Maternal health and birth outcomes in a South African birth cohort study.

Gestational diabetes as a strong predictor for poor birth outcomes is not surprising given the rich medical literature on this association; however, finding such a strong trend across two of the three outcomes given that only 1% of our sample screened for gestational diabetes underscores the importance of screening for gestational diabetes during pregnancy, particularly among populations that have increased risk factors, including high levels of overweight and obesity among women.[ 31 ] The low prevalence of these complications may reflect that mothers were young with a median age of around 26 years.

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