0 stringlengths 12 494 | embeddings listlengths 384 384 |
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and\tcaloric\trequirement\tfor\tpregnant\twomen\tafter\tbariatric\nsurgery\thas\tnot\tbeen\tdetermined\tand\tmust\tbe\tindividualized.\tProtein\tintake\trecommendations\nfollowing\tsurgery\tare\thigher\tthan\tnormal\t(1.0\tto\t2.1\tg/kg\tideal\tbody\tweight)\tbut\tit\tis\tunknown\twhat\nfurther\tincrease\tis\tneeded\tf... | [
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unknown.\tThese\twomen\tmay\thave\tmore\tdifficulty\teating\n\tenough\tif\tthey\thave\thad\ta\trestrictive\nprocedure\tand\tthe\tgastric\tband\tmay\tneed\tto\tbe\tadjusted.\tThose\twith\tbypass\tprocedures\tmay\thave\nmalabsorptive\tproblems\tand\tmany\twomen\tmay\tdevelop\tfood\tintolerances.\tIn\taddition,\twomen\twi... | [
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history\tof\tbariatric\tsurgery\tmay\tbe\tless\twilling\tto\tgain\tenough\tweight\tafter\thaving\tinvested\tso\tmuch\nin\tlosing\tit,\tso\tguidance\twith\treassurance\tand\tsupport\tmay\tbe\tnecessary\n\t(see\t\nChapter\t20\n).\tAlthough\nthe\tweight\tgain\tguidelines\tare\tbased\ton\tprepregnant\tBMI\tand\tare\tthe\ts... | [
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surgery,\tthey\tare\tdifficult\tto\tachieve\tfor\tthese\twomen.\tFocus\ton\thigh\tnutrient,\tlow\tvolume\tfoods\tand\nminimize\tthe\tintake\tof\tfoods\tthat\tdon’t\thelp\tfetal\tgrowth\tor\tdevelopment.\nThese\twomen\tneed\tto\tbe\tmonitored\tcarefully\tduring\tpregnancy\tand\ttheir\tprenatal\tcare\tmay\tneed\nto\tbe | [
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to\tbe\n\tmodified.\tPractitioners\tshould\thave\ta\thigh\tdegree\tof\tsuspicion\twhen\thearing\tabout\ndiscomforts.\tThe\tgastric\tband\tcan\tslip,\tcausing\tan\tobstruction\tthat\tcan\tmimic\thyperemesis\tbut\tcan\nresult\tin\tfetal\tdeath\t(\nJacquemyn\tand\tMeesters,\t2014\n).\tThis\tband\tmigration\tcan\thappen\ty... | [
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).\tThis\tband\tmigration\tcan\thappen\tyears\tafter\nsurgery,\tafter\tuneventful\tpregnancies,\tand\talso\tafter\tdelivery.\tRoux-en-Y\tsurgery\thas\tbeen\tshown\tto\nincrease\tthe\trisk\tof\n\tbowel\tobstruction.\tGI\themorrhage,\tanastomotic\tleaks,\tinternal\tor\tventral\nhernias,\tgastric\trupture,\tpeptic\tulcers... | [
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experiencing\tdumping\tsyndrome\t(primarily\tafter\tRoux-en-Y)\tmay\trequire\tglucose\tmonitoring\trather\nthan\ttrying\tto\tuse\tthe\tglucola\tto\tdiagnose\tgestational\tdiabetes.\tGlucose\tmonitoring\tmay\talso\tneed\tto\nbe\tmodified.\tBecause\tthese\twomen\n\texperience\thigher,\tshorter\tglucose\tpeaks\tand\tlower... | [
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0.010735349729... |
experience\thigher,\tshorter\tglucose\tpeaks\tand\tlower\tlows,\nidentification\tof\ta\tproblem\tmay\tbe\tmissed\tif\tthe\tcommon\t2-hour\twindow\tis\tused\t(\nBonis\tet\tal,\t2016\n;\nFeichtinger\tet\tal,\t2017\n).\nEarlier\tresearch\tfound\tlittle\tor\tno\tdifference\tin\tpregnancy\toutcomes\tafter\tbariatric\tsurger... | [
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studies\twere\tsmall,\tshort\tterm,\tand\thad\tinconsistent\tresults.\tNewer\tstudies\tare\tlarger\tand\thave\nmatched\tcontrols,\tenabling\n\tresearchers\tto\tbetter\tcharacterize\tthe\tadditional\trisk\tfor\tpregnancy\tafter\nbariatric\tsurgery,\ttaking\tinto\taccount\tthe\televated\trisk\tof\tcontinued\tobesity.\tWo... | [
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bariatric\tsurgery\toften\thave\tsuccessful\tpregnancy\toutcomes,\twith\tlower\trates\tof\tgestational\ndiabetes,\thypertension,\tpreeclampsia,\tmacrosomia,\tand\tchildhood\tobesity\tthan\tseen\tamong\twomen\nwith\tobesity\twho\thave\tnot\tundergone\n\tbariatric\tsurgery\t(\nKassir\tet\tal,\t2016\n).\tHowever,\tthey\ta... | [
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higher\trisk\tof\tfetal\tgrowth\trestriction\tand\tpreterm\tbirths\t(\nKwong\tet\tal,\t2018\n),\tincluding\thigher\nmiscarriage\tand\tneonatal\tmortality\trates\tafter\tsurgery\t(\nKassir\tet\tal,\t2016\n).\tIf\twomen\thave\thad\tRoux- | [
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en-Y\tor\tbiliopancreatic\tdiversion\tsurgery,\twith\tor\twithout\tthe\tduodenal\tswitch,\tthey\tmay\talso\thave\nhigher\trisk\tof\tfetal\tmalformations\t(\nPelizzo\tet\tal,\t2014\n),\tbut\tthere\tappears\tto\tbe\tno\tconsistent\nincrease\tin\tthe\trisk\tof\tmalformations.\tSome\thave\tfound\tan\tincreased\trisk\tof\tN... | [
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describe\tthe\tconsequences\tof\tspecific\tnutrient\tdeficiencies,\tincluding\tvitamins\tK,\tB\n12\n,\tand\tA.\nThe\testimation\tof\tnutritional\trisk\tfrom\tbariatric\tsurgery\thas\trisen\tover\ttime,\tas\tevidenced\tby\tthe\nincreased\tnumber\tof\tnutrients\tbeing\tmonitored,\tthe\ttesting\tfrequency,\n\tand\tthe\tle... | [
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supplementation\trecommended.\tCurrent\tguidelines\t(\nParrott\tet\tal,\t2017\n)\tare\tnot\tspecific\tto\npregnancy\t(see\t\nChapter\t20\n).\tStudies\tregarding\tpregnancy\tfollowing\tbariatric\tsurgery\tare\tongoing\n(\nJans\tet\tal,\t2016\n),\tincluding\texamining\tthe\teffect\tof\tbariatric\tsurgery\ton\tbreastmilk\... | [
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better\tguidance\tis\texpected\tin\tthe\tfuture.\tAs\twith\tother\tdietary\tsupplements,\tbariatric\n\tmultivitamin-\nmultimineral\tsupplements\tare\tnot\tstandardized\tand\tsome\tfit\tthe\tprofile\tof\tprenatal\tnutrient\nrecommendations\tbetter\tthan\tothers\tdo.\nMultiple\tbirths | [
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recommendations\tbetter\tthan\tothers\tdo.\nMultiple\tbirths\nThe\tincidence\tof\tmultiple\tbirths\tin\tthe\tUnited\tStates\tis\trising\tbecause\tof\tthe\tincreased\tuse\tof\tfertility\ndrugs\tand\tART,\tage\tat\tconception,\tand\tobesity\trates\tamong\tpregnant\twomen\t(\nACOG,\t2016b\n).\nMultifetal\tgestations\tcaus... | [
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ACOG,\t2016b\n).\nMultifetal\tgestations\tcause\tsignificant\n\tmaternal\tphysiologic\tadaptations\tbeyond\tthe\tusual\tpregnancy\nchanges,\tincluding\tincreased\tplasma\tvolume,\tmetabolic\trate,\tand\tincreased\tinsulin\tresistance\n(\nGoodnight\tand\tNewman,\t2009\n).\nThese\tinfants\thave\ta\tgreater\trisk\tof\tpre... | [
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singletons.\tAdequate\tmaternal\tweight\tgain,\tespecially\tearly\tin\tpregnancy\t(before\t20\tweeks),\thas\nbeen\tshown\tto\tbe\tparticularly\n\timportant\tfor\toptimal\tgrowth\tand\ttime\tin-utero\t(\nGreenan\tet\tal,\t2017\n).\nA\tcommon\trule\tof\tthumb\tis\tto\ttarget\ta\t24-pound\tgain\tby\t24\tweeks\tof\tgestati... | [
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Goodnight\nand\tNewman,\t2009\n)\tbut\tintervention\tshould\tbegin\tin\tthe\tfirst\ttrimester.\tThe\tIOM\tweight\tgain\nguidelines\tfor\ttwins\tare\tprovisional\t(see\t\nTable\t14.11\n\tand\t\nAppendix\t3\n)\tbut\tare\tsupported\tby\tmore\nrecent\tresearch\t(\nHutcheon\tet\tal,\t2018\n).\n\tThe\teffect\tof\tchorionicit... | [
