Impact of gestational weight gain on adverse pregnancy outcomes in women with gestational diabetes: a retrospective cohort study

Inadequate or excessive gestational weight gain relative to IOM guidelines is associated with significant adverse pregnancy outcomes, including preterm birth, NICU admission, macrosomia, cesarean delivery and hypertension disorders of pregnancy. These findings highlight the necessity for careful monitoring and management of weight gain during pregnancy to optimize maternal and neonatal health. Implementing targeted counseling and interventions can help ensure women achieve recommended GWG, ultimately improving pregnancy outcomes.