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Women with gestational diabetes have increased risk of recurrence in subsequent pregnancies
Date:7/11/2010

diabetes, it is important to identify early those who are at risk and watch them closely during their prenatal care, said study lead author Darios Getahun, MD, MPH, research scientist/epidemiologist in the Kaiser Permanente Southern California Department of Research & Evaluation. Well-controlled gestational diabetes may prevent complications that result in fetal and maternal morbidity, such as high blood pressure during pregnancy, urinary tract infections, cesarean delivery, big babies, birth trauma, and a variety of other adverse outcomes, including future diabetes.

This is the first study to examine the race/ethnicity difference in the recurrence of gestational diabetes in the first-two or first-three pregnancies. Previous studies examined the recurrence of gestational diabetes in subsequent pregnancies without regard to their past gestational diabetes history (other than these two subsequent pregnancies.) This study shows that the magnitude of association of the recurrence risk of gestational diabetes in successive pregnancies is modified by the number of successive pregnancies, and this risk differs by race/ethnicity.

Clinicians should be aware and counsel potential pregnant women about their increased risk and that early detection and initiation of treatment is important because unrecognized or untreated gestational diabetes is likely to lead to adverse maternal and fetal outcomes, said Dr. Getahun. Although maternal deaths are low, fetal and neonatal mortality remains much higher than in the general population.

This study is part of ongoing research at Kaiser Permanente to understand, prevent and treat gestational diabetes. A recent Kaiser Permanente study of 1,145 pregnant women found that women who gain excessive weight during pregnancy, especially in the first trimester, may increase their risk of developing diabetes later in their pregnancy. Another published Kaiser Permanente study of 16,000 women in Hawaii found that mor
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Contact: Laura Dunn
Laura.C.Dunn@kp.org
510-267-2818
GolinHarris International
Source:Eurekalert

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