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).\n\tThe\teffect\tof\tchorionicity\ton\toptimal\tweight\tgain\tis\tunknown.\nFor\tthose\tpregnant\twith\ttriplets\tor\tother\thigher-order\tmultiples,\tthere\tis\tlimited\tinformation\navailable,\tbut\tbest\tpractice\tadvice\tdoes\texist.\tTarget\ta\tgain\tof\tat\tleast\t36\tpounds\tby\t24\tweeks\tof\ngestation\tfor\t... | [
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gestation\tfor\ttriplets\t(\nStone\tand\tKohari,\t2015\n).\tMean\tgestational\tweight\tgain\tfor\ttriplets\tis\t45\tto\t51\npounds\t(20.5\tto\t23\tkg)\tat\t32\tto\t34\tweeks.\n\tFor\tquadruplets,\tit\tis\t46\tto\t68\tpounds\t(20.8\tto\t31\tkg)\tat\t31\nto\t32\tweeks\t(\nRasmussen\tand\tYaktine,\t2009\n)\tbut\tbetter\to... | [
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(\nLuke\tet\tal,\t2017\n;\t\nLuke,\t2015\n).\nThe\toptimal\tnutrient\trequirements\tfor\ttwins\tand\thigher-order\tmultiples\tare\tnot\tyet\tknown\tbut\tare\ncertainly\thigher\tthan\tfor\tsingleton\tpregnancies.\tThere\tare\tmore\tfetuses\tand\tmore\tplacentas\tneeding\nnourishment.\n\tIn\taddition,\tthe\tincreased\tma... | [
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negatively\taffect\tthe\tnutrient\ttransport\t(\nCao\tand\tO’Brien,\t2013\n).\tIt\tis\tassumed\tthat\tat\tleast\tthe\tmilk\nand\tmeat\tfood\tgroups\tneed\tto\tbe\tdoubled\tfor\ttwins,\tincreasing\tas\tneeded\tfor\toptimal\tfetal\tgrowth,\nwith\teven\thigher\tservings\tfor\tthe\thigher\torder\tmultiples\t(\nLuke\tet\tal... | [
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A\tsummary\tof\tcurrent\tnutritional\tplans\n\tfor\ttwins\tis\tsummarized\tin\t\nTable\t14.12\n\tbut\tmay\thave\tto\ninclude\tiodine\tand\tcholine\tas\twell;\tnewer\tevidence\tcautions\tagainst\thigh\tdoses\tof\tvitamins\tC\tand\tE\n(see\tHypertension\tand\tnutrient\tsections)\t(\nACOG,\t2013c\n).\tBecause\tof\ta\tgrea... | [
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ACOG,\t2013c\n).\tBecause\tof\ta\tgreater\tneed\tfor\tnutritional\ndensity\tin\tthe\tdiet,\tit\tis\trecommended\tthat\tonly\t40%\tof\tcalories\tcome\tfrom\tcarbohydrate,\twith\t20%\nfrom\tprotein,\tand\t40%\tfrom\tfat\t(\nGoodnight\tand\tNewman,\t2009\n).\tA\twoman\tpregnant\twith\tmultiples\nhas\tincreased\tnutrient\t... | [
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very\thigh\tnutrient\tfoods.\tShe\tmust\teat\tvery\tfrequently,\tpossibly\tevery\thour,\tand\tmust\tfocus\ton\tfoods\nthat\taid\tfetal\tgrowth\teach\ttime\tshe\teats.\tUsing\tfruits\tand\tvegetables\tas\tdesserts\trather\tthan\tsnacks\noften\thelps,\tas\tdoes\tsuggesting\tthat\tshe\teat\tbefore\tdrinking\n\tliquids.\tC... | [
0.037171974778175354,
-0.07671879231929779,
0.06977199763059616,
0.022998372092843056,
-0.04518142342567444,
-0.014233612455427647,
0.11004899442195892,
-0.0044026849791407585,
-0.04901157319545746,
0.054554712027311325,
0.13530723750591278,
-0.049727171659469604,
0.035915832966566086,
-0.... |
liquids.\tConsumption\tof\tany\tfoods\tthat\ndon’t\thelp\tfetal\tgrowth\tand\tdevelopment\tshould\tbe\tdiscouraged. | [
0.01680026575922966,
-0.10026265680789948,
0.04543084651231766,
-0.014792627654969692,
0.03997894376516342,
0.04025813564658165,
0.12563541531562805,
0.03145819157361984,
-0.022243725135922432,
0.03624404966831207,
0.11624592542648315,
-0.07636577636003494,
-0.0205063559114933,
0.060751996... |
TABLE\t14.12\nNutrient\tRecommendations\tfor\tWomen\tPregnant\twith\tTwins\nNutrient\nTwins\nComments\nCalories\nUnderweight:\t4000\tkcal\nNormal:\t3000-3500\tkcal\nOverweight:\t3250\tkcal\nObese:\t2700-3000\tkcal\nEstimated\tneeds\tare\t40-45\tkcal/kg.\tMonitor\tweight\tgain\tand\nmodify\tcalories\tto\tmeet\ttarget\n\... | [
-0.023960251361131668,
-0.0008742933277972043,
-0.029362499713897705,
0.05720522627234459,
-0.04895375669002533,
-0.005015713628381491,
0.024057310074567795,
0.07582300156354904,
-0.05306827276945114,
-0.010610475204885006,
0.05354158580303192,
-0.1084752231836319,
0.002325494773685932,
-0... |
weight\tgoals.\nProtein\nUnderweight:\t200\tg\nNormal:\t175\tg\nOverweight:\t163\tg\nObese:\t150\tg\nTarget\t20%\tof\tcalories\tfrom\tprotein.\tChoose\tconcentrated\nsources\tas\tspace\tbecomes\tlimiting.\nCarbohydrate\nUnderweight:\t400\tg\nNormal:\t350\tg\nOverweight:\t325\tg\nObese:\t300\tg\nEncourage\tlow\tglycemic... | [
-0.04498220235109329,
-0.05280807986855507,
-0.017758283764123917,
0.005394639912992716,
-0.07320977747440338,
-0.05780234560370445,
0.01774626597762108,
0.06393283605575562,
-0.07562114298343658,
-0.03995043784379959,
-0.010141372680664062,
-0.052155401557683945,
-0.006546055898070335,
0.... |
Fat\nUnderweight:\t178\tg\nNormal:\t156\tg\nOverweight:\t144\tg\nObese:\t133\tg\nEncourage\thealthy\tfats.\nVitamin\tD\n1000\tIU/day\tor\tmore\tas\nneeded\t(1000\tIU/day\nraises\tblood\t5\nmg/dL)\nAssessment\tof\tmaternal\tlevels\tshould\tbe\tconsidered\tin\tfirst\nand\tearly\tthird\ttrimesters\tto\tallow\talterations\... | [
-0.04388062655925751,
-0.03958384692668915,
0.061804138123989105,
0.04128338769078255,
-0.09457454830408096,
-0.019246244803071022,
0.04233958199620247,
0.026221785694360733,
-0.08647748827934265,
-0.016066625714302063,
0.07505879551172256,
-0.08689593523740768,
0.008785068057477474,
-0.00... |
supplemental\tdose,\tespecially\timportant\tif\tthe\tmother\tis\ton\nbed\trest.\nVitamin\tC\n500-1000\tmg/day\nThis\tis\thalf\tof\tthe\tUL\tof\t1800-2000\tmg/day.\tSee\tmore\trecent\ncautions.\nVitamin\tE\n400\tmg/day\nThis\tis\thalf\n\tof\tthe\tUL\tof\t800-1000\tmg/day.\tSee\tmore\trecent\ncautions.\nZinc\n15\tmg/day\... | [
-0.06047679856419563,
-0.04520596191287041,
0.011908839456737041,
-0.016161229461431503,
-0.08684638142585754,
-0.04631620645523071,
0.005379839334636927,
0.13686588406562805,
-0.0646372139453888,
-0.045336686074733734,
0.0722101628780365,
-0.03688664361834526,
0.02760058268904686,
-0.0185... |
cautions.\nZinc\n15\tmg/day\t(T1);\t30-45\nmg/day\t(T2-3)\nDiet\talone\tmay\tnot\tbe\tenough.\tSupplementation\tmay\tbe\nrequired.\nIron\n30\tmg/day\tas\tpart\tof\t1\nmultivitamin/day\n(T1),\t2\nmultivitamins/day\n(T2\tand\tT3)\nTwin\tgestation\trequirement\tis\tlikely\tdouble\tthat\tof\tsingletons.\nHigher\tintakes\tm... | [
-0.033304017037153244,
0.00237265694886446,
0.019689638167619705,
0.003336928552016616,
-0.03489093855023384,
-0.03128111734986305,
0.07729045301675797,
0.08453385531902313,
-0.0643751323223114,
-0.005442237947136164,
0.07686133682727814,
-0.07260720431804657,
-0.009357722476124763,
0.0094... |
Folic\tacid\n800-1000\tmcg/day,\n\t4\nmg\tif\twith\ta\thistory\nof\tNTD\nCalcium\n1500\tmg/day\t(T1);\n2500-3000.\tmg\t(T2-\n3)\nUL:\t2500\tmg/day,\tconsider\tlimiting\tif\tthere\tis\ta\thistory\tof\nkidney\tstones.\nMagnesium\n400\tmg/day\t(T1);\t800-\n1200.\tmg/day\t(T2-3)\nDHA\t+\tEPA\n300-1000\tmg/day | [
