Overweight in Pregnancy

Mullins, Ann

doi:10.1016/s0140-6736(60)90059-3

Cited by 16 publications

(5 citation statements)

References 10 publications

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“…Patients eventually referred to our obesity unit have reported average weight retention of about 10 kg, compounded by subsequent pregnancies, and viewed this weight gain as an important cause of their obesity (14). This has been confirmed by other studies (15,16). But although the mean increase in weight after pregnancy is not pronounced, the wide range indicates substantial weight gain in a subset of women.…”

supporting

confidence: 90%

Interrelationships between weight development and weight retention in subsequent pregnancies: the SPAWN study

Linné

Rössner

2003

Acta Obstet Gynecol Scand

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To our knowledge, the SPAWN study is the longest follow-up study of factors affecting weight development after pregnancy. Women overweight before pregnancy did not have any higher risks of postpartum weight retention than normal weight women. Weight gain during pregnancy and weight retention up to 1 year after delivery is of predictive value for the weight development in the second pregnancy. Obviously the environmental variation is an important determinant of the differences in weight increase, which follow a pregnancy. Pregnancies time interval does not seem to be of any importance. There are practical implications of these findings: Women who plan their later pregnancy several years after the first pregnancy have no reason to assume that the weight development during subsequent pregnancies will be worse than before. On the other hand, women who have increased considerably in weight during the first pregnancy or retained weight after delivery have a higher risk of doing so in the subsequent pregnancies and should receive appropriate advise and support.

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supporting

confidence: 90%

Interrelationships between weight development and weight retention in subsequent pregnancies: the SPAWN study

Linné

Rössner

2003

Acta Obstet Gynecol Scand

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“…Nevertheless, the idea that weight gain should be restricted by dieting in order to prevent the onset or development of pre-eclampsia became … an article of faith among obstetricians all over the world. (Hytten, 1979: 461; see also Schwartz, 1990;Stearns, 1997) Health 17(4) By the early 1960s, it was not uncommon for physicians to prescribe pregnant women diet pills to help them keep their weight gain in check or avoid it altogether (see Mullins, 1960;Paul and Martin, 1964;Sands, 1962).…”

Section: Introductionmentioning

confidence: 99%

“…By the early 1960s, it was not uncommon for physicians to prescribe pregnant women diet pills to help them keep their weight gain in check or avoid it altogether (see Mullins, 1960; Paul and Martin, 1964; Sands, 1962).…”

Section: Introductionmentioning

confidence: 99%

Ills from the womb? A critical examination of clinical guidelines for obesity in pregnancy

Jetté

Rail

2012

Health (London)

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In this article, we critically examine the clinical guidelines for obesity in pregnancy put forth by the Society of Obstetricians and Gynaecologists of Canada (SOGC) that are underpinned by the rules of Evidence-Based Medicine (EBM), a system of ranking knowledge that promises to provide unbiased evidence about the effectiveness of treatments. While the SOGC guidelines are intended to direct health practitioners on 'best practice' as they address pregnancy weight gain with clients in the clinical context, we question their usefulness, arguing that despite their commitment to objectivity, they remain mired in cultural biases that stigmatize large female bodies and associates them to 'unfit' mothers.

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“…and in 1978 Bray included pregnancy as one of four potential endocrinological causes in his aetiological classification of obesity. Not surprisingly, overweight mothers often cite pregnancy as the root cause of their obesity (Gurney, 1936;Mullins, 1960;James & Bisdee, 1982;Bradley, 1985;Abraham, 1989;Lean et al 1989;Ohlin & Rossner, 1990), and weight gain during pregnancy has become an increasing concern for women who want to avoid obesity and regain a fashionable, slim figure after they have had children (Baric & MacArthur, 1977;Feigenberg & Schiller, 1977;Orr & Simmons, 1979;Harrison & Hicks, 1983;Palmer et al 1985;Dawes et al 1992;Franko & Walton, 1993). These concerns are exacerbated by the recent guidelines of the United States Institute of Medicine (1990), which recommended higher weight gains during pregnancy than previously (Committee on Maternal Nutrition, 1970; AAP/ ACOG, 1983; see Table 2), and may increase the risk of weight retention postpartum (Abrams, 1993;Keppel & Taffel, 1993;Parker & Abrams, 1993).…”

Section: H E Harris and G T H Ellisonmentioning

confidence: 99%

Do the changes in energy balance that occur during pregnancy predispose parous women to obesity?

Harris

Ellison

1997

Nutr. Res. Rev.

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The aim of this review was to re-assess whether the changes in energy balance that accompany pregnancy predispose parous women to obesity. A number of crosssectional studies have sought to answer this question by examining the relationship between parity and maternal body weight. However, these studies were unable to control for the large number of sociobehavioural confounders that might be responsible for the apparent effect of parity on body weight. Longitudinal studies that examine changes in maternal body weight before and after pregnancy avoid these problems by using each mother as her own control. Nevertheless, these studies have to overcome three methodological constraints: They must obtain an accurate measure of prepregnant body weight, they must give each mother sufficient time to lose any weight retained following delivery, and they must take into account the effect of ageing on maternal weight gain during pregnancy and the follow-up period. More than 90% of the studies reviewed found body weight to be greater after pregnancy than it was before (by 0.2-10.6kg). and previous researchers who have examined the evidence for pregnancy-related weight gains suggest that body weight increases by an average of 0 4 4 4 3 k g following pregnancy. However, only three of the 71 longitudinal studies examined in the present review complied with the three methodological criteria. These studies concluded that mothers gain, on average, 0.9-3.3 kg more weight following pregnancy than nonpregnant controls, and that mean body weight remained 0.4-3.0 kg higher, even after controlling for a number of sociobehavioural confounders. This apparently modest increase in mean maternal body weight for women having one or two children conceals the fact that some mothers experience a substantial increase in body weight and become obese following pregnancy. It remains unclear whether these increases are simply the result of changes in energy metabolism during pregnancy and lactation, or whether they are influenced by inherent changes in lifestyle that accompany pregnancy and motherhood. Understanding the relative importance of these alternatives might help to explain the aetiology of maternal obesity.

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Overweight in Pregnancy

Cited by 16 publications

References 10 publications

Interrelationships between weight development and weight retention in subsequent pregnancies: the SPAWN study

Interrelationships between weight development and weight retention in subsequent pregnancies: the SPAWN study

Ills from the womb? A critical examination of clinical guidelines for obesity in pregnancy

Do the changes in energy balance that occur during pregnancy predispose parous women to obesity?

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