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Pregnancy Weight Gain, Especially in 1st Trimester, May Increase a Woman's Risk of Gestational Diabetes
Date:2/22/2010

anente Northern California region and examined their overall rate of pregnancy weight gain up to the time of screening for gestational diabetes (typically between 24-28 gestational weeks), as well as the trimester-specific rates of weight gain compared to the Institute of Medicine's 2009 guidelines for recommended pregnancy weight gain. Based on a woman's pre-pregnancy body mass index, the IOM developed the 2009 guidelines for obstetricians to counsel pregnant women on suggested weight gain during pregnancy.

After adjusting for age at delivery, race/ethnicity, previous births, and pre-pregnancy body mass index, the risk of gestational diabetes increased with increasing rates of pregnancy weight gain. Women who exceeded the IOM guidelines for weight gain had a 50 percent increase in the risk of gestational diabetes compared to women who gained within or below the IOM recommendations.

"Health care providers should talk to their patients early in their pregnancy about the appropriate gestational weight gain, especially during the first trimester, and help women monitor their weight gain. Our research shows that weight gain in early pregnancy is a modifiable risk factor for gestational diabetes," said the study's lead author Monique Hedderson, PhD, a scientist at the Kaiser Permanente Division of Research. "Randomized studies are needed to determine the feasibility of this early intervention and the best methods to help women meet the IOM recommendations."  


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SOURCE Kaiser Permanente
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