{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T12:42:02Z","timestamp":1783687322490,"version":"3.55.0"},"reference-count":35,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2016,2,26]],"date-time":"2016-02-26T00:00:00Z","timestamp":1456444800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Maternal glucose and weight gain are related to neonatal outcome in women with gestational diabetes mellitus (GDM). The aim of this study was to explore the influence of average third-trimester HbA1c and excess gestational weight gain on GDM neonatal complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>This observational study included 2037 Spanish singleton pregnant women with GDM followed in our Diabetes and Pregnancy Unit. The maternal HbA1c level was measured monthly from GDM diagnosis to delivery. Women were compared by average HbA1c level and weight gain categorized into \u2264 or &gt; the current Institute of Medicine (IOM) recommendations for body mass index. The differential effects of these factors on large-for-gestational-age birth weight and a composite of neonatal complications were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Women with an average third-trimester HbA1c \u22655.0% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20091319) gave birth to 7.3% versus 3.8% (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.005) of large-for-gestational-age neonates and 22.0% versus 16.0% (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.006) of neonates with complications. Women with excess gestational weight gain (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009299) delivered 12.5% versus 5.2% (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001) of large-for-gestational-age neonates and 24.7% versus 19.0% (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.022) of neonates with complications. In an adjusted multiple logistic regression analysis among mothers exposed to the respective risk factors, \u223c47% and 52% of large-for-gestational-age neonates and 32% and 37% of neonatal complications were\n                      <jats:italic toggle=\"yes\">potentially<\/jats:italic>\n                      preventable by attaining an average third-trimester HbA1c level &lt;5.0% and optimizing gestational weight gain.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>\n                      Average third-trimester HbA1c level \u22655% and gestational weight gain above the\n                      <jats:italic toggle=\"yes\">IOM<\/jats:italic>\n                      recommendation are relevant risk factors for neonatal complications in mothers with gestational diabetes.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2015.5432","type":"journal-article","created":{"date-parts":[[2016,2,26]],"date-time":"2016-02-26T17:06:05Z","timestamp":1456506365000},"page":"579-585","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":25,"title":["HbA1c and Gestational Weight Gain Are Factors that Influence Neonatal Outcome in Mothers with Gestational Diabetes"],"prefix":"10.1177","volume":"25","author":[{"given":"Beatriz","family":"Barquiel","sequence":"first","affiliation":[{"name":"Hospital Universitario La Paz","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucrecia","family":"Herranz","sequence":"additional","affiliation":[{"name":"Hospital Universitario La Paz","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalia","family":"Hillman","sequence":"additional","affiliation":[{"name":"Hospital Universitario La Paz","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ma \u00c1ngeles","family":"Burgos","sequence":"additional","affiliation":[{"name":"Hospital Universitario La Paz","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Grande","sequence":"additional","affiliation":[{"name":"Hospital Universitario La Paz","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keleni M.","family":"Tukia","sequence":"additional","affiliation":[{"name":"University of Miami School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Luis","family":"Bartha","sequence":"additional","affiliation":[{"name":"Hospital Universitario La Paz","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis Felipe","family":"Pallardo","sequence":"additional","affiliation":[{"name":"Hospital Universitario La Paz","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,2,26]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"1039","article-title":"National Diabetes Data Group","volume":"28","author":"Classification and diagnosis of diabetes mellitus and other categories of glucose intolerance","year":"1979","unstructured":"Classification and diagnosis of diabetes mellitus and other categories of glucose intolerance. 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