Journal:
Diabetes care
Issue Date:
Mar-2010
URI:
http://hdl.handle.net/10147/129919
DOI:
10.2337/dc09-0911
PubMed ID:
20067952
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.
Item Type:
Article
Language:
en
MeSH:
Adult; Atlantic Ocean; Blood Glucose; Cesarean Section; Diabetes, Gestational; Female; Fetal Macrosomia; Humans; Infant, Newborn; Ireland; Obesity; Patient Advocacy; Pregnancy; Pregnancy Complications; Pregnancy Outcome
ISSN:
1935-5548

Full metadata record

DC FieldValue Language
dc.contributor.authorOwens, Lisa Aen
dc.contributor.authorO'Sullivan, Eoin Pen
dc.contributor.authorKirwan, Breedaen
dc.contributor.authorAvalos, Gloriaen
dc.contributor.authorGaffney, Geraldineen
dc.contributor.authorDunne, Fidelmaen
dc.date.accessioned2011-05-23T13:46:01Z-
dc.date.available2011-05-23T13:46:01Z-
dc.date.issued2010-03-
dc.identifier.citationATLANTIC DIP: the impact of obesity on pregnancy outcome in glucose-tolerant women. 2010, 33 (3):577-9 Diabetes Careen
dc.identifier.issn1935-5548-
dc.identifier.pmid20067952-
dc.identifier.doi10.2337/dc09-0911-
dc.identifier.urihttp://hdl.handle.net/10147/129919-
dc.description.abstractOBJECTIVE 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.-
dc.language.isoenen
dc.subject.meshAdult-
dc.subject.meshAtlantic Ocean-
dc.subject.meshBlood Glucose-
dc.subject.meshCesarean Section-
dc.subject.meshDiabetes, Gestational-
dc.subject.meshFemale-
dc.subject.meshFetal Macrosomia-
dc.subject.meshHumans-
dc.subject.meshInfant, Newborn-
dc.subject.meshIreland-
dc.subject.meshObesity-
dc.subject.meshPatient Advocacy-
dc.subject.meshPregnancy-
dc.subject.meshPregnancy Complications-
dc.subject.meshPregnancy Outcome-
dc.titleATLANTIC DIP: the impact of obesity on pregnancy outcome in glucose-tolerant women.en
dc.typeArticleen
dc.contributor.departmentDepartment of Medicine, National University of Ireland, Galway, Ireland.en
dc.identifier.journalDiabetes careen
dc.description.provinceConnacht-

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