Comparison of Effectiveness of Routine Antenatal Care with a Midwife-Managed Clinic Service in Prevention of Gestational Diabetes Mellitus in Early Pregnancy at a Hospital in China.

Comparison of Effectiveness of Routine Antenatal Care with a Midwife-Managed Clinic Service in Prevention of Gestational Diabetes Mellitus in Early Pregnancy at a Hospital in China. Med Sci Monit. 2020 Sep 27;26:e925991 Authors: Qiu J, Liu Y, Zhu W, Zhang C Abstract BACKGROUND Women with normal fasting glucose (FPG) range (5.1 ≤FPG
Source: Medical Science Monitor - Category: Research Tags: Med Sci Monit Source Type: research

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We examined the association between BMI at pre-pregnancy and delivery, as well as gestational weight gain (GWG), and rates of CD, gestational diabetes mellitus (GD), and pregnancy-induced hypertension (PIH) using logistic regression and chi-square.RESULTS: CD increased with each increase in delivery BMI class [X2 (7, N = 25,604) =151.40, p
Source: Journal of Psychosomatic Obstetrics and Gynaecology - Category: OBGYN Authors: Source Type: research
ConclusionsThe WeChat-assisted dietary and exercise intervention was effective in reducing the occurrence of GDM and excessive weight gain in overweight/obese pregnant women. Disseminating knowledge of pregnancy and childbirth through social media platforms like WeChat could be an important part of antenatal care.
Source: Archives of Gynecology and Obstetrics - Category: OBGYN Source Type: research
In conclusion, PCOS appeared to result in an increased risk of adverse pregnancy complications. Obesity may further increase the risks of hypertension and GDM among women with PCOS. However, ART did not increase the risk of pregnancy complications, which suggests that ART is a relatively safe and effective method to address infertility problems in women with PCOS.IMPACT STATEMENTWhat is already known on this subject? There are several studies evaluating the associations of PCOS with the risk of pregnancy complications. However, reports about the risk of pregnancy complications between PCOS women with and without obesity or...
Source: Journal of Obstetrics and Gynaecology - Category: OBGYN Authors: Source Type: research
AbstractStudy questionGiven the common pathophysiology between type 2  DM (risk of which is increased by smoking) and GDM we sought to assess whether an association between smoking and GDM exists?Summary answerAfter controlling for confounding effects, women who smoke during pregnancy are at an increased risk of developing GDM.What is known alreadySmoking is well associated with type 2 diabetes mellitus (DM) in multiple studies. It has remained unclear whether there is also an association between smoking and GDM as publications report conflicting results. In a meta-analysis of 1,364,468 pregnancies (22,811 smokers) ...
Source: Human Reproduction - Category: Reproduction Medicine Source Type: research
AbstractStudy questionDoes bariatric surgery (BS) decrease the occurrence of adverse obstetrical and neonatal outcomes in morbidly obese women with polycystic ovarian syndrome (PCOS)?Summary answerPatients with PCOS who underwent BS were at lower risk for gestational diabetes mellitus (GDM) and pregnancy-induced hypertension (PIH), than other women with PCOS.What is known alreadyStudies have shown that PCOS in pregnancy is associated with the occurrence of GDM, preeclampsia, PIH, preterm birth (PTB), cesarean section, miscarriage, hypoglycemia, and neonatal death. Patients with PCOS may have an increased risk of obesity co...
Source: Human Reproduction - Category: Reproduction Medicine Source Type: research
CONCLUSIONS: The incidence of GDM was linked to several clinical factors. Women with GDM are at high risk for complications of pregnancy and at higher risk of neonatal complications.PMID:34178318 | PMC:PMC8213882 | DOI:10.1016/j.amsu.2021.102469
Source: Annals of Medicine - Category: Internal Medicine Authors: Source Type: research
AbstractPurposePregnancy after gastric bypass (RYGB) surgery remains at high risk for gestational diabetes mellitus, prematurity, and small for gestational age infants (SGA). Our objective was to describe the interstitial glucose (IG) profiles and weight changes during such pregnancies, and the association of these factors with adverse pregnancy outcomes.Material and methodsOne hundred twenty two pregnancies were analyzed in a monocentric retrospective study. IG profiles were evaluated by continuous glucose monitoring for 4 days. Maternal (hypertension, hospitalizations, and caesarean section) and neonatal outcomes (premat...
Source: Obesity Surgery - Category: Surgery Source Type: research
SummaryBehavioural modification through physical activity and dietary counselling has been shown to have beneficial effects on pregnant women with overweight/obesity. Whether exercise alone with supervision (ie, supervised exercise) may also benefit for pregnant women with overweight/obesity is still unknown. This systematic review and meta ‐analysis aimed to determine the safety and efficacy of supervised exercise on pregnant women with overweight/obesity. PubMed, Cochrane library, Embase (Ovid), CINAHL (EBSCO), and Web of Science were used to search publications using a combination of main keywords “obesity&rdquo...
Source: Clinical Obesity - Category: Eating Disorders & Weight Management Authors: Tags: REVIEW ARTICLE Source Type: research
ConclusionsThe WeChat-assisted dietary and exercise intervention was effective in reducing the occurrence of GDM and excessive weight gain in overweight/obese pregnant women. Disseminating knowledge of pregnancy and childbirth through social media platforms like WeChat could be an important part of antenatal care.
Source: Archives of Gynecology and Obstetrics - Category: OBGYN Source Type: research
CONCLUSION: the evidence found shows an association of insecurity as found in women and their homes with a greater risk of being overweight and obese, as well as the development of a cardiometabolic disease (diabetes, hypertension), in addition to anemia and vitamin deficiency. PMID: 33397118 [PubMed - as supplied by publisher]
Source: Nutricion Hospitalaria - Category: Nutrition Authors: Tags: Nutr Hosp Source Type: research
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