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Table 4 GWG after OGTT in women with GDM classified by IOM criteria and risk of adverse pregnancy outcomes (aOR (95% CI))

From: Weight gain after diagnosis of gestational diabetes mellitus and its association with adverse pregnancy outcomes: a cohort study

 

PIH and preeclampsia

LGA

SGA

Macrosomia

LBW

Preterm

Cesarean section

Insufficient GWG before OGTT

 Lower than IOM criteria after OGTT, n = 196

1.95 (0.92–4.14)

0.52 (0.32–0.82)

1.35 (0.44–4.18)

0.85 (0.42–1.73)

1.49 (0.56–3.98)

1.21 (0.48–3.07)

1.43 (0.94–2.17)

 Within the IOM criteria after OGTT, n = 131

1.47 (0.58–3.75)

0.37 (0.20–0.68)

2.93 (0.99–8.72)

0.18 (0.04–0.80)

1.78 (0.58–5.43)

1.71 (0.60–4.86)

1.13 (0.68–1.88)

 Higher than IOM criteria after OGTT, n = 182

1.79 (0.84–3.81)

0.74 (0.46–1.18)

1.18 (0.32–4.44)

0.77 (0.37–1.58)

1.52 (0.52–4.40)

1.44 (0.55–3.77)

1.94 (1.25–3.01)

Adequate GWG before OGTT

 Lower than IOM criteria after OGTT, n = 529

1.62 (0.78–3.37)

0.61 (0.41–0.91)

0.38 (0.11–1.39)

0.43 (0.20–0.89)

0.97 (0.38–2.51)

1.49 (0.65–3.45)

1.10 (0.75–1.61)

 Within the IOM criteria after OGTT, n = 303

1

1

1

1

1

1

1

 Higher than IOM criteria after OGTT, n = 305

1.87 (0.91–3.85)

0.80 (0.53–1.21)

0.57 (0.14–2.34)

0.99 (0.53–1.88)

0.87 (0.30–2.58)

0.85 (0.32–2.23)

2.38 (1.60–3.55)

Excessive GWG before OGTT

 Lower than IOM criteria after OGTT, n = 690

1.11 (0.52–2.36)

0.95 (0.65–1.39)

0.57 (0.18–1.81)

1.03 (0.56–1.92)

0.37 (0.12–1.18)

0.74 (0.29–1.85)

1.20 (0.82–1.75)

 Within the IOM criteria after OGTT, n = 353

2.34 (1.10–4.99)

1.28 (0.84–1.93)

0.36 (0.07–1.82)

1.64 (0.86–3.10)

0.42 (0.11–1.65)

0.55 (0.18–1.74)

1.44 (0.94–2.19)

 Higher than IOM criteria after OGTT, n = 546

2.33 (1.18–4.61)

1.63 (1.13–2.34)

0.74 (0.23–2.38)

2.54 (1.45–4.42)

0.72 (0.26–2.00)

0.83 (0.34–2.02)

3.52 (2.42–5.10)

  1. Adjusted for gravidity, parity, PPBMI, height, adverse pregnancy history, blood glucose levels at OGTT and late pregnancy
  2. GWG gestational weight gain; OGTT oral glucose tolerance test; aOR adjusted odds ratio; CI confidence interval; GDM gestational diabetes mellitus; PIH pregnancy induced pregnancy; LBW low birth weight; LGA large for gestational age; SGA small for gestational age; IOM Institute of Medicine; PPBMI pre-pregnancy body mass index