The Effect of Gestational Weight Gain by Body Mass Index on Maternal and Neonatal Outcomes

Crane, Joan; White, Joanne; Murphy, Phil; Burrage, Lorraine; Hutchens, Donna

doi:10.1016/s1701-2163(16)34050-6

Cited by 317 publications

(243 citation statements)

References 15 publications

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“…The more weight women gain during pregnancy, the more weight they are likely to retain post-natally [6] and crucially, gestational weight gain has been found to be the most consistent predictor of post-natal weight retention [7]. In addition, excessive weight gain (that is more weight gained than recommended based on the woman's pre-pregnancy weight status as stated by the American Institute of Medicine, [8]) can increase the mother's risk of preeclampsia, risk of delivering by caesarean section and of giving birth to a large-for-gestational age baby [9,10]. Importantly, these risks are similar for women in all pre-pregnancy weight categories [9].…”

Section: Introductionmentioning

confidence: 99%

The views of pre- and post-natal women and health professionals regarding gestational weight gain: An exploratory study

Olander

Atkinson

Edmunds

et al. 2011

Sexual & Reproductive Healthcare

110

149

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. (2011). The views of pre-and post-natal women and health professionals regarding gestational weight gain: an exploratory study. Sexual & Reproductive Healthcare, 2(1), pp. 43-48. doi: 10.1016/j.srhc.2010.10.004 This is the unspecified version of the paper.This version of the publication may differ from the final published version. Permanent Study DesignIn total, five focus groups were conducted with pregnant women (n=9), post-natal women (n=14) and health professionals (including midwives, n=7). The focus groups were transcribed verbatim and analysed thematically. Main Outcome MeasuresThe women's views regarding weight gain in pregnancy and what the health professionals' thoughts were concerning the current provision of care they provide to their patients regarding gestational weight gain. ResultsThe women expressed a lack of concern regarding their weight in pregnancy, and reported not receiving any information regarding what constitutes healthy gestational weight gain. The pregnant women reported not monitoring their weight and assumed they would lose weight post-natally through breastfeeding. The health professionals reported being aware of the women's beliefs, however lacked information to give to the women relating to healthy weight gain. ConclusionsIt is likely that the women lacked concern and knowledge regarding gestational weight gain due to not receiving information from their midwives and other health professionals regarding this issue. The health professionals were in turn unsure of what to advise women regarding appropriate gestational weight gain. By ensuring midwives and other health professionals have the knowledge and skills to discuss weight with pregnant women, the women in turn may be more motivated and confident in maintaining a healthy weight at this time.3

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Section: Introductionmentioning

confidence: 99%

The views of pre- and post-natal women and health professionals regarding gestational weight gain: An exploratory study

Olander

Atkinson

Edmunds

et al. 2011

Sexual & Reproductive Healthcare

110

149

View full text Add to dashboard Cite

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“…Three studies have reported that the weight gain exceeded more than the recommended range for over 50% of mothers. [11][12][13] Excessive gestational weight gain too results in both maternal and fetal adverse pregnancy outcomes and delivery complications. Children of mothers who gained more than the recommended weight gain had a greater risk of being overweight at seven years of age 14,15 than for children of mothers who met the weight gain recommendations.…”

Section: Introductionmentioning

confidence: 99%

“…14 The effects of gestational weight gain on pregnancy outcome depend on the woman's pre-pregnancy body mass index (BMI). 16 The Institute of Medicine (IOM) released new guidelines 17 for gestational weight gain in 2009 which is shown in Table 1. According to these, optimal levels for gestational weight gain were based on the maternal BMI status.…”

Section: Introductionmentioning

confidence: 99%

Body mass index and gestational weight gain in two selected Medical Officer of Health areas in the Gampaha District

Abeysena

Jayawardana

2011

J Coll Community Phys Sri Lanka

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Objective:To describe gestational weight gain pattern according to the body mass index (BMI) categories. Methods:This is a descriptive study conducted in two Medical Officer of Health areas of the Gampaha District. Pregnant women were recruited on or before 16 weeks of gestation and followed up until delivery. Maternal weight was measured at the booking visit, during the second trimester and at delivery. Inadequate and excessive weight gain were defined as weight gain below and above the Institute of Medicine (IOM) 2009 recommendations for the BMI categories as well as Ministry of Health (MoH) recommendations. Results:Two hundred and forty seven (30%) of the women were underweight, 432(52%) were normal weight and 131(18%) overweight and obese. According to the Asian BMI classification, 338(41 %) were normal weight and 225(29%) were overweight and obese. Total mean weight gain for the sample was 10.6(SD 3.3) kg and mean rate of gestational weight gain was 0.27(SD 0.08) kg/week. Mean weight gain during second trimester was 6.7(SD 2.7) kg and during third trimester 3.9(SD 2.2) kg. Mean gestational weight gain and rate of weight gain per week was higher among underweight women. Of the 710, 404(57%) women gained less and 62(8.7%) more weight, than recommended by the IOM, whereas 108(15%) gained more weight by MoH standards. Conclusions:One third of the women were underweight and mean gestational weight gain and rate of weight gain per week were higher amongst them. More than half of the women gained less weight than recommended.

