Mode of first delivery and postpartum weight retention at 1 year

Legro, Nicole R.; Lehman, Erik; Kjerulff, Kristen H.

doi:10.1016/j.orcp.2020.04.009

Cited by 8 publications

(24 citation statements)

References 27 publications

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“…Means, SDs, and percentages for the demographic variables were examined across the total sample as well as by the pre-pregnancy BMI categories (Table 1). Based on past research, 44,45 it has been suggested that sociodemographic characteristics (ie, marital status, age, race, education, income) and mode of delivery (ie, caesarean vs vaginal) should be adjusted for in PPWR models. Therefore, all analyses were run unadjusted and adjusted for marital status, age, race, education, income, and mode of delivery.…”

Section: Resultsmentioning

confidence: 99%

Influence of prenatal perceived stress on postpartum weight retention is mediated by high gestational weight gain in women with overweight

et al. 2021

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Women with excessive gestational weight gain (GWG) are at risk for poor psychosocial well-being and postpartum weight retention (PPWR). Scant research has examined longitudinal interrelations of GWG, psychosocial factors, and PPWR. This study examined: (a) pre-pregnancy weight status (ie, normal, overweight, obesity) differences in PPWR and its psychosocial determinants (perceived social support, perceived stress, depression) in women with excessive GWG (ie, above 2009 Institute of Medicine guidelines); and (b) whether GWG mediated associations between psychosocial determinants and PPWR. Women (N = 1352) reported third trimester perceived social support, perceived stress, and depressive symptoms, GWG, and 6-and 12-month PPWR via telephone interviews. Multivariate ANOVA analyses showed women with normal weight had higher 6-month PPWR than women with obesity; univariate ANOVA showed no group differences in psychosocial factors. Hayes mediation analyses indicated that GWG mediated the association between perceived stress and PPWR in women with overweight but not women with normal weight or obesity; perceived stress predicted GWG, and in turn, PPWR. Prenatal perceived stress may be a modifiable target of GWG and PPWR. Future research is needed to examine the utility of tailoring perinatal weight regulation interventions to reduce perceived stress in pregnant women with overweight.

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Section: Resultsmentioning

confidence: 99%

Influence of prenatal perceived stress on postpartum weight retention is mediated by high gestational weight gain in women with overweight

et al. 2021

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“…The findings from our study also revealed that postpartum BMI did not differ between the two groups. By contrast, Legro et al showed that CS was associated with an increased risk of weight retention at 1‐year post‐delivery 16 . This inconsistency might be due to the differences in the number of samples.…”

Section: Discussionmentioning

confidence: 93%

“…In most women, BMI increases in between pregnancies 15 Recent studies have shown that delivery mode can act as a risk factor for increasing postpartum BMI. Legro et al demonstrated that CS was associated with an increased risk of weight retention at 1‐year post‐delivery 16 …”

Section: Introductionmentioning

confidence: 99%

Maternal serum adiponectin and leptin levels and their gene expression, postpartum body mass index, and breastfeeding duration based on mode of delivery: A prospective study

Parvanehvar

Tehranian

Kazemnejad

et al. 2022

J of Obstet and Gynaecol

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Background: Adipokines are involved in inflammatory responses, associated with body mass index whose concentrations may change in response to inflammatory conditions, including surgery and delivery. We examined adiponectin and leptin levels and their gene expression at birth, body mass index, and breastfeeding duration at 24 months postpartum according to mode of delivery. Methods: In this study, 90 normal pregnant women were investigated. Blood samples were collected after delivery. Serum levels and gene expression of adiponectin and leptin were evaluated. Body mass index and breastfeeding duration were calculated at 24 months postpartum. Data were analyzed using SPSS-16 and p < 0.05 was considered as significant.Results: Serum leptin level was significantly higher in vaginal delivery than in cesarean section (p = 0.033). No significant difference was found between two groups regarding adiponectin level and gene expression, while leptin gene expression was significantly higher in cesarean (p = 0.005). Postpartum body mass index did not differ between the two groups (p = 0.14). On the other hand, postpartum body mass index was significantly higher than the equivalent prepregnancy index in both groups (p < 0.001) and was associated with serum leptin and adiponectin in vaginal delivery (r = 0.46, p = 0.001, and r = À0.3, p = 0.04, respectively). The duration of breastfeeding was longer in vaginal delivery (p = 0.008). Conclusion: Cesarean section was associated with lower maternal leptin levels and shorter breast-feeding duration compared to vaginal delivery. Leptin gene expression was significantly higher in cesarean section than in vaginal delivery. Postpartum body mass index, adiponectin level, and gene expression did not differ between the two groups.

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“…Mode of delivery have been also associated with relevant health outcomes on mothers during post-partum period which could also affected the neonate during this time. Very little studies have described the relation between mode of delivery and postpartum weight retention (PPWR) [233][234][235][236]. In two of them, the authors did not find any differences in weight change after delivery according to delivery mode [234,235]; however, both were retrospective in design.…”

Section: Delivery Modementioning

confidence: 98%

“…In two of them, the authors did not find any differences in weight change after delivery according to delivery mode [234,235]; however, both were retrospective in design. In one of them, the authors described that mothers who undergone a C-section showed higher PPWR at 1-year after delivery even after controlling for relevant covariates including maternal age, education, exercise levels, breastfeeding duration, pre-gestational BMI and gestational weight, among others [236]. Any of these studies were focused on the possible role of microbiota shifts associated with delivery mode in these observations, and the it remains totally unexplored, despite of the extensive literature that showed the relation between body weight and gut microbiota [237]…”

Section: Delivery Modementioning

confidence: 99%

Impact of perinatal factors on the maternal- neonatal microbiota and influence on health outcomes

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Mode of first delivery and postpartum weight retention at 1 year

Cited by 8 publications

References 27 publications

Influence of prenatal perceived stress on postpartum weight retention is mediated by high gestational weight gain in women with overweight

Influence of prenatal perceived stress on postpartum weight retention is mediated by high gestational weight gain in women with overweight

Maternal serum adiponectin and leptin levels and their gene expression, postpartum body mass index, and breastfeeding duration based on mode of delivery: A prospective study

Impact of perinatal factors on the maternal- neonatal microbiota and influence on health outcomes

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