Alanbay, İbrahim Gülhane Askeri Tıp Fakültesi (GATF) - Kadın Hastalıkları ve Doğum Anabilim Dalı, Turkey , Çoksüer, Hakan Gülhane Askeri Tıp Fakültesi (GATF) - Kadın Hastalıkları ve Doğum Anabilim Dalı, Turkey , Ercan, Cihangir Mutlu Gülhane Askeri Tıp Fakültesi (GATF) - Kadın Hastalıkları ve Doğum Anabilim Dalı, Turkey , Keskin, Uğur Gülhane Askeri Tıp Fakültesi (GATF) - Kadın Hastalıkları ve Doğum Anabilim Dalı, Turkey , Öztürk, Mustafa Gülhane Askeri Tıp Fakültesi (GATF) - Kadın Hastalıkları ve Doğum Anabilim Dalı, Turkey , Karaşahin, K.Emre Gülhane Askeri Tıp Fakültesi (GATF) - Kadın Hastalıkları ve Doğum Anabilim Dalı, Turkey , Tapan, Serkan Gülhane Askeri Tıp Fakültesi (GATF) - Klinik Biyokimya Anabilim Dalı, Turkey , Başer, İskender Gülhane Askeri Tıp Fakültesi (GATF) - Kadın Hastalıkları ve Doğum Anabilim Dalı, Turkey

The comparison of maternal body mass index and weight gain with maternal biochemical parameters and fetal birth weight in patients with gestational diabetes mellitus

19934

In this study, we aimed to investigate the effects of pre-pregnancy body mass index (BMI) and maternal weight gain on maternal biochemical parameters and fetal birth weight by comparing the cases with gestational diabetes mellitus and normal controls. Thirty seven women with gestational diabetes mellitus and 42 women with a negative result of 50 g oral glucose tolerance test constituted the study and control groups, respectively. Maternal demographic charecteristics, weight gain during pregnancy, BMIs before gestation and during test, maternal metabolic parameters and birth weight of term newborn were recorded in the study. There was a significant difference between the study and control groups with respect to triglyceride levels (253.7±71.5 versus 188.5±68.3 mg/dl), whereas there were no significant differences with respect to BMI and weight gain during pregnancy. There were no significant differences between the two groups regarding HOMA-IR values and fetal birth weight. On the contrary of the literature knowledge we did not detect any relation between increase in BMI and excessive weight gain, and negative feto-maternal effects in the present study. However better and more strict antenatal follow-up and appropriately timing of diabetes treatment may have contributed to the decrease in negative feto-maternal results.

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Diabetes , fetal birth weight , gestation , weight gain , body mass index

Gulhane Medical Journal

242