{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T09:42:08Z","timestamp":1790242928311,"version":"4.1.0"},"reference-count":17,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2015,10,23]],"date-time":"2015-10-23T00:00:00Z","timestamp":1445558400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study evaluated mothers with diabetes to determine whether prepregnancy body mass index (<jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>), <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> on delivery or gestational weight gain (GWG) had the greatest impact on maternal and neonatal outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively examined the medical charts of 634 full\u2010term infants born to mothers with gestational diabetes mellitus not requiring insulin (n\u00a0=\u00a0476), gestational diabetes mellitus requiring insulin (n\u00a0=\u00a0140) and insulin\u2010dependent diabetes mellitus (n\u00a0=\u00a018). Data regarding maternal <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> before pregnancy and on delivery were recorded, as well as maternal and neonatal complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Infants born to women who gained more than the recommended weight during pregnancy had higher birthweights, higher rates of meconium\u2010stained amniotic fluid and neonatal hypoglycaemia. Using logistic regression, Caesarean section delivery was predicted by gestational diabetes requiring insulin, with an odds ratio (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>) of 1.76, maternal hypertension (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 2.4), infants born large for gestational age (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 2.78) and maternal <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> \u226530 on delivery (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 1.06). Neonatal complications were predicted by maternal insulin\u2010dependent diabetes (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 5.21), lower gestational age (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 0.8) and GWG above the recommended amount (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 1.56).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Women with diabetes should be made aware that higher GWG can lead to Caesarean section delivery, infant macrosomia and other neonatal complications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.13166","type":"journal-article","created":{"date-parts":[[2015,8,25]],"date-time":"2015-08-25T11:14:26Z","timestamp":1440501266000},"page":"1150-1155","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Gestational weight gain and body mass indexes have an impact on the outcomes of diabetic mothers and infants"],"prefix":"10.1111","volume":"104","author":[{"given":"Ayala","family":"Maayan\u2010Metzger","sequence":"first","affiliation":[{"name":"Department of Neonatology The Edmond and Lili Safra Children's Hospital Sheba Medical Center and Sackler Faculty of Medicine Tel Aviv University Ramat\u2010Gan Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irit","family":"Schushan\u2010Eisen","sequence":"additional","affiliation":[{"name":"Department of Neonatology The Edmond and Lili Safra Children's Hospital Sheba Medical Center and Sackler Faculty of Medicine Tel Aviv University Ramat\u2010Gan Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tzipora","family":"Strauss","sequence":"additional","affiliation":[{"name":"Department of Neonatology The Edmond and Lili Safra Children's Hospital Sheba Medical Center and Sackler Faculty of Medicine Tel Aviv University Ramat\u2010Gan 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