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The impact of inadequate gestational weight gain in obese diabetic women

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To determine the effect of inadequate gestational weight gain (GWG) on neonatal birth weight in diabetic obese women.

Study Design:

Retrospective cohort study of women with an initial body mass index (BMI) ⩾30 kg m−2 and gestational or type 2 diabetes was conducted. GWG was stratified: inadequate (<11 lbs), adequate (11 to 20 lbs) or excessive (>20 lbs). The primary outcome was birth weight. Secondary outcomes included hypertensive disorders, gestational age at delivery, mode of delivery and Apgar scores.


A total of 211 obese diabetic women were identified. Of those, 37% had inadequate GWG, 25% had adequate GWG and 38% had excessive GWG. Women with inadequate GWG had lower mean birth weights (P=0.048), as well as lower rates of cesarean delivery (P=0.017) and lower rates of pregnancy-related hypertensive disorders (P=0.026) compared with those with adequate and excessive GWG.


Inadequate GWG was associated lower mean birth weights, lower rates of cesarean delivery and lower rates of pregnancy-related hypertensive disorders.

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Correspondence to K C Kurnit.

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The authors declare no conflict of interest.

Additional information

These findings were presented at the Society of Maternal Fetal Medicine, 35th Annual Meeting as a poster presentation (#340); 2–7 February 2015, San Diego, CA.

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Kurnit, K., Overcash, R., Ramos, G. et al. The impact of inadequate gestational weight gain in obese diabetic women. J Perinatol 36, 86–89 (2016).

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