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THE EFFECT ON FETAL GROWTH OF BODY MASS INDEX AND GESTATIONAL WEIGHT GAIN OF PREGNANT WOMEN WITH GESTATIONAL DIABETES
Jadranko Šegregur
; Odjel za ženske bolesti i porodništvo Opće bolnice Virovitica,Gajeva 21, 33 000 Virovitica
Sažetak
Objective. To determine the pregestational body mass index (BMI) and gestational weight gain for women with gestational diabetes mellitus (GDM) on the diet and on the insulin therapy, as well as determining the impact on fetal growth. Methods. In the study on 351 pregnant women with GDM in the Division of Diabetes and Fetal Growth of the University Department of Gynecology and Obstetrics, Zagreb University Hospital Center, 279 pregnant women on the diet and 73 on the insulin therapy of the same mother’s age and parity, gestational age and newborn’s gender were included. Statistical evaluation was done by the method of univariate variance analysis (ANOVA), the Student’s t-test, the 2-test and the Fisher’s test of programme package SPSS. Results. Pregnant women with GDM on insulin had significantly higher body weight, BMI and more frequent excessive BMI (25 and 30) then pregnant women with GDM on diet, had greater body weight growth and more frequent excessive increase of body weight during pregnancy (p<0,05). There were no significant differences of birth weight and birth lenght of newborns between investigated groups (p>0,05). Newborns of mothers on insulin had higher values of PI (ponderal index) and were more frequently with PI<2,85 (p<0,05). There was no significant increased frequency of fetal macrosomia of mothers on insulin. Pregestational BMI and gestational weight gain didn’t have a significant impact on the increased frequency of fetal macrosomia in mothers on insulin therapy (p>0,05). Conclusion. The results of the study indicate significantly greater BMI in pregnant women with GDM on insulin and greater body weight growth in women with GDM on diet. There were no significant higher birth weight and birth length of newborns, increased frequency of fetal macrosomia and a significant impact of pregestational BMI and gestational weight gain on increased frequency of fetal macrosomia in mothers on insulin.
Ključne riječi
gestational diabetes mellitus; body mass index; gestational weight gain; fetal growth; macrosomia
Hrčak ID:
65954
URI
Datum izdavanja:
1.9.2009.
Posjeta: 2.421 *