Gestational Weight Gain and Pregnancy Outcomes in Obese Women

Kiel, Deborah; Dodson, Elizabeth A.; Artal, Raúl; Boehmer, Tegan K.; Leet, Terry

doi:10.1097/01.aog.0000278819.17190.87

Cited by 462 publications

(283 citation statements)

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“…The American College of Obstetricians and Gynecologists recommends screening of pregnant and postpartum women for depression, and at least 3 state governments have enacted legislation encourage screening [20][21][22]. We introduced BPn for quantification and measurement of the degree of psychological status of perinatal women.…”

Section: Discussionmentioning

confidence: 99%

Effect of sophrology on perinatal stress monitored by biopyrrin

Suzuki¹,

Isonishi

Morimoto³

et al. 2012

OJOG

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Aim: Few stress markers are available for women in perinatal period. We introduced biopyrrin (BPn) for monitoring the perinatal stress and investigated how the stress could be regulated. Methods: Study patients consisted of 220 full-term pregnant women between 2006 and 2008. Cases were analyzed based on 1) pattern of delivery, the use of pain control (anesthesia) or hypnotics (Sophrology), 2) maternal complications, and 3) habitual smoking or alcohol consumption. Urinary samples were collected from pregnant women before and after delivery, and from newborn babies. Results: The average level of BPn in pregnant women was 2.61 ± 0.25 U/g·Creatinin (Cre) (Mean ± SE). This is significantly higher than age-matched nonpregnant women (0.79 ± 0.24 U/g·Cre). After normal delivery, BPn was significantly elevated to 5.29 ± 0.57 U/g·Cre (p < 0.001). BPn decreased significantly to 3.41 ± 0.51 U/g·Cre in sophrology assisted delivery and 4.87 ± 0.53 U/g·Cre under epidural anesthesia (p < 0.05), while delivery induction elevated BPn (11.62 ± 1.95 U/g·Cre). Conclusions: BPn might be an excellent indicator for monitoring perinatal stress. Significant decrease of BPn in sophrology-assisted delivery suggests that the technique should be useful for the relief of perinatal stress.

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Section: Discussionmentioning

confidence: 99%

Effect of sophrology on perinatal stress monitored by biopyrrin

Suzuki¹,

Isonishi

Morimoto³

et al. 2012

OJOG

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“…It is well known that inadequate weight gain as well as excessive weight during pregnancy has a profound negative impact on maternal and newborn health (Crane et al 2009, Choi et al 2011, Chung et al 2013, Drehmer et al 2013) and may reduce in this way female reproductive success dramatically. Inadequate gestational weight gain mainly results in small for gestational age newborns (Johansson et al 2007, Kiel et al 2007, Han et al 2011, Jeric et al 2013, and consequently with increased newborn morbidity and mortality (Savitz et al 2011). Excessive gestational weight gain in contrast, has been associated with increased rates of pregnancy complications such as large for gestational age newborns, preeclampsia, gestational diabetes, gestational hypertension, increased rates of caesarean sections, but also long term effects such as increased rates of obesity among mothers and offspring (Rössner 1997, Gunderson & Abrams 2000, Kac et al 2004, Cedergren 2006, Kabali & Werler 2007, Wrotinak et al 2008, Chung et al 2013, Hill et al 2013.…”

Section: Introductionmentioning

confidence: 99%

Determinants of gestational weight gain with special respect to maternal stature height and its consequences for newborn vital parameters

Kirchengast

Hartmann

2013

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An appropriate gestational weight gain is an essential factor of female reproductive success because gestational weight gain influences newborn size but also maternal and infant morbidity and mortality. This paper aims to analyze the impact of maternal somatic factors, first of all maternal stature height, on gestational weight gain. Additionally the effect of gestational weight gain and other maternal somatic factors on newborn size was tested. In the present study the data of 12,661 term birth which have taken place in Vienna, Austria were analyzed. Maternal and newborn somatometric features such as prepregnancy weight status, maternal stature height, birth weight, birth length and head circumference were included. Nearly 65% of the women gained appropriate weight during pregnancy. About 20% showed an excessive, less than 15% an inappropriate gestational weight gain. Gestational weight gain was influenced significantly by prepregnancy weight status, maternal stature height, maternal age, but also nicotine consumption during pregnancy. A significant association between gestational weight gain and newborn somatometrics could be stated. It could be shown that gestational weight gain is influenced by several maternal somatic but also behavioral factors. Newborn size is associated with gestational weight gain.

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“…In zahlreichen populationsbasierten Studien konnten sowohl der prägravide Körpermasseindex ("body mass index", BMI) als auch die Gewichtsakkumulation in graviditate als die entscheidenden Determinanten einer erhöhten fetomaternalen Morbidität und Mortalität herausgestellt werden [7,18,22]. Frauen im reproduktiven Alter tragen innerhalb eines Zehnjahresintervalls ein doppelt so hohes Risiko für eine deutliche Gewichtszunahme wie Männer gleichen Alters [42].…”

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“…[14]. In der Folgezeit ist um die Wertigkeit dieser Richtlinien hinsichtlich tatsächlich verbesserter perinataler Outcome-Parameter eine kontrovers geführ-te Diskussion entbrannt [5,18].…”

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“…Vergleichbare Daten für die Gewichtszu nahme übergewichti-ger Schwangerer lassen sich der Geburtenstatistik von Missouri/USA entnehmen[21]. Nehmen übergewichtige und adipöse Frauen bis zu Geburt weniger als die empfohlenen 6,8 kg zu, ließ sich dagegen ein signifikant gemindertes Risiko für eben diese Komplikationen feststellen[18].Von besonderem Interesse sind in diesem Kontext zwei aktuelle Studien. Ludwig u. Currie[26] konnten anhand von mehr als 500.000 Frauen (und deren mehr als 1,16 Mio.…”

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