The effect of pre-pregnancy weight on delivery outcome and birth weight in potential diabetic patients with normal screening for gestational diabetes mellitus in Siriraj Hospital.

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dc.contributor.authorPhithakwatchara, Nisaraten_US
dc.contributor.authorTitapant, Vitayaen_US
dc.date.accessioned2009-05-27T21:19:56Z
dc.date.available2009-05-27T21:19:56Z
dc.date.issued2007-02-23en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractOBJECTIVE: To investigate the influence of pre-pregnancy weight on delivery outcome and birth weight in potential diabetic women with normal glucose tolerance. DESIGN: Retrospective Cohort study. MATERIAL AND METHOD: The medical records of 660 pregnant women, who attended the antenatal clinic and delivered at Siriraj Hospital between January 2003 and December 2005, were reviewed and analyzed. They all had the known pre-pregnancy weight and were at risk of gestational diabetes with the normal glucose tolerance. Any pregnant women without pre-pregnancy weight recorded were excluded from the present study. They were classified into two groups according to the pre-pregnancy BMI, one was the overweight group (BMI > or = 27 kg/m2) and the other was the normal weight group (BMI 20-25 kg/m2). Information of the complications of pregnancy, the route of delivery, birth weight, and neonatal outcomes were collected and analyzed. RESULTS: The risks of adverse pregnancy outcomes in overweight women, after adjusting for the confounding factors, were significantly increased, including pre-eclampsia (OR 3.87, 95% CI 2.09-7.25, p < 0.001), cesarean delivery (OR 2.22, 95% CI 1.45-3.39, p < 0.001), cephalopelvic disproportion (OR 2.15, 95% CI 1.35-3.42, p = 0.001), and macrosomia (OR 7.59, 95% CI 1.98-29.09, p < 0.001). CONCLUSION: Even though the screening test for gestational diabetes mellitus is normal, the overweight women still have several adverse pregnancy outcomes.en_US
dc.description.affiliationDepartment of Obstetrics and Gynecology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.en_US
dc.identifier.citationPhithakwatchara N, Titapant V. The effect of pre-pregnancy weight on delivery outcome and birth weight in potential diabetic patients with normal screening for gestational diabetes mellitus in Siriraj Hospital. Journal of the Medical Association of Thailand. 2007 Feb; 90(2): 229-36en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/44603
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshAdulten_US
dc.subject.meshBirth Weighten_US
dc.subject.meshBody Mass Indexen_US
dc.subject.meshBody Weighten_US
dc.subject.meshDiabetes, Gestational --diagnosisen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshPregnancyen_US
dc.subject.meshPregnancy Outcomeen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshRisk Factorsen_US
dc.subject.meshThailanden_US
dc.subject.meshTime Factorsen_US
dc.titleThe effect of pre-pregnancy weight on delivery outcome and birth weight in potential diabetic patients with normal screening for gestational diabetes mellitus in Siriraj Hospital.en_US
dc.typeJournal Articleen_US
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