Excessive Gestational Weight Gain in Women with Positive Glucose Challenge Test is Associated with Adverse Outcomes
ACOG ePoster. Kumar D. Apr 27, 2018; 211714; 38F
Dipti Kumar
Dipti Kumar
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Abstract
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Introduction: The Institute of Medicine (IOM) guidelines currently recommends targeting gestational weight gain (GWG) according to pre-pregnancy BMI. We compared the maternal and neonatal outcomes in women with a positive glucose challenge test (GCT) who gained weight in excess of the IOM guidelines to those who were adherent.


Methods: A retrospective single-center cohort study including all singleton, term (37 weeks) pregnancies with a positive GCT (140mg/dl) delivered between 2013-2016. Patients were classified as either ‘excess' or ‘adherent' based on IOM GWG recommendations. Primary outcome was the rate of macrosomia (4,000g). Secondary outcomes included rates of cesarean delivery and neonatal hypoglycemia. Baseline variables were compared using t-test or chi-square test and combined in a multivariable logistic regression model.

Results: From 456 singleton-term pregnancies, 182 patients (40%) had ‘excess' GWG. The excess cohort were younger, more likely to be African-American and have positive screening GCT with a negative diagnostic test (71% vs 58%,p
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