Characterizing Gestational Weight Gain According to Institute of Medicine Guidelines in Women with Type 1 Diabetes Mellitus: Association with Maternal and Perinatal Outcome

Tetsuya Kawakita, Katherine Bowers, Ketrell McWhorter, Barak Rosen, Michelle Adams, Menachem Miodovnik, Jane C. Khoury

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

Objective This study aims to evaluate the association between gestational weight gain (GWG) defined by the current Institute of Medicine (IOM) guidelines and pregnancy outcomes in women with type 1 diabetes mellitus (DM). Study design This is a secondary analysis of a cohort of 293 pregnancies of women with type 1 DM between 24 and 41 weeks' gestation. Women were categorized according to GWG per week over the second and third trimester: below, within, and above the IOM guidelines. Adjusted odds ratios (aORs) with 95% confidence intervals (CIs) were calculated for maternal and neonatal outcomes, controlling for covariates and confounders (referent: GWG within the IOM guidelines). Results Of the 293 women, there were 49 women (16.7%) with the GWG below the IOM guidelines, 86 women (29.4%) with the GWG within the IOM guidelines, and 158 women (53.9%) with the GWG above the IOM guidelines. Women with the GWG above the IOM guidelines had a higher risk of macrosomia and neonatal hyperbilirubinemia (aOR: 2.78; 95% CI: 1.23-6.30 and 2.31; 1.22-4.35, respectively). Conclusion GWG above the IOM guidelines is associated with an increased risk of macrosomia and neonatal hyperbilirubinemia. Maintaining GWG within the IOM guidelines may decrease the risk of excessive fetal growth and neonatal hyperbilirubinemia in infants of women with type 1 DM.

Original languageEnglish
Pages (from-to)1266-1272
Number of pages7
JournalAmerican Journal of Perinatology
Volume33
Issue number13
DOIs
StatePublished - Nov 1 2016

Bibliographical note

Funding Information:
This study was supported in part by Diabetes in Pregnancy Program Project Grant, HD11725, funded between 1978 and 1995 by the National Institutes of Health (NIH), National Institute of Child Health and Human Development, United States Public Health Service (Grant no: MO1 RR 08084), and the National Center for Advancing Translational Sciences of the NIH under Award no: UL1 TR001425.

Keywords

  • gestational weight gain
  • Institute of Medicine guidelines
  • macrosomia
  • neonatal hyperbilirubinemia
  • type 1 diabetes

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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