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“…Although many studies emphasize excessive weight gain as an issue that requires immediate attention in the prenatal services (3)(4)(8)(9)11,(17)(18) , the finding that a high percentage of pregnant women presented insufficient weight gain (36.4%) is also disturbing, a situation that is associated with increased risk of premature birth and low birth weight (4,20) . These findings reinforce the importance of nutritional monitoring in the prenatal period, which should focus on modifiable variables, such as weight gain and the diet, and benefits women at risk of both excessive and insufficient weight gain (21) , through the monitoring of weight gain and guidance on healthy eating practices (1) .…”

Section: Discussionmentioning

confidence: 99%

“…Among these outcomes low birth weight, macrosomia, preterm birth, cesarean and maternal diabetes and hypertension are prominent (3)(4) . Furthermore, in addition to the increased risk of perinatal complications, inadequate nutrition during the fetal period is also associated with disease in adulthood (5) .…”

Section: Introductionmentioning

confidence: 99%

Nutritional status and weight gain in pregnant women

Sato

Fujimori

2012

Rev. Latino-Am. Enfermagem

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Original ArticleThis study described the nutritional status of 228 pregnant women and the influence of this on birth weight. This is a retrospective study, developed in a health center in the municipality of São Paulo, with data obtained from medical records. Linear regression analysis was carried out. An association was verified between the initial and final nutritional status (p<0.001). The mean of total weight gain in the pregnant women who began the pregnancy underweight was higher compared those who started overweight/obese (p=0.005). Weight gain was insufficient for 43.4% of the pregnant women with adequate initial weight and for 36.4% of all the pregnant women studied. However, 37.1% of those who began the pregnancy overweight/obese finished with excessive weight gain, a condition that ultimately affected almost a quarter of the pregnant women. Anemia and low birth weight were uncommon, however, in the linear regression analysis, birth weight was associated with weight gain (p<0.05). The study highlights the importance of nutritional care before and during pregnancy to promote maternal-infant health.Descriptors: Nutrition Assessment; Weight Gain; Maternal Nutrition; Prenatal Care; Birth Weight.www.eerp.usp.br/rlae 463Estado nutricional e ganho de peso de gestantes Caracterizou-se estado nutricional de 228 gestantes e sua influência no peso ao nascer. Trata-se de estudo retrospectivo desenvolvido num centro de saúde do município de São Paulo, com dados obtidos de prontuários. Realizou-se análise de regressão linear. Verificouse associação entre estado nutricional inicial e final (p<0,001). A média de ganho total de peso diminuiu das gestantes que iniciaram a gravidez com baixo peso para aquelas que iniciaram com sobrepeso/obesidade (p=0,005), sendo insuficiente para 43,4 e 36,4% das gestantes com peso inicial adequado e para o total das gestantes estudadas, respectivamente. Entretanto, 37,1% daquelas que iniciaram a gravidez com sobrepeso/ obesidade finalizaram com ganho excessivo, condição que, no final, afetou quase um quarto das gestantes. Anemia e baixo peso ao nascer foram pouco frequentes, porém, na análise de regressão linear, peso ao nascer associou-se com ganho de peso (p<0,05). Evidencia-se a importância do cuidado nutricional antes e durante a gravidez, para promoção da saúde materno-infantil.Descritores: Avaliação Nutricional; Ganho de Peso; Nutrição Materna; Cuidado Pré-Natal; Peso ao Nascer. Estado nutricional y aumento de peso en la mujer embarazadaEstado nutricional de 228 embarazadas y su influencia en el peso al nacer fue caracterizado.Estudio desarrollado en centro de salud de São Paulo con datos obtenidos de registros médicos. Análisis de regresión lineal fue realizado. Se verificó asociación entre estado nutricional inicial y final (p<0,001). La media del aumento total de peso disminuyó de las mujeres que iniciaran el embarazo con bajo peso para las que comenzaron con sobrepeso/ obesidad (p=0,005), siendo insuficiente para 43,4% y 36,4% de embarazadas con peso adecuado inicial y para e...

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The Effect of Gestational Weight Gain by Body Mass Index on Maternal and Neonatal Outcomes

Cited by 317 publications

References 15 publications

The views of pre- and post-natal women and health professionals regarding gestational weight gain: An exploratory study

The views of pre- and post-natal women and health professionals regarding gestational weight gain: An exploratory study

Body mass index and gestational weight gain in two selected Medical Officer of Health areas in the Gampaha District

Nutritional status and weight gain in pregnant women

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