Maternal body mass index and gestational weight gain and their association with perinatal outcome in women with gestational diabetes

摘要: Abstract Objectives: Maternal overweight and obesity constitute the most important factors causing perinatal complications. The purpose of study was to analyze obstetrical results in overweight/obese pregnant women with gestational diabetes relation Institute Health recommendations concerning weight gain assessment role prepregnancy BMI prediction macrosomia, pregnancy induced hypertension cesarean deliveries. Material methods: Retrospective analysis 209 obese divided into 4 subgroups according National (USA) recommendations. following data were included analysis: week which GDM diagnosed; HbA1c level first third trimester just before delivery; incidence hypertension; deliveries; macrosomia. II, III, IV compared these found I subgroup classified as control group. Selected obstetric parameters also between IV. Results: selected not significantly different from I. Pregnancy diagnosed more frequently among II comparison III. Using ROC curves analysis, pre-pregnancy prognosis of: birth greater than 4300g, hypertension, delivery. Conclusions: 1. application on is limited case or mellitus. 2. Excessive during may increase risk developing a less recommended, but zero. 3. Increased has