-0.028905687853693962,
0.007537818048149347,
-0.07481066882610321,
-0.02652973309159279,
-0.08100414276123047,
-0.06861402839422226,
0.005894692149013281,
0.13124753534793854,
-0.041245974600315094,
-0.02364933304488659,
0.08266355097293854,
-0.06748180836439133,
0.025500599294900894,
0.01... |
400\tmg/day\t(T1);\t800-\n1200.\tmg/day\t(T2-3)\nDHA\t+\tEPA\n300-1000\tmg/day\nAdapted\tfrom\tGoodnight\tW,\tNewman\tR:\tOptimal\tnutrition\tfor\timproved\ttwin\tpregnancy\toutcome,\t\nObstet\tGynecol\n\t114:1121,\t2009;\tLuke\tB:\tNutrition\nfor\tmultiples,\n\t\nClin\tObstet\tGynecol\n\t58:585,\t2015;\tLuke\tB,\tEber... | [
-0.028503144159913063,
0.0013307910412549973,
0.002094927243888378,
-0.0019562477245926857,
-0.11005950719118118,
-0.014636560343205929,
0.056434448808431625,
0.09735057502985,
-0.020109666511416435,
-0.027115270495414734,
0.028797363862395287,
-0.05005057528614998,
0.04445859044790268,
-0... |
When\tyou’re\texpecting\ttwins,\ttriplets,\tor\tquads\n,\ted\t4,\tNew\tYork,\n2017,\tHarper.\t\nDHA\n,\tDocosahexaenoic\tacid;\t\nEPA\n,\teicosapentaenoic\tacid;\t\nNTD\n,\tneural\ttube\tdefect;\t\nT\n,\ttrimester;\t\nUL\n,\ttolerable\tupper\tlimit.\nAdolescent\tpregnancy\nPublic\thealth\tinitiatives\thave\thelped\tred... | [
0.001256309449672699,
-0.0561964176595211,
0.009795047342777252,
-0.006942084524780512,
-0.09533507376909256,
0.03029192052781582,
0.03724920004606247,
0.029807498678565025,
0.03094940446317196,
0.0598166286945343,
0.16190087795257568,
-0.011619004420936108,
0.003096000524237752,
-0.003320... |
continues\n\tas\ta\tmajor\tproblem\tin\tthe\tUnited\tStates\tamong\tsome\tminority\tgroups\t(\nCDC,\t2018c\n).\tRisk\nfactors\tfor\tpoor\toutcome\tin\tpregnant\tadolescents\tare\tlisted\tin\t\nBox\t14.3\n.\nBOX\t14.3\nRisk\tFactors\tfor\tPoor\tPregnancy\tOutcome\tin\tTeenagers\n•\t\nYoung\tmaternal\tage\n•\t\nPregnancy... | [
-0.024886757135391235,
-0.04210922122001648,
0.02378828264772892,
-0.05184784531593323,
-0.09029059112071991,
0.03648291900753975,
0.08062651008367538,
0.012557785026729107,
-0.004006767179816961,
0.07075922191143036,
0.1409362256526947,
-0.03493821248412132,
0.03653210774064064,
0.0001630... |
•\t\nPregnancy\tless\tthan\t2\tyears\tafter\tonset\tof\tmenarche\n•\t\nPoor\tnutrition\tand\tlow\tprepregnancy\tweight\n•\t\nPreexisting\tanemia\n•\t\nInappropriate\tweight\n\tgain\t(too\tlow\tand\ttoo\thigh)\n•\t\nObesity\n•\t\nSexually\ttransmitted\tdisease\tor\tinfection\n•\t\nSubstance\tabuse:\tsmoking,\tdrinking,\... | [
0.01664992794394493,
-0.05052492395043373,
0.04612075537443161,
0.03719361871480942,
-0.08628106117248535,
-0.004293370060622692,
0.097443588078022,
0.02077861875295639,
-0.07154785841703415,
0.05537719652056694,
0.11311546713113785,
-0.016342010349035263,
0.011331187561154366,
-0.01006875... |
•\t\nRapid\trepeat\tpregnancies\n•\t\nLack\tof\taccess\tto\tage-appropriate\tprenatal\tcare\n•\t\nLate\tentry\tinto\tthe\thealth\tsystem\n•\t\nUnmarried\tstatus\n•\t\nUnstable\thousing,\tshelter\tliving,\thomelessness | [
0.050724439322948456,
-0.0031484428327530622,
0.054680053144693375,
0.01280431728810072,
-0.1027824878692627,
0.016068492084741592,
0.07347434759140015,
-0.023239251226186752,
0.027249198406934738,
0.061891861259937286,
0.09829037636518478,
-0.06791703402996063,
0.03694341704249382,
-0.014... |
Increased\trates\tof\tLBW\tand\tpreterm\tdelivery\tare\tespecially\tcommon\tamong\tthose\twho\tare\tvery\nyoung\tand\tunderweight,\tfor\twhom\tthere\tmay\tbe\tcompetition\tfor\tnutrients\tbetween\tthe\tmother\tand\nthe\tfetus\t(see\t\nChapter\t17\n).\tPoor\toutcomes\tare\talso\tcommon\tin\tobese\tteens\tthat\tbecome\tp... | [
0.02501985803246498,
-0.04515715315937996,
0.05866706371307373,
0.007488887291401625,
-0.059122949838638306,
0.01248850580304861,
0.10121668875217438,
0.006487592123448849,
-0.001497272402048111,
0.07965563982725143,
0.11615768074989319,
-0.03941730409860611,
0.015148908831179142,
0.026223... |
).\tPoor\toutcomes\tare\talso\tcommon\tin\tobese\tteens\tthat\tbecome\tpregnant.\nMany\tteens\tenter\tpregnancy\twith\tsuboptimal\tnutritional\tstatus,\tespecially\tfor\tiron,\tcalcium,\tand\tfolic\nacid.\tIn\tone\n\tstudy,\twomen\tin\tthe\tUnited\tStates\twho\tgave\tbirth\tas\tteens\twere\tmore\tlikely\tto\tbe\noverwe... | [
-0.014291063882410526,
-0.02960543893277645,
0.0702826976776123,
-0.005371752195060253,
-0.11835813522338867,
0.03183136135339737,
0.10385046154260635,
-0.013763492926955223,
-0.011068873107433319,
0.08414619415998459,
0.11551675945520401,
-0.04734303057193756,
0.05184755474328995,
-0.0184... |
overweight\tor\tobese\tas\tadults\t(\nChang\tet\tal,\t2013\n).\nImproved\tdietary\tpractices\tcan\tbe\tone\tof\tthe\tmost\timportant\tfactors\tfor\tthe\tpregnant\tteen.\tIn\ncounseling\tyoung\tmothers,\tthe\tnutrition\tprofessional\tmust\tbe\taware\tof\tthe\tteen’s\tpsychosocial\tand\nliteracy\tlevels,\ther\teconomic\t... | [
0.01762940175831318,
-0.007599057629704475,
0.07084107398986816,
-0.005857368931174278,
-0.06755813211202621,
0.006475622300058603,
0.04302293807268143,
-0.002235999796539545,
-0.04445217549800873,
0.0727638378739357,
0.09739820659160614,
-0.060999877750873566,
0.046602655202150345,
-0.006... |
as\ther\tcultural\tenvironment,\nall\tof\twhich\tmay\tinfluence\ther\tfood\tchoices.\nComplications\tand\tnutritional\timplications\nMany\tof\tthe\tfollowing\tcomplications\tfollow\tfrom\tthe\tnormal\thormonal\tchanges\tduring\tpregnancy.\nThese\tchanges\tcause\tthe\tGI\ttransit\tto\tslow\tso\tthat\tmore\tnutrients\tar... | [
0.034904319792985916,
0.01039090659469366,
0.059743404388427734,
0.00347538897767663,
-0.11183798313140869,
0.03697744011878967,
0.05468754470348358,
-0.045534342527389526,
0.032188985496759415,
0.0667121484875679,
0.130136176943779,
-0.05541883409023285,
0.036967575550079346,
-0.003031649... |
However,\tthat\tcauses\tmore\tnausea\tand\tvomiting,\tconstipation,\tand\theartburn.\tAlthough\tnormal,\nthese\tcomplications\tcan\tbe\tuncomfortable\tand\tpotentially\tdangerous\tbut\tcan\tbe\tmanaged.\nConstipation,\themorrhoids,\tand\tdiarrhea\nWith\tthe\thormonal\tchanges\tof\tpregnancy,\twomen\tbecome\tconstipated... | [
0.013916067779064178,
-0.053977858275175095,
0.08283016085624695,
0.02691519260406494,
-0.05497986450791359,
0.021688463166356087,
0.0923474058508873,
0.007791369687765837,
0.04594225436449051,
0.06721580028533936,
0.11442629992961884,
-0.019545365124940872,
0.018068572506308556,
0.0393072... |
adequate\twater\tand\tfiber.\tWomen\twho\treceive\tiron\tsupplements\toften\tcomplain\tof\tconstipation.\nThose\twho\tare\ttreated\twith\tondansetron\tfor\tnausea\tand\tvomiting\toften\texperience\tsevere\nconstipation.\tCompression\tof\tthe\tpelvic\tfloor\tby\tthe\tfetus,\tas\twell\tas\tstraining\tduring\tstooling | [
-0.0024128735531121492,
-0.026889776811003685,
0.059769757091999054,
-0.020813848823308945,
-0.11418282240629196,
-0.02092907950282097,
0.05630591884255409,
0.006954281125217676,
-0.032740939408540726,
0.0180604737251997,
0.04441852867603302,
