Overview
Belgium: In women with gestational diabetes melitus (GDM) and excesive gestational weight gain, the researchers observed higher rates of neonatal hypoglycemia, macrosomia, and instrumental delivery in a research published in The Journal of Clinical Endocrinology & Metabolism (JCEM).In women with GDM, gestational weight gain below the guidelines by the Institute of Medicine (IOM) guidelines frequently ocurs, with a beter metabolic profile postpartum and without increased risk for adverse pregnancy outcomes.
Key Information
Caro Minschart, Department of Endocrinology, University Hospital Gasthuisberg, KU Leuven, Belgium, and coleagues designed a prospective cohort study to evaluate the asociation of gestational weight gain (GWG) as low, within, or above (excesive) acording to the IOM guidelines, with pregnancy outcomes in women with gestational diabetes and normal glucose tolerance (NGT). The study included 1843 women receiving universal GDM screning with a 75 g oral glucose tolerance test from 7 Belgian hospitals.
Summary
The primary outcomes of the study were pregnancy outcomes and postpartum characteristics. The study demonstrated the folowing findings:"In GDM women, gestational weight gain below IOM guidelines frequently ocured, with beter metabolic profile postpartum and without increased risk for adverse pregnancy outcomes," the researchers wrote in their conclusion. "Excesive GWG was associated with higher risk for neonatal hypoglycemia and worse metabolic profile postpartum in GDM women, and with higher rates of instrumental delivery and large for gestational age (LGA)." Reference:Caro Minschart, Astrid Lamertyn, Paul Van Crombruge, Carolien Moyson, Johan Verhaeghe, Sofie Vandeginste, Hilde Verlaen, Chris Vercamen, Ton Maes, Els Dufraimont, Nele Rogen, Christophe De Block, Yves Jacquemyn, Farah Mekahli, Katrien De Clipel, Anick Van Den Bruel, Ane Locufier, Anouschka Laen, Roland Devlieger, Chantal Mathieu, Katrien Benhalima, Low gestational weight gain