Gestational Weight Gain and Maternal and Neonatal Outcomes in Underweight Pregnant Women: A Population-Based Historical Cohort Study

被引:5
作者
Gavard, Jeffrey A. [1 ]
机构
[1] St Louis Univ, Dept Obstet Gynecol & Womens Hlth, Sch Med, 6420 Clayton Rd,Suite 290, St Louis, MO 63117 USA
关键词
Gestational weight gain; Maternal outcomes; Neonatal outcomes; Underweight; BIRTH-WEIGHT; PREPREGNANCY UNDERWEIGHT; RISK-FACTORS; AGE; PRETERM; GROWTH;
D O I
10.1007/s10995-016-2220-9
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective Limited data are available that estimate the effect of gestational weight gain on maternal and neonatal outcomes in underweight women according to revised 2009 Institute of Medicine (IOM) guidelines. Methods A population-based historical cohort study of 21,674 underweight women in Missouri delivering liveborn, singleton, term infants in 2002-2008 was conducted. Adjusted odds ratios were calculated for gestational weight gain categories with multiple logistic regression, using the 2009 IOM recommended 28-40 pounds as the reference group. Results Women gaining > 40 pounds compared to women gaining 28-40 pounds had significantly higher odds for preeclampsia (aOR 1.94, 95% CI 1.56-2.42, p < 0.001), cesarean delivery (aOR 1.40, 95% CI 1.28-1.53, p < 0.001), large-for-gestational-age (LGA) infant (aOR 2.32, 95% CI 2.00-2.70, p < 0.001), and 1 min APGAR score < 4 (aOR 1.36, 95% CI 1.01-1.83, p < 0.05) and significantly lower odds for small-for-gestational-age (SGA) infant (aOR 0.53, 95% CI 0.48-0.59, p < 0.001). Women gaining < 28 pounds compared to women gaining 28-40 pounds had significantly higher odds for SGA infant (aOR 1.85, 95% CI 1.69-2.03, p < 0.001) and significantly lower odds for preeclampsia (aOR 0.72, 95% CI 0.53-0.96, p < 0.05) and LGA infant (aOR 0.50, 95% CI 0.39-0.63, p < 0.001). Conclusion Women gaining more than the IOM recommendation were at higher risk for many adverse outcomes, but at lower risk for SGA infants. Women gaining less than the IOM recommendation were at higher risk for SGA infants but were protective for preeclampsia and LGA infants. Prospective studies of other short- and long-term maternal/infant outcomes are needed to evaluate the efficacy of the IOM guideline.
引用
收藏
页码:1203 / 1210
页数:8
相关论文
共 50 条
[41]   Predictors of antepartum maternal sepsis and effects on neonatal outcomes: a population-based cohort study [J].
Ozarslan, Nida ;
Gaw, Stephanie L. ;
Cassidy, Arianna G. ;
Caughey, Aaron B. .
JOURNAL OF PERINATOLOGY, 2023, 43 (06) :752-757
[42]   Suggested Gestational Weight Gain for Chinese Women and Comparison with Institute of Medicine Criteria: A Large Population-Based Study [J].
Zheng, Wei ;
Huang, Wenyu ;
Zhang, Li ;
Tian, Zhihong ;
Yan, Qi ;
Wang, Teng ;
Li, Guanghui ;
Zhang, Weiyuan .
OBESITY FACTS, 2021, 14 (01) :1-9
[43]   Меtformin-associated maternal and neonatal outcomes in women with gestational diabetes - a retrospective cohort study [J].
Yanachkova, Vesselina Evtimova ;
Staynova, Radiana ;
Stoev, Svetoslav ;
Kamenov, Zdravko .
GINEKOLOGIA POLSKA, 2024, 95 (04) :259-265
[44]   Maternal and neonatal outcomes after induction of labor: a population-based study [J].
Christoph Zenzmaier ;
Hermann Leitner ;
Christoph Brezinka ;
Willi Oberaigner ;
Martina König-Bachmann .
Archives of Gynecology and Obstetrics, 2017, 295 :1175-1183
[45]   Association between gestational weight gain and pregnancy outcomes in a Singaporean population: A prospective cohort study [J].
He, Song ;
Allen, John Carson ;
Razali, Nurul Syaza ;
Chern, Bernard Su Min ;
Tan, Kok Hian .
EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 2022, 272 :160-165
[46]   Gestational weight gain rates in the first and second trimesters are associated with small for gestational age among underweight women: a prospective birth cohort study [J].
Xueling Wei ;
Songying Shen ;
Peiyuan Huang ;
Xiong Xiao ;
Shanshan Lin ;
Lifang Zhang ;
Chengrui Wang ;
Min-Shan Lu ;
Jinhua Lu ;
Wing Hung Tam ;
Chi Chiu Wang ;
Jian-Rong He ;
Xiu Qiu .
BMC Pregnancy and Childbirth, 22
[47]   Impact of maternal body mass index and gestational weight gain on maternal and neonatal outcomes in twin pregnancies [J].
Schubert, Julia ;
Timmesfeld, Nina ;
Noever, Kathrin ;
Behnam, Susann ;
Vinturache, Angela ;
Arabin, Birgit .
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 2023, 102 (02) :181-189
[48]   Postnatal growth outcomes and influence of maternal gestational weight gain: a prospective cohort study in rural Vietnam [J].
Hanieh, Sarah ;
Ha, Tran T. ;
Simpson, Julie A. ;
Thuy, Tran T. ;
Khuong, Nguyen C. ;
Thoang, Dang D. ;
Tran, Thach D. ;
Tran Tuan ;
Fisher, Jane ;
Biggs, Beverley-Ann .
BMC PREGNANCY AND CHILDBIRTH, 2014, 14
[49]   Maternal pre-pregnancy and gestational diabetes, obesity, gestational weight gain, and risk of cancer in young children: a population-based study in California [J].
Zuelma A. Contreras ;
Beate Ritz ;
Jasveer Virk ;
Myles Cockburn ;
Julia E. Heck .
Cancer Causes & Control, 2016, 27 :1273-1285
[50]   Comparison of the 2009 Institute of Medicine and 2021 Chinese guidelines for gestational weight gain: A retrospective population-based cohort study [J].
Gong, Xiaoli ;
Wu, Tianchen ;
Zhang, Lizhen ;
You, Yiping ;
Wei, Hongwei ;
Zuo, Xifang ;
Zhou, Ying ;
Xing, Xinli ;
Meng, Zhaoyan ;
Lv, Qi ;
Liu, Zhaodong ;
Zhang, Jian ;
Hu, Liyan ;
Li, Junnan ;
Li, Li ;
Chen, Chulin ;
Liu, Chunyan ;
Sun, Guoqiang ;
Liu, Aiju ;
Lv, Yuan ;
Zhao, Yangyu ;
Chen, Jingsi ;
Wei, Yuan .
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2023, 162 (03) :1033-1041