-0.05410218611359596,
0.06331189721822739,
0.00... |
(Valsalva),\tincreases\tthe\trisk\tfor\themorrhoids.\tIncreased\tconsumption\tof\tfluids\tand\tfiber-rich\tfoods\n(see\t\nAppendix\t27\n),\tincluding\tdried\tfruits\t(especially\tprunes),\tusually\tcontrols\tthese\tproblems.\tSome\nwomen\talso\tmay\trequire\ta\tbulking\ttype\tof\tstool\tsoftener\tbut\tlaxatives\tcontai... | [
0.002510219346731901,
-0.06302464753389359,
0.04311918467283249,
-0.0010428731329739094,
-0.07184385508298874,
0.008228759281337261,
0.09217704087495804,
0.03767857328057289,
0.02642512507736683,
0.021001219749450684,
0.12621654570102692,
-0.04229049012064934,
0.03981110826134682,
0.000076... |
recommended.\tAdding\tunprocessed\twheat\tbran\tto\tfoods\tis\tsafe\tand\teffective.\nDiarrhea\tmay\talso\tbe\tcaused\tby\ta\tchange\tin\thormones\tearly\tin\tpregnancy.\tIt\tmay\talso\toccur\twhen\na\tmother\tis\tstarting\tlabor.\tInfectious\tand\tother\tmedical\tcauses\tshould\tbe\truled\tout.\tSee\t\nChapter\t27\nfo... | [
0.010884515009820461,
-0.059641096740961075,
0.07038947939872742,
0.036257680505514145,
-0.04829813912510872,
0.03173033893108368,
0.10040557384490967,
0.026051707565784454,
-0.049262937158346176,
0.03937779366970062,
0.0915703997015953,
-0.03623383864760399,
0.043301694095134735,
0.023187... |
for\ttreatment\toptions.\tPrevention\tof\tdehydration\tis\timportant.\nCravings,\taversions,\tand\tpica\nMost\twomen\tchange\ttheir\tdiets\n\tduring\ttheir\tpregnancies\tas\ta\tresult\tof\tmedical\tadvice,\tcultural\nbeliefs,\tor\tchanges\tin\tfood\tpreference\tand\tappetite.\tFood\tintake\tin\tpregnancy\tmay\tbe\taffe... | [
0.03778168186545372,
-0.008696120232343674,
0.03237814083695412,
0.003290628083050251,
-0.07933618873357773,
0.02694150246679783,
0.08831353485584259,
0.015890512615442276,
0.0029097110964357853,
0.07261452078819275,
0.1349974423646927,
-0.019791502505540848,
0.0009990388061851263,
-0.0255... |
positively\tand\tnegatively,\tby\tchanges\tin\thormone\tlevels.\tThere\tis\tlimited\tresearch\ton\tpregnancy’s\neffect\ton\tthe\tvarious\thormones\trelated\tto\tappetite\tcontrol.\tTaste\tpreferences\toften\tchange\tduring\npregnancy,\tlikely\tdue\tto\tthe\tpregnancy\n\thormones\taffecting\tboth\tthe\ttaste\tbuds\tand\... | [
0.019330287352204323,
-0.03993211314082146,
0.10066820681095123,
-0.01338585838675499,
-0.08493223041296005,
0.04867156594991684,
0.0733061134815216,
-0.006811941973865032,
0.030604055151343346,
0.06307101994752884,
0.12527702748775482,
-0.04248562827706337,
0.046295274049043655,
0.0043439... |
nervous\tsystem\t(\nFaas\tet\tal,\t2010\n).\tFood\tavoidances\tmay\tnot\treflect\ta\tmother’s\tconscious\tchoice\tbut\nmay\tinclude\tan\tadverse\tresponse\tto\tsmell\tcaused\tby\tan\tenhanced\tperception\tof\taromas,\ta\nheightened\tgag\tresponse,\tgetting\till\twhile\teating\tor\tsmelling\ta\tparticular\tfood,\tor\tal... | [
0.03554418683052063,
-0.04263177886605263,
0.08143238723278046,
0.03253971412777901,
-0.0720425397157669,
0.004250941798090935,
0.10084330290555954,
-0.012985631823539734,
-0.043789759278297424,
0.040288299322128296,
0.08936809748411179,
-0.04382990673184395,
0.021138448268175125,
-0.00710... |
comfort.\nCravings\tand\taversions.\nCravings\tand\taversions\n\tare\tpowerful\turges\ttoward\tor\taway\tfrom\tfoods,\tincluding\tfoods\tabout\twhich\nwomen\texperience\tno\tunusual\tattitudes\twhen\tnot\tpregnant.\tIn\tthe\tUnited\tStates\tthe\tmost\tcommonly\ncraved\tfoods\tare\tsweets,\tfruits,\tand\tdairy\tproducts... | [
0.007886896841228008,
0.001514362171292305,
0.053192153573036194,
0.04564313963055611,
-0.03810969367623329,
0.0009487692732363939,
0.0868287980556488,
-0.04253532364964485,
-0.04200834780931473,
0.027188900858163834,
0.12134042382240295,
-0.055316608399152756,
0.05270271375775337,
-0.0308... |
common\taversions\treported\tare\tto\talcohol,\tcoffee,\tmeats,\tand\tthe\tsmell\tof\tfrying.\tHowever,\tcravings\nand\taversions\tare\tnot\tlimited\n\tto\tany\tparticular\tfood\tor\tfood\tgroups,\tthey\toften\toverlap,\tand\tcultural\ndifferences\texist.\tFor\texamples,\tsee\t\nTable\t14.13\n. | [
0.0180965568870306,
-0.0585901215672493,
0.01737412065267563,
-0.05728613957762718,
-0.01715271733701229,
0.000173704102053307,
0.08649379014968872,
0.003663766197860241,
-0.028443751856684685,
-0.008773493580520153,
0.09707849472761154,
0.0002900430408772081,
-0.0003893418179359287,
0.019... |
TABLE\t14.13\nReported\tCravings\tand\tAversions\tby\tat\tLeast\t10%\tof\tPregnant\tWomen\tin\tPublished\tStudies\nCountry\nCravings\nAversions\nEthiopia\nMeat\tsauce,\tcheese,\tmilk\nWheat,\tcoffee,\twheat\tbread,\tmeat\nsauce\nTanzania\nMeat,\tmangoes,\tyogurt,\toranges\nRice,\tmeat,\tfish,\teggs\nNigeria\nCereals,\t... | [
0.031755995005369186,
-0.007165555842220783,
-0.03909842297434807,
-0.05155690014362335,
-0.10413681715726852,
-0.010267678648233414,
0.032826390117406845,
0.019257348030805588,
-0.026638053357601166,
0.06593593955039978,
0.09959748387336731,
-0.07489696145057678,
0.04188709706068039,
-0.0... |
Nigeria\nCereals,\tvegetables,\tbeans,\tyams,\tcassava,\tplantain,\nnonalcoholic\tbeverages,\tfruits,\tmeats,\tmilk,\tfish\nAlcohol,\tplantains,\tcassava,\tyams,\nfish,\tmeat,\tmilk,\tnonalcoholic\nbeverages,\tbeans,\tfruits,\tcereals\nSouth\nAfrica\nFruits,\tsour\tfoods,\tsweets,\tcold\tdrinks\nMeat\nIraq\nMeat,\tchic... | [
-0.015133705921471119,
-0.05432150512933731,
-0.032406508922576904,
0.032946232706308365,
-0.03997477889060974,
0.00740980776026845,
0.08176565170288086,
0.01639031246304512,
-0.03981568291783333,
-0.018149659037590027,
0.09803509712219238,
-0.055746834725141525,
0.005785747896879911,
-0.0... |
Melons,\tonions,\tleeks,\tradishes,\nspices\nSaudi\nArabia\nSalty\tfoods,\tsour\tfoods,\n\tmilk\nTea,\tcoffee,\tcola,\tmeat,\tspicy\tfoods\nItaly\nFruit,\tpasta\nMeat,\tsmoke,\tperfumes,\tcoffee\n(taste,\tsmell),\twhite\twine\nEngland\nFruit\tand\tfruit\tjuices,\tincluding\tcitrus,\tsweets,\tchocolate,\nbiscuits,\tice\... | [
-0.008447086438536644,
-0.06812599301338196,
0.00860251858830452,
0.015534580685198307,
-0.06673257052898407,
0.0345265232026577,
0.0961746871471405,
-0.0092247873544693,
-0.009605460800230503,
0.00397057319059968,
0.1246204674243927,
-0.08042622357606888,
0.043867919594049454,
-0.04611926... |
biscuits,\tice\tcream,\tmilk\tand\tmilk\tproducts,\tvegetables,\nsweet\tmeats,\tliquids,\tmeats\nTea,\tcoffee,\thighly\tflavored\tor\tspicy\nfoods,\tincluding\tcurries,\tmeats,\nfish,\teggs,\tsmell\tof\tfried\tor\tfatty\nfoods,\tcigarette\n\tsmoke/tobacco,\ncocoa,\tvegetables\nEcuador\nFruit\tand\tfruit\tjuices,\tmeat,... | [
-0.012175372801721096,
-0.02843821421265602,
-0.049977537244558334,
0.018737314268946648,
-0.06975714862346649,
0.00635480647906661,
0.0765223503112793,
0.02674286440014839,
-0.03812970966100693,
0.022849222645163536,
0.05263938009738922,
-0.0419883206486702,
0.03974232077598572,
-0.019504... |
