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January 1, 2026JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINEOpen Access

A Case of a Severely Obese Pregnant Woman Who Underwent Cesarean Section at 29 Weeks Due to Worsening Proliferative Diabetic Retinopathy

Reina YAMAMORI Kyoko Kumagai Misaki YAMADA Akane OSHIKA Ayaka NAGAI Kanae TAKAGI Managi MURAKAMI Keika YAMAUCHI Mari SHIBATA Teruko MIZUNO Jiro Hiraiwa Naomi Kimura Kazuhiro HIGUCHI Masahiro IKEUCHI Yasushi MATSUKAWA

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Key Points

This case highlights the complications of severe obesity and diabetic retinopathy during pregnancy.
Documented the clinical condition and intervention for a pregnant woman.
Analyzed health factors like HbA1c and BMI.
The woman underwent a cesarean section at 29 weeks due to health concerns.
Her HbA1c was recorded at 7.3, indicating higher blood sugar levels.
BMI was noted at 30, classifying her as obese.

Implication

Heightens retinopathy monitoring in obese diabetic pregnancies; leaves open optimal strategies pending larger studies.

Abstract

2 40 HbA1c 7.3 BMI 30.

Discussion

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Cite This Study

YAMAMORI et al. (2026) studied this question.

synapsesocial.com/papers/69b8ef52deb47d591b8c56d0 https://doi.org/10.2185/jjrm.74.497

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Keep reading

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

1The cross-link between maternal HbA1c and neonatal outcome: A Clinical Case Report2024
2Abstracts from ABCD Diabetes Update2024
3POOR GLYCEMIC CONTROL DURING PREGNANCY LEADING TO INTRAUTERINE FETAL DEMISE IN A HIGH-RISK PREGNANCY: A CASE REPORTCase Report · 2026
47176 Unusual Case Of Extreme Insulin Resistance In A Pregnant Patient With Type 1 Diabetes Mellitus2024 · 1 citations
5A Case of Rapidly Progressive Proliferative Diabetic Retinopathy in the Setting of Severe Anorexia Nervosa2024

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Prolonged neuroglycopenia in a type 1 diabetic pregnancy: a case report2024
Maternal Obesity and Pregnancy2008
Metabolic Control and Progression of Retinopathy: The Diabetes in Early Pregnancy Study1995

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