Design, rationale and protocol for Glycemic Observation and Metabolic Outcomes in Mothers and Offspring (GO MOMs): an observational cohort study

Introduction Given the increasing prevalence of both obesity and pre-diabetes in pregnant adults, there is growing interest in identifying hyperglycaemia in early pregnancy to optimise maternal and perinatal outcomes. Multiple organisations recommend first-trimester diabetes screening for individual...

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Main Authors: Erin S LeBlanc, Mary Larkin, José Castillo, Erika Werner, William Lowe, Michael Gomez, David Amy, Afshin Azimirad, Camille E Powe, Denise Scholtens, Kimberly K Vesco, Kristi Bays, Stefan Massimino, Sperry Robinson, Katrina Schell, Gillian A Walters, Teresa A Hillier, Caryn Oshiro, Sandra Cordero, Connor Howick, Lisa Kim, Yannica Theda Martinez, Olena Pishchalenko, Vladka Wastlova, Noelia Zork, Mirella Mourad, Jacqueline Lonier, Uma Reddy, Jayleen Acevedo, Belgica Peguero, Francesca Facco, Maisa Feghali, Heather Bocan, Savannah Stramowski, Andrea Edlow, William Barth, David Nathan, Robin Azevedo, Arantxa Medina Baez, Chinenye Iroajanma, Jacqueline Maya, Nefeli Neamonitaki, Nopporn Thangthaeng, Lynn Yee, William Grobman, Emily Szmuilowicz, Alyssa Aguirre, Evelyn Guevara, Gail Mallett, Samantha Matos, Shubhi Tyagi, Alexandra Spadola, Patrick Catalano, Dwight Rouse, Madeline Malloy, Floralba Parra, Jennifer Sherr, Audrey Merriam, Sherrie Bitterman, Elizabeth Considine, Jessica Leventhal, Lauren Perley, Linda Rink, Amy Steffen, Beatrix Thompson, Melinda Zgorski, Michael Steffes, Valerie Arends, Anthony Killeen, Juned Siddique, Patricia Bustamante, Ying (Jennifer) Cheung, Carmen Edith Freeze, Tania Grott, Alan Kuang, Mary Beth Tull, Barbara Linder, Chloe Michalopoulos
Format: Article
Language:English
Published: BMJ Publishing Group 2024-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/14/6/e084216.full
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author Erin S LeBlanc
Mary Larkin
José Castillo
Erika Werner
William Lowe
Michael Gomez
David Amy
Afshin Azimirad
Camille E Powe
Denise Scholtens
Kimberly K Vesco
Kristi Bays
Stefan Massimino
Sperry Robinson
Katrina Schell
Gillian A Walters
Teresa A Hillier
Caryn Oshiro
Sandra Cordero
Connor Howick
Lisa Kim
Yannica Theda Martinez
Olena Pishchalenko
Vladka Wastlova
Noelia Zork
Mirella Mourad
Jacqueline Lonier
Uma Reddy
Jayleen Acevedo
Belgica Peguero
Francesca Facco
Maisa Feghali
Heather Bocan
Savannah Stramowski
Andrea Edlow
William Barth
David Nathan
Robin Azevedo
Arantxa Medina Baez
Chinenye Iroajanma
Jacqueline Maya
Nefeli Neamonitaki
Nopporn Thangthaeng
Lynn Yee
William Grobman
Emily Szmuilowicz
Alyssa Aguirre
Evelyn Guevara
Gail Mallett
Samantha Matos
Shubhi Tyagi
Alexandra Spadola
Patrick Catalano
Dwight Rouse
Madeline Malloy
Floralba Parra
Jennifer Sherr
Audrey Merriam
Sherrie Bitterman
Elizabeth Considine
Jessica Leventhal
Lauren Perley
Linda Rink
Amy Steffen
Beatrix Thompson
Melinda Zgorski
Michael Steffes
Valerie Arends
Anthony Killeen
Juned Siddique
Patricia Bustamante
Ying (Jennifer) Cheung
Carmen Edith Freeze
Tania Grott
Alan Kuang
Mary Beth Tull
Barbara Linder
Chloe Michalopoulos
author_facet Erin S LeBlanc
Mary Larkin
José Castillo
Erika Werner
William Lowe
Michael Gomez
David Amy
Afshin Azimirad
Camille E Powe
Denise Scholtens
Kimberly K Vesco
Kristi Bays
Stefan Massimino
Sperry Robinson
Katrina Schell
Gillian A Walters
Teresa A Hillier
Caryn Oshiro
Sandra Cordero
Connor Howick
Lisa Kim
Yannica Theda Martinez
Olena Pishchalenko
Vladka Wastlova
Noelia Zork
Mirella Mourad
Jacqueline Lonier
Uma Reddy
Jayleen Acevedo
Belgica Peguero
Francesca Facco
Maisa Feghali
Heather Bocan
Savannah Stramowski
Andrea Edlow
William Barth
David Nathan
Robin Azevedo
Arantxa Medina Baez
Chinenye Iroajanma
Jacqueline Maya
Nefeli Neamonitaki
Nopporn Thangthaeng
Lynn Yee
William Grobman
Emily Szmuilowicz
Alyssa Aguirre
Evelyn Guevara
Gail Mallett
Samantha Matos
Shubhi Tyagi
Alexandra Spadola
Patrick Catalano
Dwight Rouse
Madeline Malloy
Floralba Parra
Jennifer Sherr
Audrey Merriam
Sherrie Bitterman
