Diabetes during Pregnancy: Influence of Body Mass Index on Composite Morbidity
| Autor: | Zachary B. Jenner, Amy E. O'Neil Dudley, Viviana Ellis, Suneet P. Chauhan, Hector Mendez-Figueroa |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
obesity Diabetic ketoacidosis composite neonatal morbidity Case Report 030209 endocrinology & metabolism body mass index Hypoglycemia nm lcsh:Gynecology and obstetrics 03 medical and health sciences 0302 clinical medicine Diabetes mellitus medicine 030212 general & internal medicine lcsh:RG1-991 Pregnancy Eclampsia diabetes Obstetrics business.industry Obstetrics and Gynecology Retrospective cohort study Odds ratio medicine.disease composite maternal morbidity mm Surgery bmi Pediatrics Perinatology and Child Health pregnancy business Body mass index |
| Zdroj: | American Journal of Perinatology Reports, Vol 07, Iss 02, Pp e128-e133 (2017) AJP Reports |
| ISSN: | 2157-7005 2157-6998 |
| DOI: | 10.1055/s-0037-1603913 |
| Popis: | Objective This study aims to compare composite maternal and neonatal morbidities (MM, NM) among pregnant women with diabetes mellitus whose body mass index (BMI) at delivery was Methods This is a retrospective cohort study. MM was defined as: chorioamnionitis, wound infection, eclampsia, diabetic ketoacidosis, hypoglycemia admission, third/fourth degree laceration, and/or death. NM was defined as umbilical arterial pH Results MM was noted in 8, 13, and 24% of groups 1, 2, and 3, respectively, and significantly more common in group 2 versus 1 (adjusted odds ratio [aOR]: 1.66) and group 3 versus 1 (aOR: 3.06). NM was noted in 7, 8, and 15% of each BMI group, respectively, and differed significantly between group 3 vs. 2 (aOR: 1.77). Conclusions The increased rate of morbidities between the BMI groups is useful to inform diabetic women and highlights the need for further investigation of diabetes and obesity as comorbidities in pregnancy. |
| Databáze: | OpenAIRE |
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