American Journal of Obstetrics and Gynecology
Meeting paperSMFM paperEffect of gestational weight gain on perinatal outcomes in women with type 2 diabetes mellitus using the 2009 Institute of Medicine guidelines
Section snippets
Materials and Methods
We conducted a retrospective cohort study of all women with T2DM who were cared for in the Sweet Success California Diabetes and Pregnancy Program (CDAPP) from 2001 through 2004. In California, Sweet Success is the clinical component of CDAPP, which provides technical support and education to providers involved in the care of high-risk pregnant women with preexisting diabetes and women who develop GDM. As a part of the Maternal, Child, and Adolescent Health Branch of the California Department
Results
Our study cohort consisted of 2310 women with T2DM who were either overweight or obese and met study inclusion/exclusion criteria. There were 241 (10.4%) women who lost weight, 537 (23.3%) who gained less weight than IOM guidelines, 594 (25.7%) who gained weight within IOM guidelines, and 938 (40.6%) who gained more weight than recommended. Nulliparous women were more likely to have excessive weight gain than multiparas (48.9% vs 39.1%, P = .008). Approximately 50% of African American and 43.7%
Comment
This study investigates the relationship between perinatal outcomes and gestational weight gain, as classified by category of compliance with the 2009 IOM guidelines for gestational weight gain, in women with T2DM who were either overweight or obese. This is the first study to investigate the interaction between high maternal prepregnancy BMI, gestational weight gain, and perinatal outcomes in women with T2DM.
Our findings suggest that the 2009 IOM guidelines are indeed applicable to women with
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Cited by (0)
Y.W.C. is supported by the University of California, San Francisco, Women's Reproductive Health Research Career Development Award, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health (K12 HD001262).
The authors report no conflict of interest.
Cite this article as: Yee LM, Cheng YW, Inturrisi M, et al. Effect of gestational weight gain on perinatal outcomes in women with type 2 diabetes mellitus using the 2009 Institute of Medicine guidelines. Am J Obstet Gynecol 2011;205:257.e1-6.