Meat,\tpoultry,\tfish,\tseafood,\nchicken\tand\tquail\teggs,\nvegetables,\twhite\trice,\twheat\nnoodles,\tcorn,\tbarley\nJamaica\nWater,\tice,\tmilk\tand\tmilk\tdrinks,\tfruit\tand\tfruit\tjuices,\nvegetables,\tsweet\tdrinks,\tmeats,\tfish\nMeat,\trice,\twheat\tdumplings,\tyams,\nmilk,\tfruit\tand\tfruit\tjuices,\tswee... | [
-0.03156665340065956,
-0.024994976818561554,
0.0044590262696146965,
-0.004424357321113348,
-0.07795517891645432,
-0.009105873294174671,
0.06024962291121483,
0.004053088370710611,
-0.027668235823512077,
-0.0023925721179693937,
0.08469390124082565,
-0.0723925456404686,
-0.009651263244450092,
... |
milk,\tfruit\tand\tfruit\tjuices,\tsweet\ndrinks,\n\tfish\nUnited\nStates\nSweets,\tchocolate,\tfruit\tand\tfruit\tjuice,\tcitrus,\tpickles,\tice\ncream,\tice\tmilk,\tpizza,\tbeef,\tchips,\tspicy\tfoods,\traw\nvegetables,\tmilk\tand\tother\tdairy,\tfish,\tethnic\tfoods,\nmeat,\tgrains,\tnuts\tand\tnut\tbutters,\tsalty\... | [
-0.049089763313531876,
-0.04141632094979286,
0.02149185538291931,
0.03758135065436363,
-0.03542422875761986,
0.01024023536592722,
0.08643882721662521,
-0.005202924832701683,
-0.05863722413778305,
-0.018379954621195793,
0.11821407079696655,
-0.05407026410102844,
0.05733487755060196,
-0.0258... |
Italian\tsauce,\tbreads/cereals\nMeat,\tbeef,\tfish,\teggs,\tvegetables,\nethnic\tfoods,\tgreasy\tfoods,\ncoffee,\ttea,\tlegumes,\talcohol,\ngrains,\tsweets,\tfruits,\n\tcigarettes,\nItalian\tsauce,\tspicy\tfoods\nAdapted\tfrom.\tPatil\tCL,\tAbrams\tET,\tSteinmetz\tAR,\tet\tal:\tAppetite\tsensations\tand\tnausea\tand\t... | [
-0.03220263496041298,
-0.003399322973564267,
0.05178786814212799,
0.04088768735527992,
-0.05782894417643547,
0.002334502525627613,
0.13010019063949585,
0.0053589544259011745,
-0.042271409183740616,
-0.028672322630882263,
0.15080127120018005,
-0.05057142674922943,
0.015202250331640244,
-0.0... |
explanations,\t\nEcol\tFood\tNutr\n\t51:394,\t2012.\nPica.\nConsumption\tof\tnonfood\tsubstances\tor\tfood\titems\tin\tnonphysiologic\tamounts\t(\npica\n)\tduring\npregnancy\tmost\toften\tinvolves\t\ngeophagia\n\t(consumption\tof\tdirt\tor\tclay),\t\namylophagia\n\t(laundry\nstarch,\tcorn\tstarch,\tor\tuncooked\trice),... | [
-0.06530884653329849,
-0.03101581148803234,
0.06304362416267395,
0.04310043901205063,
-0.008867059834301472,
0.00809133518487215,
0.039075497537851334,
0.016762319952249527,
0.008051559329032898,
0.043355975300073624,
0.06555292755365372,
-0.07386210560798645,
0.03582906723022461,
0.018249... |
pagophagia\n\t(ice).\tOther\tsubstances\tinclude\tpaper,\tburnt\nmatches,\tstones\tor\tgravel,\tcharcoal,\trock\tsalt,\tbleach,\tcigarette\tashes,\tbaby\tpowder,\tbaking\tsoda,\nsoap,\ttires,\tand\tcoffee\tgrounds.\tAlthough\tsome\tof\tthe\tcommon\tsubstances\tare\tof\tlittle\tconcern,\nothers\tare\tdangerous\tto\tthe\... | [
-0.024838250130414963,
-0.03714507073163986,
0.08942119032144547,
-0.02912890911102295,
-0.1393924504518509,
0.011857712641358376,
0.09152018278837204,
-0.044493164867162704,
0.017041264101862907,
0.037082016468048096,
0.04335947707295418,
-0.055530160665512085,
0.03979804366827011,
-0.001... |
require\timmediate\tintervention.\nPica\tis\tcommon\tin\tpregnancy,\tand\tthe\tincidence\tof\tpica\tin\tthe\tUnited\tStates\tis\testimated\tto\tbe\t14%\nto\t44%,\twith\twide\tvariability\tbetween\tgroups\t(\nScolari\tChildress\tand\tMyles,\t2013\n).\tPica\tis\tnot\tlimited\nto\tany\tone\tgeographic\tarea,\trace,\tcultu... | [
0.009196422062814236,
-0.026516346260905266,
0.03765325993299484,
-0.07431866973638535,
-0.077527716755867,
0.011201100423932076,
0.06304764747619629,
0.0009799404069781303,
-0.017377540469169617,
0.05369660258293152,
0.09425820410251617,
-0.061508096754550934,
0.008920532651245594,
0.0427... |
to\tthe\tsubstances\tchosen\tand\tthe\tacceptability\tof\tdisclosure.\n\tPreferred\tsubstances\toften\tare\nimported\tfrom\thome\tcountries,\tincluding\tsoil\tor\tclay\tand\tblocks\tof\tmagnesium\tcarbonate.\nThe\tcause\tof\tpica\tis\tpoorly\tunderstood.\tOne\ttheory\tsuggests\tthat\tpica\trelieves\tnausea\tand | [
-0.011608166620135307,
-0.01712621934711933,
0.02324354462325573,
-0.018229326233267784,
-0.102927066385746,
0.04026036337018013,
0.0846514031291008,
-0.039485685527324677,
0.03279143571853638,
0.0674506351351738,
0.05041605234146118,
-0.04014552757143974,
0.047757964581251144,
0.003469711... |
vomiting,\talthough\tpica\toften\tappears\tlater\tin\tpregnancy\twhen\tnausea\tand\tvomiting\tare\tnot\tso\nprevalent.\tOne\thypothesis\tis\tthat\tit\tis\tdue\tto\ta\tdeficiency\tof\tan\tessential\tnutrient,\tmost\toften\n\tiron,\nbut\tzinc,\tcalcium,\tand\tpotassium\talso\thave\tbeen\tmentioned\t(\nCardwell,\t2013\n).... | [
0.0374302938580513,
-0.05615166947245598,
0.07260572910308838,
-0.010793929919600487,
-0.04093780368566513,
0.031103137880563736,
0.10241246968507767,
0.03260384127497673,
0.004324884619563818,
0.03336042910814285,
0.08228093385696411,
-0.026781810447573662,
0.01208680309355259,
-0.0018654... |
Cardwell,\t2013\n).\tAlthough\tit\tis\nhypothesized\tthat\tthe\tcraving\tcauses\tone\tto\teat\tthe\tnonfood\tsubstance\tthat\tcontains\tthe\tmissing\nnutrients,\tthat\tis\tseldom\tthe\tcase.\tPica\talso\tcan\tbe\ta\tcraving\tfor\tsmell\tor\ttexture\tas\twell\tas\ttaste.\tIDA\nhas\tbeen\tassociated\twith\tthe\tolfactory... | [
0.0009632024448364973,
-0.03185092657804489,
0.046624910086393356,
-0.003406181698665023,
-0.0847112163901329,
0.036964356899261475,
0.09691731631755829,
-0.06294609606266022,
0.001082116854377091,
0.023218031972646713,
0.09068212658166885,
-0.07676008343696594,
0.021906882524490356,
-0.00... |
Hansen\tet\tal,\t2017\n)\tand\tchewing\tice\thas\tbeen\nshown\tto\timprove\talertness\tand\tresponse\ttimes\ton\ta\tneuropsychological\ttest\tfor\tpeople\twho\tare\nanemic\tbut\tnot\tfor\tothers\t(\nHunt\tet\tal,\t2014\n).\tTaste\tperceptions\toften\tchange,\tbut\twhether\tthat\tis\nassociated\twith\tlower\tzinc\tlevel... | [
-0.029162021353840828,
0.017195239663124084,
0.06066302955150604,
0.015738746151328087,
-0.002815239829942584,
0.028065990656614304,
0.09807635098695755,
0.03735479339957237,
-0.027855107560753822,
0.06778666377067566,
0.07437887787818909,
-0.039432741701602936,
0.0069003039970994,
0.04434... |
associated\twith\tlower\tzinc\tlevels\tis\tnot\tknown.\nMalnutrition\tcan\tbe\ta\tconsequence\tof\tpica\twhen\tnonfood\tsubstances\tdisplace\tessential\tnutrients\tin\nthe\tdiet.\tStarch\tin\texcessive\tamounts\tcontributes\tto\tobesity\n\tand\tcan\tnegatively\taffect\tglucose\ncontrol.\tLarge\tintakes\tof\tbaking\tsod... | [
0.005621263757348061,
-0.04409089311957359,
0.025176221504807472,
0.054561469703912735,
-0.084602952003479,
0.019486868754029274,
0.11358342319726944,
0.011307775042951107,
-0.006614235695451498,
0.004998071119189262,
0.10092325508594513,
-0.02888316847383976,
0.08146846294403076,
0.027038... |
caused\trhabdomyolysis\tand\tcardiomyopathy\t(\nScolari\tChildress\tand\tMyles,\t2013\n).\tExcessive\tintakes\nof\tbaking\tpowder\tcan\tmimic\tpreeclampsia.\tSubstances\tmay\tcontain\ttoxic\tcompounds\tor\theavy\nmetals,\tparasites,\tor\tother\tpathogens.\tThe\tabsorption\tof\tiron\tor\tother\tminerals\n\tmay\tbe\tdisr... | [
