The influence of pregestational obesty to perinatal outcomes in women with gestation diabetes mellitus next?

• Papysheva Olga V.
• Kotaysh Galina A.
• Irina V. Savenkova
• Gayane A. Arakelyan
• Lukanovskaya Olga B.
• Damirova Saadet F.

Abstract

The combined influence of maternal obesity and gestational diabetes mellitus (GDM), which developed against this background, on the health of the offspring, even in the newborn period, is extremely poorly studied. The aim of this study is to research the effect of maternal obesity on newborn health in GDM.

Material and methods. Retrospective analysis of the birth histories of 272 pregnant women with GDM and development maps of their newborns delivered in 2017-2019 in the Maternity Department of City Clinical Hospital # 29 named after N.E. Bauman at full-term gestation.

Results. The state of health of newborns from mothers with GDM on the background of obesity was worse, compared with children from normal weight mothers: a) Apgar score on the 1^st min by 0.3 points, and on the 5^th min - 0.4 points lower; b) CNS depression syndrome was 1.7 times more common; C) hepatomegaly - 1.7 times more often; d) diabetic cardiomyopathy-2.3 times more often.

Conclusion. Apparently, there are two different versions (subtype) GDM: depending on the availability of pregravid obesity.

Keywords:obesity, metabolic syndrome, gestational diabetes mellitus, central nervous system depression syndrome

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