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Concurrence of Gestational Diabetes and Pre-Gravid Obesity ("Diabesity") in Twin Gestations

dc.contributor.authorSimões, T
dc.contributor.authorQueirós, A
dc.contributor.authorValdoleiros, S
dc.contributor.authorMarujo, AT
dc.contributor.authorFelix, N
dc.contributor.authorBlickstein, I
dc.date.accessioned2017-05-25T15:50:04Z
dc.date.available2017-05-25T15:50:04Z
dc.date.issued2016-09-05
dc.description.abstractOBJECTIVE: To assess the effect of the concurrence of gestational diabetes mellitus (GDM) and pre-gravid obesity in twin gestations ("diabesity"). METHODS: We compared perinatal outcomes of twin gestation in mothers with GDM and pre-gravid obesity (1.7%), mothers with GDM but with normal BMI (6.2%), and obese mothers without GDM (7.0%). RESULTS: Twin pregnancies with "diabesity" were associated with significantly higher incidence of stillbirth (OR = 6.4; 95%CI = 1.4, 33.4) and existing chronic hypertension (OR = 4.2; 95%CI = 1.2, 14.8) than in GDM pregnancies without obesity, and with births at 33-36 weeks as compared with the other groups. Otherwise, the comparisons showed remarkable similar results in terms of gestational age, birth weight, preeclampsia, cesarean section rate, and fetal-neonatal outcomes. CONCLUSION: It appears that diabesity has a relatively minor effect in twins. If this will be confirmed by other studies, it would be important to elucidate how twins ameliorate the adverse outcomes of diabesity.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationJ Matern Fetal Neonatal Med. 2016 Sep 5:1-3pt_PT
dc.identifier.doi10.1080/14767058.2016.1226797pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/2692
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherTaylor & Francispt_PT
dc.subjectMAC MED MAFpt_PT
dc.subjectBirth Weightpt_PT
dc.subjectBody Mass Indexpt_PT
dc.subjectCesarean Section/statistics & numerical datapt_PT
dc.subjectDiabetes, Gestational/epidemiology
dc.subjectGestational Age
dc.subjectHypertension/complications
dc.subjectHypertension/epidemiology
dc.subjectObesity/complications
dc.subjectObesity/epidemiology
dc.subjectPre-Eclampsia/epidemiology
dc.subjectPregnancy
dc.subjectPregnancy Complications/epidemiology
dc.subjectPregnancy, Twin
dc.subjectStillbirth/epidemiology
dc.titleConcurrence of Gestational Diabetes and Pre-Gravid Obesity ("Diabesity") in Twin Gestationspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage3pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleJournal of Maternal-Fetal and Neonatal Medicinept_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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