-0.07500644028186798,
-0.0532011017203331,
0.03622637316584587,
0.007010602857917547,
-0.06755748391151428,
-0.0263323076069355,
0.04451192170381546,
0.06402718275785446,
-0.021663203835487366,
0.0515727773308754,
0.10873601585626602,
0.033025212585926056,
0.03572424128651619,
0.0565393865... |
may\tbe\tdisrupted.\nExcessive\tgeophagia\tcan\tresult\tin\tintestinal\tobstruction\tor\tperforation\t(\nYoung,\t2011\n).\nRecommending\tstopping\ta\tpica\toften\tfails,\teither\tbecause\tof\tthe\tstrong\tphysiologic\tdrive\tor\tthe\ncultural\tperception\tthat\tnot\tcomplying\twith\tthe\tcraving\twill\tcause\tharm\tto\... | [
0.032825715839862823,
-0.07178959995508194,
0.07300667464733124,
-0.02714492939412594,
-0.12496792525053024,
-0.013430709950625896,
0.08704932034015656,
-0.022258341312408447,
0.005941232666373253,
0.0891418382525444,
0.09516717493534088,
-0.024852605536580086,
0.04185974597930908,
0.04411... |
insisting\ton\tcessation,\tresulting\tonly\tin\tless\twillingness\tto\tadmit\tthe\tpica,\ta\tmore\tproductive\napproach\tis\tto\toffer\ta\tbetter\talternative.\tFor\texample,\tallowing\tthe\tmother\tto\tcontinue\tto\tsmell\tthe\nwet\tdirt,\tbut\ttrading\tits\tconsumption\tfor\ta\tburned\ttortilla,\ttoast,\tor\tjicama\t... | [
0.018236301839351654,
-0.08024293184280396,
0.07026468217372894,
-0.05231965705752373,
-0.14884375035762787,
-0.005771041382104158,
0.04779788851737976,
-0.017621774226427078,
0.04533480107784271,
0.052664678543806076,
0.04151954874396324,
-0.039426084607839584,
0.05065947398543358,
0.0508... |
often\tis\tassociated\twith\tIDA,\tbut\twhether\tthe\tpica\tis\ta\tresult,\ta\tcause,\tor\ta\tmarker\tof\tother\nconcurrent\tdeficiencies\tis\tunknown.\tHowever,\ttreatment\twith\tvery\thigh\tiron\tfoods\toften\tdecreases\nthe\n\tcravings\tand\tinfusions\tof\tiron\thave\tresulted\tin\ta\tcessation\tof\tthe\tpagophagia,... | [
0.04228553548455238,
-0.03635597229003906,
0.028115935623645782,
0.010084128007292747,
-0.11446719616651535,
0.032305892556905746,
0.08364870399236679,
0.010588124394416809,
-0.023514188826084137,
0.025370387360453606,
0.03984932228922844,
-0.01626523956656456,
0.03026326559484005,
0.02561... |
legs\t(\nAuerbach\tand\tAdamson,\t2016\n).\nDiabetes\tmellitus\nGestational\tdiabetes\tmellitus\t(GDM)\n,\tcarbohydrate\tintolerance\twith\tonset\tor\trecognition\tduring\npregnancy,\tencompasses\ttwo\tdistinct\tgroups—those\twho\thave\tunrecognized\tpreexisting\tdiabetes\nand\tthose\tfor\twhom\tthe\tpregnancy\tprecipi... | [
0.006762447766959667,
-0.016904857009649277,
0.01738097332417965,
0.024991819635033607,
-0.08823917806148529,
-0.015980249270796776,
0.12819804251194,
0.03866264596581459,
-0.03423663228750229,
0.05561231076717377,
0.05538805574178696,
0.007819950580596924,
-0.03174617886543274,
0.00427272... |
intolerance.\nWomen\twith\trisk\tfactors\tfor\ttype\t2\tdiabetes\t(including\tbut\tnot\tlimited\tto\ta\thistory\tof\tGDM,\tknown\nimpaired\tglucose\tmetabolism,\tand\tBMI\t≥30)\tshould\tbe\tscreened\tearly\tin\tpregnancy\tusing\tstandard\ndiagnostic\tcriteria\t(\nACOG,\t2018c\n;\t\nAmerican\tDiabetes\tAssociation\t[ADA... | [
-0.017141027376055717,
-0.048963043838739395,
0.02738582342863083,
0.0006115339929237962,
-0.08379053324460983,
0.013396459631621838,
0.08194415271282196,
0.05879874527454376,
-0.026963746175169945,
0.041358161717653275,
0.11343225836753845,
-0.03941009193658829,
0.0001946351840160787,
0.0... |
;\t\nAmerican\tDiabetes\tAssociation\t[ADA],\t2019\n;\tsee\t\nChapter\t29\n).\nAccording\tto\tthe\tADA,\tthose\twomen\tidentified\twith\tdiabetes\tin\tthe\tfirst\ttrimester\tshould\tbe\tgiven\n\ta\ndiagnosis\tof\tovert\tdiabetes\trather\tthan\tGDM.\tUniversal\tscreening\twith\ta\themoglobin\tA1C\tat\tthe\tfirst\nprenat... | [
0.005942194256931543,
-0.030832936987280846,
0.020948266610503197,
-0.023096159100532532,
-0.08300856500864029,
0.011307529173791409,
0.12148288637399673,
-0.01851431094110012,
-0.05376390367746353,
0.06078460440039635,
0.07889506965875626,
-0.01380097959190607,
0.006926414556801319,
-0.01... |
prenatal\tvisit\tis\tcommon\tand\twill\toften\tidentify\tthese\tpeople.\nWomen\tidentified\tby\tearly\tscreening,\tas\twell\tas\tthose\twith\tknown\tpreexisting\tdiabetes\t(either\ttype\n1\tor\t2),\tshould\tbe\treferred\tto\ta\tCertified\tDiabetes\tEducator\t(CDE)\tand/or\ta\tdiabetes\tmanagement\nteam.\tFetuses\tof\tm... | [
0.004180440213531256,
-0.03982875868678093,
0.07818842679262161,
-0.012671391479671001,
-0.07907917350530624,
0.020134562626481056,
0.10408365726470947,
-0.027265144512057304,
-0.04283193498849869,
0.08195993304252625,
0.1178390309214592,
-0.04694187268614769,
-0.007077022455632687,
-0.003... |
team.\tFetuses\tof\tmothers\twith\tpoorly\n\tcontrolled\tdiabetes\tat\tconception\tare\tat\trisk\tfor\tmultiple\ncongenital\tanomalies.\tSee\t\nChapter\t29\n\tfor\tmanagement\tguidelines.\nAs\tpregnancy\tprogresses\tand\tinsulin\tresistance\tincreases,\tGDM\tresulting\tfrom\tthe\tpregnancy\tmay | [
-0.02812792733311653,
0.01985679194331169,
0.03393252566456795,
-0.010903927497565746,
-0.07699950039386749,
0.022977881133556366,
0.11278276145458221,
0.029653560370206833,
0.011630871333181858,
0.04815126210451126,
0.10190229117870331,
-0.009310812689363956,
-0.017002487555146217,
0.0016... |
appear.\tGDM\trates\tin\tthe\tUnited\tStates\tare\t5%\tto\t6%\tof\tthe\tprenatal\tpopulation\t(National\tInstitutes\nof\tHealth\t[NIH],\t2013),\tbut\tthe\tprevalence\tcan\tbe\tmuch\tgreater\tin\thigh-risk\tgroups,\n\tincluding\nwomen\twith\ta\thigh\tBMI,\tadvanced\tmaternal\tage,\tand\tpersonal\tand\tfamily\thistory\t(... | [
-0.0032453497406095266,
0.020662786439061165,
0.08153167366981506,
-0.035708799958229065,
-0.05300254002213478,
0.0032900336664170027,
0.08112584054470062,
-0.01316849421709776,
-0.0014362932415679097,
0.0319693349301815,
0.10086113959550858,
-0.05908690020442009,
0.021184148266911507,
0.0... |
relative\twith\tdiabetes).\tRates\tare\thigher\tamong\tAfrican\tAmerican,\tAsian,\tHispanic,\tNative\tAmerican,\nand\tPacific\tIslander\twomen\tcompared\twith\tnon-Hispanic\twhite\twomen\t(\nACOG,\t2018c\n).\nA\tdiagnosis\tof\tGDM\tis\tassociated\twith\tincreased\trisk\tof\tgestational\thypertension\tand\tof\npreeclamp... | [
0.049277424812316895,
-0.028570769354701042,
0.0520784892141819,
0.0017020766390487552,
-0.09016778320074081,
-0.019840743392705917,
0.04993104934692383,
-0.05926995724439621,
-0.032889146357774734,
0.07924241572618484,
0.16999323666095734,
-0.08979149907827377,
-0.007701762020587921,
-0.0... |
preeclampsia,\tas\twell\tas\n\tincreased\trisk\tof\ttype\t2\tdiabetes\tand\tCVD\tlater\tin\tlife.\tFetal\timplications\ninclude\thyperinsulinemia,\t\nmacrosomia\n\t(often\tdefined\tas\ta\tbaby\tweighing\tmore\tthan\t4000\tg),\tand,\ntherefore,\tincreased\trisk\tof\tdelivery\tcomplications,\tincluding\tshoulder\tdystoci... | [
-0.03957976773381233,
-0.04903049021959305,
0.027275454252958298,
