Publications by authors named "M Waguri"

Article Synopsis
  • The study aimed to compare perinatal outcomes and postpartum glucose tolerance between women diagnosed with gestational diabetes before 20 weeks (EGDM) and those diagnosed at or after 24 weeks (LGDM) in Japan.
  • Data from a prospective GDM registry were analyzed, focusing on factors like preterm birth and postpartum glucose intolerance through multivariate analysis.
  • Results showed no major differences in perinatal outcomes between the two groups, but women with EGDM had a higher risk of postpartum glucose intolerance, particularly if they were overweight or obese.
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Aims/introduction: In 2021, the guidelines on gestational weight gain (GWG) were revised and increased by 2-3 kg in Japan. This study aimed to investigate whether the revised guidelines would increase the incidence of babies with excessive birth weight in mothers with diabetes.

Materials And Methods: This retrospective study included 369 deliveries of women with diabetes whose pre-pregnancy body mass index was below 30 kg/m between 1982 and 2021.

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Aims/introduction: This study investigated the time trends of the maternal characteristics and perinatal outcomes of Japanese pregnant women with diabetes.

Materials And Methods: This retrospective study included 621 deliveries in 429 Japanese women with diabetes between 1982 and 2020. The association of the delivery date with clinical features was analyzed using the generalized estimating equations to adjust for the within-person correlation.

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Article Synopsis
  • The study aimed to examine how often major congenital malformations occur in Japanese women with pregestational diabetes and identify a key hemoglobin A1c (HbA1c) cutoff in the first trimester related to these malformations.
  • It included 292 women with pregestational diabetes, finding that 7.2% had major congenital malformations and 12.7% had all congenital malformations, with a significant HbA1c threshold of 6.5% linked to these issues.
  • The results suggest that Japanese women should aim for an HbA1c level below 6.5% during the first trimester to reduce the risk of major malformations, aligning with recommendations used in other countries.
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Background: Obese pregnant women are known to experience poorer pregnancy outcomes and are at higher risk of postnatal arteriosclerosis. Hence, weight control during and after pregnancy is important for reducing these risks. The objective of our planned randomized controlled trial is to evaluate whether the rate of change in body weight in obese women before pregnancy to 12 months postpartum would be lower with the use of an intervention consisting of Internet of Things (IoT) devices and mobile applications during pregnancy to 1 year postpartum compared to a non-intervention group.

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