Elizabeth Considine
Jessica Leventhal
Lauren Perley
Linda Rink
Amy Steffen
Beatrix Thompson
Melinda Zgorski
Michael Steffes
Valerie Arends
Anthony Killeen
Juned Siddique
Patricia Bustamante
Ying (Jennifer) Cheung
Carmen Edith Freeze
Tania Grott
Alan Kuang
Mary Beth Tull
Barbara Linder
Chloe Michalopoulos
collection DOAJ
description Introduction Given the increasing prevalence of both obesity and pre-diabetes in pregnant adults, there is growing interest in identifying hyperglycaemia in early pregnancy to optimise maternal and perinatal outcomes. Multiple organisations recommend first-trimester diabetes screening for individuals with risk factors; however, the benefits and drawbacks of detecting glucose abnormalities more mild than overt diabetes in early gestation and the best screening method to detect such abnormalities remain unclear.Methods and analysis The goal of the Glycemic Observation and Metabolic Outcomes in Mothers and Offspring study (GO MOMs) is to evaluate how early pregnancy glycaemia, measured using continuous glucose monitoring and oral glucose tolerance testing, relates to the diagnosis of gestational diabetes (GDM) at 24–28 weeks’ gestation (maternal primary outcome) and large-for-gestational-age birth weight (newborn primary outcome). Secondary objectives include relating early pregnancy glycaemia to other adverse pregnancy outcomes and comprehensively detailing longitudinal changes in glucose over the course of pregnancy. GO MOMs enrolment began in April 2021 and will continue for 3.5 years with a target sample size of 2150 participants.Ethics and dissemination GO MOMs is centrally overseen by Vanderbilt University’s Institutional Review Board and an Observational Study Monitoring Board appointed by National Institute of Diabetes and Digestive and Kidney Diseases. GO MOMs has potential to yield data that will improve understanding of hyperglycaemia in pregnancy, elucidate better approaches for early pregnancy GDM screening, and inform future clinical trials of early GDM treatment.Trial registration number NCT04860336.
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spelling doaj-art-57978e47ffe54cb89682201d95e9bde62025-08-20T03:40:40ZengBMJ Publishing GroupBMJ Open2044-60552024-06-0114610.1136/bmjopen-2024-084216Design, rationale and protocol for Glycemic Observation and Metabolic Outcomes in Mothers and Offspring (GO MOMs): an observational cohort study 0Erin S LeBlanc1Mary LarkinJosé CastilloErika Werner2William LoweMichael GomezDavid AmyAfshin AzimiradCamille E Powe3Denise ScholtensKimberly K VescoKristi BaysStefan MassiminoSperry RobinsonKatrina SchellGillian A WaltersTeresa A HillierCaryn OshiroSandra CorderoConnor HowickLisa Kim4Yannica Theda MartinezOlena PishchalenkoVladka WastlovaNoelia ZorkMirella MouradJacqueline LonierUma ReddyJayleen AcevedoBelgica PegueroFrancesca FaccoMaisa FeghaliHeather BocanSavannah StramowskiAndrea EdlowWilliam BarthDavid NathanRobin AzevedoArantxa Medina BaezChinenye IroajanmaJacqueline MayaNefeli NeamonitakiNopporn ThangthaengLynn YeeWilliam GrobmanEmily SzmuilowiczAlyssa AguirreEvelyn GuevaraGail MallettSamantha MatosShubhi TyagiAlexandra SpadolaPatrick Catalano5Dwight RouseMadeline MalloyFloralba ParraJennifer SherrAudrey MerriamSherrie BittermanElizabeth ConsidineJessica LeventhalLauren PerleyLinda RinkAmy SteffenBeatrix ThompsonMelinda ZgorskiMichael SteffesValerie ArendsAnthony KilleenJuned SiddiquePatricia BustamanteYing (Jennifer) CheungCarmen Edith FreezeTania GrottAlan KuangMary Beth TullBarbara LinderChloe MichalopoulosUniversity of Southampton Faculty of Medicine, Southampton, UKKaiser Permanente Center for Health Research, Portland, Oregon, USATufts Medical Center, Boston, Massachusetts, USAMassachusetts General Hospital, Boston, Massachusetts, USA1Center for Personalized Cancer Therapy and Division of Hematology and Oncology, Department of Medicine, University of California San Diego, Moores Cancer Center, La Jolla, CA, USADepartment of Obstetrics and Gynecology, Tufts University, Medford, Oregon, USAIntroduction Given the increasing prevalence of both obesity and pre-diabetes in