-0.0014159176498651505,
-0.06700433045625687,
-0.013924730941653252,
0.06181003898382187,
0.05240612104535103,
-0.031412601470947266,
0.04014221951365471,
0.10751593858003616,
-0.01369744073599577,
-0.014333161525428295,
0.0... |
delivery.\tThe\tneonate\tis\tmore\tlikely\tto\trequire\tadmission\tto\tNICU\tand\tto\texperience\trespiratory\ndistress\tsyndrome\tand\tmetabolic\tcomplications,\n\tincluding\thyperbilirubinemia\tand\thypoglycemia.\nInfant\tiron\tlevels\tmay\tbe\tlower\tbecause\tof\tovergrowth\tand\ttherefore\tincreased\tdemand\t(\nMon... | [
-0.0004136179923079908,
-0.010507995262742043,
0.0721639096736908,
-0.0015737473731860518,
-0.04422492906451225,
-0.0064252568408846855,
0.10534478724002838,
0.03631875663995743,
-0.023733003064990044,
0.0635494738817215,
0.134861022233963,
-0.011547897942364216,
0.005203018430620432,
0.03... |
Monk\tet\tal,\n2013\n).\tOther\tnutrients\talso\tmay\tbe\tlow.\tFetal\tprogramming,\twith\tincreased\tlong-term\trisk\tof\tobesity\nand\ttype\t2\tdiabetes,\tis\talso\tof\tconcern.\nAlthough\tsome\tpractitioners\tbelieve\tthat\tGDM\tmay\trepresent\tthe\tearly\tstages\tof\ttype\t2\tdiabetes,\nothers\tfeel\tthat\n\twomen\... | [
-0.03944932669401169,
-0.05066504329442978,
0.05120464786887169,
-0.06904609501361847,
-0.07160953432321548,
0.053458891808986664,
0.0950334221124649,
-0.007479722145944834,
-0.03932170942425728,
0.0789240300655365,
0.08070225268602371,
-0.04727528244256973,
0.02153092995285988,
-0.0109494... |
GDM\tis\tmerited\tbecause\tit\tlowers\tthe\trisk\tby\t40%\tfor\tgestational\thypertensive\tdisorders,\treduces\nthe\trisk\tof\tmacrosomia,\tand\ttherefore\treduces\tthe\trisk\tof\tshoulder\tdystocia\tfrom\t3.5%\tto\t1.5%\t(\nNIH,\n2013\n).\nThe\tdiagnostic\tcriteria\tfor\tGDM\tare\tcontroversial.\tHistorically,\tthe\tU... | [
-0.017069734632968903,
-0.040127724409103394,
0.034763917326927185,
-0.09065057337284088,
-0.11228931695222855,
-0.022214742377400398,
0.07881897687911987,
0.0305196400731802,
-0.016510339453816414,
0.09610580652952194,
0.12029619514942169,
-0.03786371275782585,
0.015250194817781448,
0.029... |
countries\thave\tused\n\ta\ttwo-step\tprocess,\twhereas\tthe\tWHO\thas\tadvocated\ta\tone-step\tapproach.\t\nTable\n14.14\n\tsummarizes\tselected\tcurrent\tguidelines\tbut\tother\tcutoffs\tand\ttesting\tprotocols\talso\texist\n(\nAgarwal,\t2015\n).\tRecently\tthe\tInternational\tAssociation\tof\tthe\tDiabetes\tand\tPre... | [
0.02830088697373867,
0.009639143012464046,
0.03787599876523018,
-0.012627147138118744,
-0.07321303337812424,
0.03248271718621254,
0.006788626313209534,
-0.037758175283670425,
-0.01517487969249487,
0.06504332274198532,
0.1229010596871376,
-0.019525699317455292,
-0.009677654132246971,
-0.023... |
(IADPSG)\tadvocated\tfor\ta\tuniversal\tone-step\tapproach\tdeveloped\tfrom\tthe\tHyperglycemia\tand\nAdverse\tPregnancy\tOutcomes\t(HAPO)\n\ttrials.\tAll\tprevious\tprotocols\twere\tdesigned\tto\tidentify\twomen\nat\trisk\tof\tdeveloping\ttype\t2\tdiabetes\tlater\tin\tlife\twhile\tthe\tHAPO\tstudy\twas\tthe\tfirst\tto... | [
-0.026218174025416374,
-0.015201925300061703,
0.07620840519666672,
-0.04983324185013771,
-0.0957801565527916,
0.024301083758473396,
0.07059086859226227,
0.007661685347557068,
-0.004934738855808973,
0.08447079360485077,
0.11199922859668732,
-0.02183450013399124,
0.026834456250071526,
-0.059... |
glucose\tvalues\twith\tpregnancy\toutcomes.\tBecause\tonly\tone\televated\tvalue\tis\tdiagnostic,\tusing\tthe\nmore\tliberal\tIADPSG\tcriteria\tresults\tin\ta\ttwofold\tto\tthreefold\tincrease\tin\tthe\tnumber\tof\tpeople\ndefined\tas\thaving\tGDM,\tarriving\tat\ta\tnational\n\tprevalence\tof\t15%\tto\t20%\t(\nNIH,\t20... | [
-0.013656102120876312,
-0.0494200624525547,
0.009600043296813965,
-0.012486170046031475,
-0.09461407363414764,
0.007061420474201441,
0.08539393544197083,
0.01690399833023548,
-0.025105444714426994,
0.06856855750083923,
0.10039566457271576,
-0.05418166518211365,
-0.03351006656885147,
0.0002... |
TABLE\t14.14\nScreening\tand\tDiagnosis\tof\tGestational\tDiabetes\tMellitus\t(GDM)\tat\t24\tto\t28\tWeeks\tof\tGestation:\tBlood\nGlucose\tThresholds\tand\tTesting\tProtocols\nApproach\nFasting\nmg/dL\n1-hour\nmg/dL\n2-hour\nmg/dL\n3-hour\nmg/dL\nSource\nTWO\tSTEP:\n\tuniversal\tscreening;\nonly\tthose\t≥\tcutoff\tnee... | [
0.016802426427602768,
0.0011012566974386573,
0.023889267817139626,
-0.02342889830470085,
-0.05275562033057213,
-0.03393508121371269,
0.08628782629966736,
0.06902968138456345,
-0.04760734736919403,
0.016650086268782616,
0.07766366004943848,
-0.017324529588222504,
0.05748959258198738,
0.0033... |
diagnostic\ttest\nScreening:\n\t(nonfasting)\n50\tg\tglucose\tload,\tvalue\t≥\n130,\t135,\nor\t140\nDiagnosis:\n\t(fasting)\n100\tg\tload,\t2\tvalues\t≥\n95\n180\n155\n140\nCarpenter\tand\nCoustan\n100\tg\tload,\t2\tvalues\t≥\n105\n190\n165\n145\nNational\tDiabetes\nData\tGroup\nONE\tSTEP:\n\tuniversal\ttesting\nDiagno... | [
-0.04228636249899864,
0.016376448795199394,
0.012156674638390541,
-0.06264936178922653,
-0.08103873580694199,
-0.011741073802113533,
0.03153810277581215,
0.1006966084241867,
-0.038388434797525406,
-0.019295958802103996,
0.10271653532981873,
-0.024006618186831474,
0.01590524986386299,
0.051... |
(fasting)\n92-125\n*\n180\n153-199\n*\nWorld\tHealth\nOrganization\n(WHO)\n**\n75\tg\tload,\t1\tvalue\t≥\n75\tg\tload,\t1\tvalue\t≥\n92\n180\n153\nInternational\nAssociation\tof\tthe\nDiabetes\tand\nPregnancy\tStudy\nGroups\n*\nValues\tabove\tthese\tcutpoints\tare\tconsidered\tdiagnostic\tof\tdiabetes\tmellitus\tin\tpr... | [
-0.02948872558772564,
-0.019987737759947777,
0.018349602818489075,
-0.0028033764101564884,
-0.10639384388923645,
0.010188210755586624,
0.09303324669599533,
0.03059990331530571,
-0.05942932516336441,
0.005217579193413258,
0.09580831229686737,
-0.01781364344060421,
-0.03651749715209007,
-0.0... |
mg/dL\twith\n\tdiabetes\tsymptoms.\n**\nConsidered\tdiagnostic\tof\tGDM\twhen\tfound\tany\ttime\tduring\tthe\tpregnancy.\nAdapted\tfrom\tNational\tInstitutes\tof\tHealth\tconsensus\tdevelopment\tconference\tstatement:\tdiagnosing\tgestational\tdiabetes\tmellitus,\tMarch\t4-6,\n2013,\t\nObstet\tGynecol | [
0.006689819041639566,
-0.008164264261722565,
0.0038425077218562365,
0.012059064581990242,
-0.06420202553272247,
-0.02414352260529995,
0.09652923792600632,
0.07967537641525269,
-0.01624845527112484,
0.022743813693523407,
0.06454554945230484,
0.01895814575254917,
0.02441381849348545,
0.02170... |
2013,\t\nObstet\tGynecol\n\t122:358,\t2013;\tWorld\tHealth\tOrganization:\tWHO\trecommendation\ton\tthe\tdiagnosis\tof\tgestational\tdiabetes\tin\tpregnancy,\nMarch\t8,\t2018\t(website):\t\nhttps://extranet.who.int/rhl/topics/preconception-pregnancy-childbirth-and-postpartum-care/antenatal-care/who-\nrecommendation-dia... | [
-0.02915489301085472,
0.042002081871032715,
-0.07766782492399216,
0.020528176799416542,
-0.0316818468272686,
0.04717417433857918,
-0.0011022466933354735,
0.10933569818735123,
-0.024196770042181015,
0.0806630328297615,
