Pregestational body mass index, weight gain during pregnancy and perinatal outcome: a retrospective descriptive study

Einstein (Sao Paulo). 2019 Nov 7:18:eAO4851. doi: 10.31744/einstein_journal/2020AO4851. eCollection 2020.
[Article in English, Portuguese]

Abstract

Objective: To analyze the pregestational body mass index and weight gain during pregnancy, and to associate data to perinatal outcomes of pregnant women from a Prenatal Care Program.

Methods: A retrospective study was carried out with 151 patients seen at the Healthy Gestation Program of Hospital Israelita Albert Einstein . Data were collected from a medical chart review of the patients seen between March 2015 and March 2016.

Results: The chance of developing gestational diabetes for obese patients in early gestation was estimated at 7.5-fold as compared to patients with low or normal body mass index.

Conclusion: There was a significant association between obesity in early pregnancy and the occurrence of gestational diabetes mellitus in this population.

Objetivo: Analisar o índice de massa corporal pré-gestacional e o ganho de peso na gestação, e associar os dados a desfechos perinatais de gestantes de um Programa de Gestação Saudável.

Métodos: Estudo retrospectivo realizado com 151 pacientes atendidas no Programa de Gestação Saudável do Hospital Israelita Albert Einstein. Os dados foram coletados a partir da revisão de prontuário das pacientes atendidas entre março de 2015 e março de 2016.

Resultados: A chance de desenvolvimento de diabetes gestacional para as pacientes com obesidade no início da gestação foi estimada em 7,5 vezes a mesma chance entre as pacientes com índice de massa corporal baixo ou normal no início da gravidez.

Conclusão: Houve associação significativa entre obesidade no início da gravidez e a ocorrência de diabetes mellitus gestacional nesta população.

MeSH terms

  • Adult
  • Body Mass Index
  • Diabetes, Gestational / epidemiology
  • Diabetes, Gestational / etiology
  • Female
  • Humans
  • Overweight / epidemiology*
  • Pregnancy
  • Pregnancy Complications / epidemiology
  • Pregnancy Complications / etiology*
  • Prenatal Care
  • Retrospective Studies
  • Risk Factors
  • Weight Gain*