pregnant adults, there is growing interest in identifying hyperglycaemia in early pregnancy to optimise maternal and perinatal outcomes. Multiple organisations recommend first-trimester diabetes screening for individuals with risk factors; however, the benefits and drawbacks of detecting glucose abnormalities more mild than overt diabetes in early gestation and the best screening method to detect such abnormalities remain unclear.Methods and analysis The goal of the Glycemic Observation and Metabolic Outcomes in Mothers and Offspring study (GO MOMs) is to evaluate how early pregnancy glycaemia, measured using continuous glucose monitoring and oral glucose tolerance testing, relates to the diagnosis of gestational diabetes (GDM) at 24–28 weeks’ gestation (maternal primary outcome) and large-for-gestational-age birth weight (newborn primary outcome). Secondary objectives include relating early pregnancy glycaemia to other adverse pregnancy outcomes and comprehensively detailing longitudinal changes in glucose over the course of pregnancy. GO MOMs enrolment began in April 2021 and will continue for 3.5 years with a target sample size of 2150 participants.Ethics and dissemination GO MOMs is centrally overseen by Vanderbilt University’s Institutional Review Board and an Observational Study Monitoring Board appointed by National Institute of Diabetes and Digestive and Kidney Diseases. GO MOMs has potential to yield data that will improve understanding of hyperglycaemia in pregnancy, elucidate better approaches for early pregnancy GDM screening, and inform future clinical trials of early GDM treatment.Trial registration number NCT04860336.https://bmjopen.bmj.com/content/14/6/e084216.full
spellingShingle Erin S LeBlanc
Mary Larkin
José Castillo
Erika Werner
William Lowe
Michael Gomez
David Amy
Afshin Azimirad
Camille E Powe
Denise Scholtens
Kimberly K Vesco
Kristi Bays
Stefan Massimino
Sperry Robinson
Katrina Schell
Gillian A Walters
Teresa A Hillier
Caryn Oshiro
Sandra Cordero
Connor Howick
Lisa Kim
Yannica Theda Martinez
Olena Pishchalenko
Vladka Wastlova
Noelia Zork
Mirella Mourad
Jacqueline Lonier
Uma Reddy
Jayleen Acevedo
Belgica Peguero
Francesca Facco
Maisa Feghali
Heather Bocan
Savannah Stramowski
Andrea Edlow
William Barth
David Nathan
Robin Azevedo
Arantxa Medina Baez
Chinenye Iroajanma
Jacqueline Maya
Nefeli Neamonitaki
Nopporn Thangthaeng
Lynn Yee
William Grobman
Emily Szmuilowicz
Alyssa Aguirre
Evelyn Guevara
Gail Mallett
Samantha Matos
Shubhi Tyagi
Alexandra Spadola
Patrick Catalano
Dwight Rouse
Madeline Malloy
Floralba Parra
Jennifer Sherr
Audrey Merriam
Sherrie Bitterman
Elizabeth Considine
Jessica Leventhal
Lauren Perley
Linda Rink
Amy Steffen
Beatrix Thompson
Melinda Zgorski
Michael Steffes
Valerie Arends
Anthony Killeen
Juned Siddique
Patricia Bustamante
Ying (Jennifer) Cheung
Carmen Edith Freeze
Tania Grott
Alan Kuang
Mary Beth Tull
Barbara Linder
Chloe Michalopoulos
Design, rationale and protocol for Glycemic Observation and Metabolic Outcomes in Mothers and Offspring (GO MOMs): an observational cohort study
BMJ Open
title Design, rationale and protocol for Glycemic Observation and Metabolic Outcomes in Mothers and Offspring (GO MOMs): an observational cohort study
title_full Design, rationale and protocol for Glycemic Observation and Metabolic Outcomes in Mothers and Offspring (GO MOMs): an observational cohort study
title_fullStr Design, rationale and protocol for Glycemic Observation and Metabolic Outcomes in Mothers and Offspring (GO MOMs): an observational cohort study
title_full_unstemmed Design, rationale and protocol for Glycemic Observation and Metabolic Outcomes in Mothers and Offspring (GO MOMs): an observational cohort study
title_short Design, rationale and protocol for Glycemic Observation and Metabolic Outcomes in Mothers and Offspring (GO MOMs): an observational cohort study
title_sort design rationale and protocol for glycemic observation and metabolic outcomes in mothers and offspring go moms an observational cohort study
url https://bmjopen.bmj.com/content/14/6/e084216.full
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