Weight retention at six weeks postpartum and the risk of gestational diabetes mellitus in a second pregnancy

BMC Pregnancy and Childbirth
Jing LiuSongning Guo

Abstract

Gestational diabetes mellitus (GDM) is a common cause of maternal morbidity, and can lead to the development of diabetes later in life. Pre-pregnancy body weight is associated with the change in body mass index (BMI) between a first and second pregnancy. Compared with long-term change in BMI between pregnancies, the most accessible follow-up point to investigate BMI change is 6 weeks after the initial pregnancy. The present study aimed to assess the association between weight retention at 6 weeks postpartum and the risk of GDM in a subsequent pregnancy. We recruited 6429 singleton pregnancies into this retrospective cohort study. For each pregnancy, we calculated weight retention at 6 weeks postpartum after the first pregnancy, the interpregnancy BMI change between pregnancies, and the gestational weight gain in the second pregnancy. Risk was represented by the odds ratio (OR) and 95% confidence intervals (CIs). We then determined the relationship between postpartum weight retention at 6 weeks after the initial pregnancy, and the interpregnancy change in BMI between pregnancies. Analyses were stratified by BMI during the first pregnancy. Compared to women with a stable BMI (- 1 to 1), interpregnancy BMI gains were associated wi...Continue Reading

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Citations

Aug 15, 2020·Current Developments in Nutrition·Yu Qi LeeMary Foong-Fong Chong
Oct 11, 2020·Environmental Science and Pollution Research International·Hehua Zhang, Yuhong Zhao
Feb 19, 2021·American Journal of Human Biology : the Official Journal of the Human Biology Council·Beril Aydin, S Songül Yalçin
Jun 26, 2021·International Journal of Women's Health·Rachel A TiniusJill M Maples

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