Association of Pregestational BMI and Antenatal Weight Gain With Pregnancy Outcome: A Prospective Observational Cohort Study

Pal, Radhakanta; Maiti, Mainak; Roychoudhury, Bidisha; Sanyal, Poushali; Chowdhury, Bijit

doi:10.15296/ijwhr.2017.07

Cited by 12 publications

(11 citation statements)

References 8 publications

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“…Data collected from the mother-infant pairs demonstrated that women with excessive GWG exhibited an increased risk of macrosomia and LGA infants whereas women with inadequate GWG exhibited increased risks of SGA infants when compared to women who had adequate GWG [24]. In another study [22], the incidence of GDM was higher (26.1%) among excessive GWG than low GWG (13.6%) and incidence of GHTN was higher (21.7%) in excessive GWG than adequate weight gain women (6.8%). Besides this, a similar trend was observed in other two studies [17, 22] which found that incidence of preterm birth, LBW, and SGA increased when GWG was lower than optimum GWG.…”

Section: Resultsmentioning

confidence: 99%

“…Among 13 selected articles, 3 were from India [ 16 , 21 , 22 ], and remaining 10 studies were from other Asian countries [ 14 , 15 , 17 – 20 , 23 – 26 ]. There were 10 cohorts [ 14 , 16 , 17 , 19 – 25 ], 2 randomised control trials (RCTs) [ 15 , 26 ], and only 1 cross-sectional study [ 18 ].…”

Section: Resultsmentioning

confidence: 99%

“…There was a difference in the gestational age at which enrolment was carried out in the studies. For instance, 3 studies recruited the women within the first 12 weeks of pregnancy [ 15 , 19 , 20 ], whereas in 2 studies, women within the first 10 weeks [ 22 ] and ≥28 weeks of pregnancy [ 25 ] were enrolled for recruitment. Another study administered the validated protocol containing sociodemography and anthropometry measurements only among the pregnant women who belong to the 3 rd trimester [ 21 ].…”

Section: Resultsmentioning

confidence: 99%

“…In another study also prepregnancy weight was self-reported but interviews were held during pregnancy to collect the maternal information and other details about fetal-maternal outcomes were obtained shortly after the delivery [ 15 , 18 , 26 ]. Beside this, it was observed in another study [ 22 ] that during the first visit in early pregnancy their height and weight were measured and BMI was calculated and information related to pregnancy outcome was gathered during the postpartum phase. But there is no information available in a study [ 14 ] regarding the source of data on maternal height and weight.…”

Section: Resultsmentioning

confidence: 99%

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Gestational Weight Gain among Healthy Pregnant Women from Asia in Comparison with Institute of Medicine (IOM) Guidelines-2009: A Systematic Review

Arora

Aeri

2019

Journal of Pregnancy

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In 1990, Institute of Medicine (IOM) recommended gestational weight gain (GWG) ranges for women in the United States primarily to improve infant birth weight. Changes in key aspects of reproductive health of women of child bearing age, a rising prevalence of obesity, and noncommunicable diseases prompted the revision of IOM guidelines in 2009. However, there is no such recommendation available for Asian women. This systematic review assesses the utility of IOM-2009 guidelines among Indian and other Asian pregnant women in terms of maternal and fetal outcomes. 624 citations were identified using PubMed and Google Scholar, out of which 13 were included. Prospective/retrospective studies of healthy Asian women with a singleton pregnancy which specifically examined fetal-maternal outcomes relative to IOM-2009 guidelines were included. Results. Majority of pregnant Indian women achieved less GWG than the recommendations whereas a mixed trend was noticed among the other Asian pregnant women. The most common fetal-maternal complications among the excessive GWG women were found to be macrosomia, large for gestational age and caesarean section followed by gestational diabetes and hypertension, whereas low birth weight, small for gestational age and preterm birth, was found to be associated with low GWG women. The findings highlight the need for appropriate GWG limits across the different body mass index levels specifically for Indians and other Asian population. However, there are not enough publications regarding the utility of IOM-2009 guidelines among the Indian and other Asian women. Thus, higher-quality researches are warranted in future to further validate the findings of the present review.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Gestational Weight Gain among Healthy Pregnant Women from Asia in Comparison with Institute of Medicine (IOM) Guidelines-2009: A Systematic Review

Arora

Aeri

2019

Journal of Pregnancy

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“…A hypothesis of strong relationship between excessive weight gain and long-term obesity was developed by Rooney et al according in 2002 [16]. South Asian studies have clearly explained the positive correlation between excessive maternal weight gain and short term and long term complications in new born such as large for dates, childhood obesity and Diabetic mellitus in adulthood [17][18].…”

Section: Discussionmentioning

confidence: 99%

Influences of Maternal Weight Gain During Pregnancy on Selected Fetal Outcomes

Sivalingarajah¹,

Abeykoon²

2019

JGO

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Weight gain in pregnant mothers has several influencing factors. Studies have shown that maternal weight gain influenced both maternal and fetal immediate and future outcomes. However, the recommended amount of weight gain for optimum maternal and fetal outcome is still uncertain. A cross sectional descriptive study was carried out at Teaching Hospital Kandy, for a period of one-year to describe the influence of maternal weight gain during pregnancy in selected fetal outcome such birth weight and APGAR score at birth. 425 participants with normal pre gestational BMI (18.5 kg/m 2-24.9 kg/m 2) were selected by a systematic random sampling technique. Medical disorders complicating pregnancies, twins, previous miscarriages and fetal abnormalities were excluded. Data was extracted from the antenatal record, bed head ticket and by measuring relevant variables (birth weight and APGAR score). Maternal age distributed from 17 to 43 years (Mean=27.97 years: SD=5.72 years). Maternal height distributed from 125cm to 172cm (Mean=154.4cm: SD=5.83cm). Pre pregnancy BMI distributed from 18.5 kg/m 2 to 24.9 kg/m 2 (Mean=21.67 kg/m 2 : SD=2.2 kg/m 2). Maternal body weight at delivery distributed from 36 kg to 116 kg (Mean=63.8kg: SD= 11.82). Pregnancy weight gain distributed from 3.5kg to 24.5 kg (Mean=9.03kg: SD=3.87). Birth weight distributed from 1.24kg to 4.04 kg (Mean=2.93: SD=0.438). All exposure parameters had a positive linear correlation with birth weight. Almost all the study participants (N=423:99.5%) had achieved an APGAR score of >7 within 10 minutes of birth. In conclusion, maternal weight gain does not affect the birth weight of the newborn and no conclusion is derived on maternal weight gain causing any hypoxic situation at the time of birth. These findings are only applicable to normal pregnancies due to the exclusion criteria. Further studies are recommended with a larger sample size and a prospective cohort design with continuous follow up during the antenatal period.

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Burden of excessive gestational weight gain and postpartum weight retention among Indian women - A systematic review and meta-analysis

Patel,

Sagili

et al. 2023

Clinical Epidemiology and Global Health

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Association of Pregestational BMI and Antenatal Weight Gain With Pregnancy Outcome: A Prospective Observational Cohort Study

Cited by 12 publications

References 8 publications

Gestational Weight Gain among Healthy Pregnant Women from Asia in Comparison with Institute of Medicine (IOM) Guidelines-2009: A Systematic Review

Gestational Weight Gain among Healthy Pregnant Women from Asia in Comparison with Institute of Medicine (IOM) Guidelines-2009: A Systematic Review

Influences of Maternal Weight Gain During Pregnancy on Selected Fetal Outcomes

Burden of excessive gestational weight gain and postpartum weight retention among Indian women - A systematic review and meta-analysis

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