Published: Mar 12, 2019
  
 
     
 
Gestational diabetes mellitus fetal macrosomia excessive weight gain
  
     
 
   
 
 
 
 
 
 
 
 
 
 
 

 

 
   
 
 
 
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    Home / Archives / Vol. 12 No.1 (2016): JAN - JUN / Original Article  
 
   
 

Impact of Diabetes, Obesity or excessive weight gain on birthweight and pregnancy outcomes, retrospective study in BMA General hospital
   
 
   
   
     
 
ฐิติกัญ ปรีชาพานิช
Department of Obstetric gynecology, Bangkok Metropolitan Administration General Hospital

Abstract


Objective: To study the association between diabetic with or without excessive weight gain and


birthweight.



Method: Retrospective study of 577 pregnant women who labourat BMA general hospital and between


18-35 years old were divided to 4 groups; normal weight gains pregnancy group, obesity or excessive weight


gain pregnancy group, gestational diabetes mellitus (GDM) group and both conditions in pregnancy group.



Result: Five hundred and seventy-seven pregnancies were enrolled. Maternal age, BMI, excessive


weight gain in 4 groups were difference significantly. Average birth weight in each groups were 3,027 3,274


3,210 3,438 grams respectively, were difference significantly (p<0.01). Use logistic regression revealed


that excessive weight gain group had 5 times increase risk to have macrosomia compare with normal weight


gain pregnancy group. DM group was significantly associated with increased risk to occur birth asphyxia,


hypertension and cesarean section (p<0.01). Postpartum hemorrhage was no difference between 4 groups.




Conclusion: The significant risk factor associated with macrosomia was excessive weight during pregnancy.


GDM was associated with birth asphyxia, hypertension and cesarean section.



Key word: Gestational diabetes mellitus, fetal macrosomia, excessive weight gain.

  
     
     
 
    How to Cite  
     
  ปรีชาพานิช ฐ. (2019). Impact of Diabetes, Obesity or excessive weight gain on birthweight and pregnancy outcomes, retrospective study in BMA General hospital. Journal of Charoenkrung Pracharak Hospital, 12(1), 12–22. Retrieved from https://he02.tci-thaijo.org/index.php/JCP/article/view/177385  
     

 
 
     
     
 
    Issue  
     
  Vol. 12 No.1 (2016): JAN - JUN  

 
 
     
     
 
    Section  
     
  Original Article  

 
 
     
     
     
 

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