Obesity Before Pregnancy and Gestational Diabetes Risk in Thai Women
Author Information
Author(s): Kongubol Anussara, Phupong Vorapong
Primary Institution: Chulalongkorn University
Hypothesis
Are Thai women classified as obese at risk for developing gestational diabetes mellitus and other complications during pregnancy?
Conclusion
Prepregnancy obesity without metabolic problems did not increase the risk for gestational diabetes, preeclampsia, or fetal macrosomia, but it did increase the risk for gestational hypertension.
Supporting Evidence
- Obese women had a relative risk of gestational diabetes of 0.9, indicating no increased risk compared to normal weight women.
- Gestational hypertension was significantly more common in obese women, with a relative risk of 12.
- Maternal outcomes showed no significant differences in rates of GDM, preeclampsia, or cesarean delivery between the two groups.
Takeaway
Being overweight before getting pregnant doesn't seem to cause problems like diabetes or high blood pressure for Thai women, but it can lead to high blood pressure during pregnancy.
Methodology
The study followed 240 women with normal and obese BMI during pregnancy to compare outcomes.
Limitations
The study had a small sample size for some complications.
Participant Demographics
Women aged 20-34 years with singleton pregnancies attending antenatal clinics.
Statistical Information
P-Value
0.004
Confidence Interval
95% CI 1.6-90.8
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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