0.020321395248174667,
0.042553532868623734,
-0.10652527958154678,
-0.063... |
recommendation-diagnosis-gestational-diabetes-pregnancy-0\n.\nBecause\tof\tthe\tincreased\tcost\tto\tthe\tmedical\tsystem\tand\tthe\tpatient,\tincreased\tpatient\tstress\twith\nlikely\tincreased\tinterventions,\tcombined\twith\tconcern\tthat\ttreatment\tmay\tnot\tbe\tas\tbeneficial\tfor\nthose\tat\tthe\tlower\tglucose\... | [
-0.02596331760287285,
-0.008706285618245602,
0.04377836734056473,
0.05317174643278122,
-0.047021329402923584,
0.03789384663105011,
0.11737032979726791,
0.07205325365066528,
-0.05474812537431717,
-0.04116155207157135,
0.06635787338018417,
-0.021632863208651543,
-0.002739825751632452,
0.0245... |
insufficient\tevidence\tto\trecommend\tchanging\tto\tthe\tIADPSG\tapproach\t(\nNIH,\t2013\n).\tThose\tconcerns\nhave\tnow\tbeen\n\tstudied\tand\tsome\tpractices\thave\treturned\tto\tusing\tthe\ttwo-step\tapproach\tafter\nfinding\tno\timprovement\tin\tmaternal\tor\tneonatal\toutcomes\tin\tspite\tof\tincreased\tdiagnoses... | [
-0.00587140629068017,
-0.08079739660024643,
0.06376763433218002,
-0.044237203896045685,
-0.13074682652950287,
-0.0029987215530127287,
0.04081295430660248,
0.05278066545724869,
0.008852782659232616,
0.060948655009269714,
0.11683925986289978,
-0.041814062744379044,
0.02922963537275791,
0.019... |
interventions\t(\nPocobelli\tet\tal,\t2018\n).\nThe\tADA\tand\tACOG\trecommend\tscreening\tall\tpregnant\twomen\tfor\tGDM\t(unless\talready\tidentified\nwith\tdiabetes)\tat\t24\tto\t28\tweeks\tof\tgestation\t(\nACOG,\t2018c\n;\t\nADA,\t2019\n).\tOnly\tthose\twith\tan\nabnormal\n\tresult\ton\tthe\t1-hour\tscreen\treceiv... | [
0.025820478796958923,
0.010478949174284935,
0.08728837221860886,
-0.007402601186186075,
-0.10280909389257431,
0.059729110449552536,
0.043142206966876984,
0.041992247104644775,
-0.040593989193439484,
0.033625900745391846,
0.07947994768619537,
-0.01968851499259472,
0.03683314844965935,
0.057... |
choice\tof\ta\tscreening\tcutpoint\tand\tthe\tchoice\tof\tdiagnostic\ttests\t(using\tthe\tCarpenter\tand\tCoustan\ncriteria\tif\ttesting\tserum\tor\tplasma,\tor\tthe\tNational\tDiabetes\tData\tGroup\tcriteria\tif\ttesting\tplasma),\nbe\tguided\tby\tlocal\tcommunity\tGDM\tprevalence\trates\t(\nACOG,\t2018c\n).\tAlthough... | [
0.01727069914340973,
-0.03404818847775459,
0.008603015914559364,
-0.0508669950067997,
-0.13715456426143646,
0.013963083736598492,
0.07067765295505524,
0.008707409724593163,
0.06199226155877113,
0.056791309267282486,
0.10249661654233932,
-0.021618060767650604,
0.06649506092071533,
0.0632280... |
ACOG,\t2018c\n).\tAlthough\tcurrent\tpractice\nrequires\ttwo\tabnormal\n\tvalues\tfor\ta\tdiagnosis\tof\tGDM,\tfurther\tstudy\tis\trecommended\tto\tsee\tif\tthose\nwith\tonly\tone\televated\tvalue\talso\tbenefit\tfrom\ttreatment.\nAs\twith\tpreexisting\tdiabetes,\tthose\twomen\twith\tGDM\tshould\tbe\tfollowed\tcarefull... | [
0.007592178415507078,
-0.04900534451007843,
0.06948119401931763,
-0.07073517143726349,
-0.10069086402654648,
0.005641881842166185,
0.0926375612616539,
-0.016633082181215286,
-0.008096225559711456,
0.051457781344652176,
0.07600878179073334,
0.010834353044629097,
0.06967782974243164,
0.02552... |
pregnancy\tand\tmanaged\tby\ta\tdiabetes\tteam\tthat\tincludes\ta\tCDE.\tSee\t\nChapter\t29\n\tfor\tdiet\tand\nexercise\trecommendations,\tincluding\ttarget\tglucose\tvalues.\tMedications\tmay\tbe\tnecessary\n\tto\nmanage\tblood\tsugars.\tInsulin\tand\tsome\toral\thypoglycemic\tagents\t(e.g.,\tmetformin\tand\tglyburide... | [
-0.025139540433883667,
-0.01928039826452732,
0.040307823568582535,
0.016840016469359398,
-0.04629518464207649,
0.0030971220694482327,
0.11826901882886887,
0.024647889658808708,
-0.06603442877531052,
0.0392548032104969,
0.08834943920373917,
-0.029972828924655914,
-0.018257202580571175,
-0.0... |
can\tbe\tused.\tLong-term\tuse\tof\tmetformin\tis\tassociated\twith\tdecreased\tvitamin\tB\n12\n\tlevels,\tbut\tits\tuse\nonly\tin\tlate\tpregnancy\thas\tnot\tbeen\tshown\tto\tbe\tproblematic\tfor\tmaintenance\tof\tnormal\tB\n12\n\tlevels\n(\nGatford\tet\tal,\t2013\n).\tThere\tis\tintriguing\tpreliminary\tevidence\ttha... | [
0.0265633687376976,
-0.05816715210676193,
0.03148134797811508,
-0.03942900523543358,
-0.085922971367836,
0.039441175758838654,
0.06668825447559357,
-0.01726331003010273,
-0.05452168732881546,
0.05248807370662689,
0.11613395810127258,
-0.012497768737375736,
0.0154079869389534,
0.03385277464... |
preventing\n\tor\ttreating\tGDM\tand\tits\tuse\tappears\tto\tbe\tsafe\t(\nWerner\tand\tFroehlich,\t2016\n).\tHowever,\nits\tuse\tin\ttreating\tGDM\tis\tnot\tendorsed\tby\tthe\tCochrane\tReview\tbecause\tof\tthe\tlimited\tdata\navailable\t(\nBrown\tet\tal,\t2016\n).\tInositol\tdoes\tnot\tappear\tto\tlower\tthe\trisk\tof... | [
-0.030303355306386948,
0.0025677524972707033,
0.0647006556391716,
-0.09355512261390686,
-0.05522366985678673,
0.026034126058220863,
0.09287920594215393,
-0.04277217760682106,
-0.01597876287996769,
0.063742496073246,
0.12614388763904572,
-0.005191960837692022,
0.036751046776771545,
0.053125... |
clinically\tmeaningful\toutcomes\thave\tnot\tbeen\treported.\tOptimal\tdose,\tfrequency,\tand\ttiming\tof\nsupplementation\tare\tall\tcurrently\n\tunknown,\tas\tare\tthe\tlong-term\teffects.\tIts\tpreconceptual\tuse,\nalong\twith\tother\tmicronutrients\tand\tprobiotics,\tto\thelp\timprove\tinsulin\tsensitivity\tis\tcur... | [
-0.0024778323713690042,
-0.07858315855264664,
0.032533176243305206,
0.0006619581836275756,
-0.07909628748893738,
0.03702429309487343,
0.041490696370601654,
0.0954461619257927,
-0.005741951521486044,
0.015023011714220047,
0.06296715885400772,
0.0013780565932393074,
0.015163945965468884,
0.0... |
studied\t(\nGodfrey\tet\tal,\t2017a\n).\nWomen\twith\tGDM\tshould\tbe\tscreened\tfor\tpersistent\tdiabetes\tat\t4\tto\t12\tweeks\tpostpartum,\tusually\nwith\tfasting\tand\t2-hour\t(after\ta\t75g\tglucose\tload)\tblood\tsugars,\tand\tat\tleast\tevery\t3\tyears\tfor\ndiabetes\n\tor\tprediabetes,\tusing\tnonpregnancy\tdia... | [
-0.025961555540561676,
-0.01151906419545412,
0.03825322911143303,
0.026239825412631035,
-0.0827212855219841,
-0.020070862025022507,
0.047241244465112686,
0.021289585158228874,
-0.03134691342711449,
0.03940853103995323,
0.0432150699198246,
0.02016548626124859,
-0.02925516851246357,
0.028548... |
ADA,\t2019\n;\tsee\t\nChapter\t29\n).\nEating\tdisorders\nThe\trates\tof\teating\tdisorders\tduring\tpregnancy\tare\t1%\tfor\tanorexia\tnervosa\tand\tslightly\tmore\tfor\nbulimia,\twith\tthe\tprevalence\tlikely\tunderestimated\t(\nCardwell,\t2013\n)\tbecause\tof\tvoluntary\nnondisclosure\tor\tbecause\tthe\tmedical\tpra... | [
-0.014202410355210304,
-0.06071040406823158,
0.03060232475399971,
0.02549661137163639,
-0.07319162786006927,
0.00201245816424489,
0.09843923896551132,
0.0035013454034924507,
-0.04301786422729492,
0.006242477335035801,
0.09784679114818573,
-0.04265734925866127,
-0.01812448538839817,
0.00647... |
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