The Influence of Pregestational Age and Body Weight on Pregnancy Outcome in Gestational Diabetes Mellitus

Kim, Ji Yeun; Cho, Jung Nam; Ahn, Sun Young; Park, Jung Kyu; Hong, Seong Yeon; Lee, Ji Hyun

doi:2010.11.3.223

J Korean Diabetes > Volume 11(3); 2010 > Article

Original Article

The Journal of Korean Diabetes 2010;11(3):223-228.
DOI: https://doi.org/10.4093/kcd.2010.11.3.223

임신 전 나이와 체중이 임신성 당뇨병 임신부의 임신 결과에 미치는 영향

김지연, 조정남, 안선영, 박정규, 홍성연, 이지현

The Influence of Pregestational Age and Body Weight on Pregnancy Outcome in Gestational Diabetes Mellitus

Ji Yeun Kim, Jung Nam Cho, Sun Young Ahn, Jung Kyu Park, Seong Yeon Hong, Ji Hyun Lee

Abstract

Background
Gestational diabetes mellitus (GDM) is defined as glucose intolerance of varying severity with onset or first recognition during the present pregnancy. The aims of the present study were to identify common characteristics in women diagnosed with gestational diabetes mellitus and to investigate the delivery outcomes of GDM. Methods: A total of 545 pregnant women underwent universal screening for GDM, between September 2004 and March 2007. We assessed the relationships between a number of maternal variables, including pre-gestational body mass index (BMI) and age. The primary pregnancy outcomes were premature delivery, delivery by C-section, birth weight, large for gestational age (LGA) infants and macrosomia. Results: The prevalence of GDM in our sample was 5.8% according to Carpenter and Coustan`s criteria. Pregestational weight, BMI, and age in the glucose intolerant group were significantly increased compared to the normal group. The rate of macrosomia, LGA, Apgar scores and C-section rates were not different among the four study groups. Conclusions: Patients in the glucose intolerant group were older and more overweight than patients in the normal group. The results of our study suggest that prepregnancy age and body weight influence pregnancy outcomes. (Korean Clinical Diabetes J 11:223-228, 2010)

Key Words: Body mass index, Gestational diabetes mellitus, Pregnancy outcome