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Cited by 10Gestational Diabetes Research and ManagementMaternal and Neonatal HealthcareMaternal and Perinatal Health Interventions

Perinatal Outcomes in a Population of Diabetic and Obese Pregnant Women—The Results of the Polish National Survey

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Wojtyla, Cezary, Stanirowski, Pawel, Gutaj, Pawel, Ciebiera, Michal, Wojtyla, Andrzej·2021·International Journal of Environmental Research and Public Health
DOI 10.3390/ijerph18020560PMC PMC7827210
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Abstract

Obesity and diabetes increase the risk of complications during gestation and at delivery. The aim of this study was to compare the perinatal outcomes in the populations of diabetic and obese Polish women, based on the results of a national survey performed in years 2012 and 2017, as well as to determine the risk factors of the gestational diabetes mellitus (GDM). Questionnaires from 6276 women were collected. Obese women constituted 5.5% and 7.5% of study population in years 2012 and 2017, respectively. Among women whose pregnancies were complicated by diabetes mellitus, GDM constituted the most common type of glucose intolerance during both time periods (2012: 89% vs. 2017: 85.6%). In the group of obese women an insignificant increase in the rate of induced deliveries was noted (2012: 9.9% vs. 2017: 11.7%), whereas the fetal birth-weight decreased significantly (2012: 3565 g vs. 2017: 3405 g, p < 0.05). In the group of diabetic pregnant women the percentage of cesarean sections, labour inductions and fetal birth defects was characterized by an insignificant upward trend. Risk of GDM was significantly increased in women aged over 35 years—(2012: OR 1.9 (95% CI: 1.1–2.9) and 2017: OR = 2.1 (95% CI: 1.5–2.9), p < 0.05—, as well as in overweight women—2012: OR 1.8 (95% CI: 1.2–2.7) and 2017: OR 2.6 (95% CI: 1.9–3.4), p < 0.05—during both analysed time periods. Based on the study results, it is necessary to develop population-based programmes to prevent obesity and to introduce and enforce the rules of appropriate screening for glucose tolerance disorders during pregnancy.

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Cited by

Sorted by citations

Authors
Wojtyla, C., Stanirowski, P., Gutaj, P., Ciebiera, M., & Wojtyla, A.
Affiliations
  • International Prevention Research Institute—Collaborating Centre, Calisia University, 62-800 Kalisz, Poland
  • Club 35, Polish Society of Gynecologists and Obstetricians, 02-677 Warsaw, Poland
  • World Institute for Family Health, Calisia University, 62-800 Kalisz, Poland
ORCID
Venue
International Journal of Environmental Research and Public Health
Publisher
MDPI AG
Published
2021-01-11
Volume
18
Issue
2
Pages
560
ISSN
1660-4601 (ISSN-L)
DOI
10.3390/ijerph18020560
PMC
PMC7827210
OpenAlex
W3119367473
Cited by
10
References
8
Citations by year
2025: 1 · 2024: 2 · 2023: 3 · 2022: 3 · 2021: 1
FWCI
2.04
Type
journal article
Language
en
Open access
Licence
Locations
  • International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, other-oa)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Topics
  • Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
  • Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Keywords
perinatal outcomes, gestational diabetes mellitus, maternal obesity, pregnancy complications, labor induction, birth weight, cesarean section, maternal age, overweight, risk factors, Polish women
MeSH terms
Aged, Female, Humans, Obesity, Poland, Pregnancy, Diabetes, Gestational, Pregnant People, Overweight

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