Abstract
Objective: To describe maternal characteristics related to early screening for diabetes in obese women and evaluate the benefits of early diabetes screening and diagnosis. Study design: Retrospective cohort of obese women (BMI ≥30 kg/m2) without pregestational diabetes who delivered a singleton gestation between 2011 and 2012. Maternal characteristics/demographics and maternal and neonatal outcomes were compared between women with early diabetes screening (<20 weeks) versus traditional screening. We additionally compared maternal and neonatal outcomes for women with an early versus traditional diabetes diagnosis. Results: Of the 504 eligible women, 135 (26.8%) had early diabetes screening. Obese women with early screening were older, had a higher BMI, were more likely to have hypertension and neonates admitted to the NICU. Of women with early screening, 31 (23%) were diagnosed early. Women with an early diagnosis of diabetes were more likely to require treatment with insulin (36% vs. 23%, p = 0.003). Women with an early diagnosis of diabetes were more likely to have neonates in the NICU (48% vs. 26%, p = 0.03). Conclusions: Early screening for diabetes was more common in older women with additional comorbidities. Obese women diagnosed via early screening were more likely to require medical treatment for diabetes, suggesting a value to early screening.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 2784-2788 |
| Number of pages | 5 |
| Journal | Journal of Maternal-Fetal and Neonatal Medicine |
| Volume | 30 |
| Issue number | 23 |
| DOIs | |
| State | Published - Dec 2 2017 |
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Keywords
- Pregnancy
- diabetes
- neonatal outcomes
- obesity
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Obstetrics and Gynecology
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Early diabetes screening in obese women. / Ravangard, Samadh F.; Scott, Ashley E.; Mastrogiannis, Dimitrios; Kominiarek, Michelle.
In: Journal of Maternal-Fetal and Neonatal Medicine, Vol. 30, No. 23, 02.12.2017, p. 2784-2788.Research output: Contribution to journal › Article
TY - JOUR
T1 - Early diabetes screening in obese women
AU - Ravangard, Samadh F.
AU - Scott, Ashley E.
AU - Mastrogiannis, Dimitrios
AU - Kominiarek, Michelle
PY - 2017/12/2
Y1 - 2017/12/2
N2 - Objective: To describe maternal characteristics related to early screening for diabetes in obese women and evaluate the benefits of early diabetes screening and diagnosis. Study design: Retrospective cohort of obese women (BMI ≥30 kg/m2) without pregestational diabetes who delivered a singleton gestation between 2011 and 2012. Maternal characteristics/demographics and maternal and neonatal outcomes were compared between women with early diabetes screening (<20 weeks) versus traditional screening. We additionally compared maternal and neonatal outcomes for women with an early versus traditional diabetes diagnosis. Results: Of the 504 eligible women, 135 (26.8%) had early diabetes screening. Obese women with early screening were older, had a higher BMI, were more likely to have hypertension and neonates admitted to the NICU. Of women with early screening, 31 (23%) were diagnosed early. Women with an early diagnosis of diabetes were more likely to require treatment with insulin (36% vs. 23%, p = 0.003). Women with an early diagnosis of diabetes were more likely to have neonates in the NICU (48% vs. 26%, p = 0.03). Conclusions: Early screening for diabetes was more common in older women with additional comorbidities. Obese women diagnosed via early screening were more likely to require medical treatment for diabetes, suggesting a value to early screening.
AB - Objective: To describe maternal characteristics related to early screening for diabetes in obese women and evaluate the benefits of early diabetes screening and diagnosis. Study design: Retrospective cohort of obese women (BMI ≥30 kg/m2) without pregestational diabetes who delivered a singleton gestation between 2011 and 2012. Maternal characteristics/demographics and maternal and neonatal outcomes were compared between women with early diabetes screening (<20 weeks) versus traditional screening. We additionally compared maternal and neonatal outcomes for women with an early versus traditional diabetes diagnosis. Results: Of the 504 eligible women, 135 (26.8%) had early diabetes screening. Obese women with early screening were older, had a higher BMI, were more likely to have hypertension and neonates admitted to the NICU. Of women with early screening, 31 (23%) were diagnosed early. Women with an early diagnosis of diabetes were more likely to require treatment with insulin (36% vs. 23%, p = 0.003). Women with an early diagnosis of diabetes were more likely to have neonates in the NICU (48% vs. 26%, p = 0.03). Conclusions: Early screening for diabetes was more common in older women with additional comorbidities. Obese women diagnosed via early screening were more likely to require medical treatment for diabetes, suggesting a value to early screening.
KW - Pregnancy
KW - diabetes
KW - neonatal outcomes
KW - obesity
UR - http://www.scopus.com/inward/record.url?scp=85016095348&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85016095348&partnerID=8YFLogxK
U2 - 10.1080/14767058.2016.1263294
DO - 10.1080/14767058.2016.1263294
M3 - Article
C2 - 27881033
AN - SCOPUS:85016095348
VL - 30
SP - 2784
EP - 2788
JO - Journal of Maternal-Fetal and Neonatal Medicine
JF - Journal of Maternal-Fetal and Neonatal Medicine
SN - 1476-7058
IS - 23
ER -