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Table 4 Association of adverse pregnancy outcome among gestational diabetes mellitus with IOM guideline on rate of GWG in second trimester of pregnancy

From: Association between gestational weight gain in women with gestational diabetes mellitus and adverse pregnancy outcomes: a retrospective cohort study

 

Within (n = 243)

Below (n = 225)

Above (n = 199)

n(%) (Reference)

n (%)

crude OR (95% CI)

Adjusted OR (95% CI)

n (%)

crude OR (95% CI)

Adjusted OR (95% CI)

Caesarean delivery

99(40.7)

88(39.1)

0.85(0.72–1.21)

0.69(0.59–1.11)

86(43.2)

0.95(0.72–1.43)

0.83(0.69–1.32)

HDP

13(5.3)

10(4.4)

0.62(0.39–1.13)

0.60(0.36–1.16)

31(15.6)

3.25(1.74–3.88)a

2.55(1.86–3.38)a

preeclampsia

6(2.4)

4(1.8)

0.63(0.46–1.35)

0.74(0.41–1.45)

15(7.5)

2.51(1.59–3.67)a

2.28(1.21–3.81)b

PROM

103(42.4)

102(45.3)

1.08(0.81–1.48)

1.06(0.74–1.38)

81(40.7)

0.91(0.56–1.53)

0.82(0.47–1.41)

Postpartum hemorrhage

22(9.1)

24(10.7)

1.15(0.76–1.89)

1.09(0.69–1.71)

19(9.5)

1.08(0.45–1.77)

1.10(0.51–1.63)

Fetal distress

71(29.2)

61(27.1)

0.90(0.72–1.33)

0.86(0.74–1.19)

55(27.6)

0.92(0.71–1.20)

0.94(0.71–1.23)

Preterm birth

39(16.0)

43(19.1)

1.19(0.73–1.72)

1.11(0.64–1.65)

29(14.6)

0.893(0.45–1.49)

0.78(0.40–1.28)

Macrosomia

42(17.7)

15(6.6)

0.51(0.39–0.67)b

0.66(0.52–0.78)b

45(22.6)

1.40(1.27–2.10)b

1.20(1.02–1.82)b

SGA

18(7.4)

20(8.8)

1.23(0.84–1.77)

1.12(0.72–1.61)

10(5.0)

0.89(0.61–1.13)

0.90(0.79–1.01)

LGA

58(23.9)

17(14.2)

0.63(0.43–0.71)b

0.71(0.51–0.82) b

71(35.7)

1.61(1.43–2.15)b

1.42(1.24–1.97)b

  1. Multivariate analyses were adjusted for for maternal age, pre-pregnancy BMI, maternal education, IVF, FPG, 2-h blood glucose. The results were presented with an adjusted odds ratio, aOR (95% CI);
  2. IOM, Institute of Medicine; GWG, gestational weight gain; HDP, hypertensive disorders of pregnancy; PROM, premature rupture of the membranes; SGA, small for gestational age; LGA, large for gestational age; OR odds ratio; CI, Confidence interval
  3. aP < 0.01
  4. bP < 0.05,compared with the within IOM guideline subjects