Associations between Gestational Weight Gain Adequacy and Neonatal Outcomes in Tanzania

Perumal, Nandita; Wang, Dongqing; Darling, Anne Marie; Wang, Molin; Liu, Enju; Urassa, Willy; Pembe, Andrea B.; Fawzi, Wafaie W.

doi:10.1159/000522197

Cited by 6 publications

(5 citation statements)

References 35 publications

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“…Compared to the adequate GWG group, the severely inadequate GWG population had higher risk of IUGR (OR 1.27; CI 95% 1.06-1.52) and LBW (OR 1.64; CI 95% 1.24-2.16), along with the inadequate GWG (LBW-OR 1.17; CI 95% 0.87-1.57/IURG-OR 1.2; CI 95% 1.0-1.43). Contrarily, the population with excessive GWG (18%), had a higher prevalence of macrosomia (OR 1.52; CI 95% 1.0-2.31), showing the same pattern found in our study (Figure 1) [28].…”

Section: Discussionsupporting

confidence: 88%

Impact of Pre-Gestational BMI and Gestational Weight Gain on Fetal Development Outcomes in Adolescent Pregnant Women

Grobeisen-Duque,

Villavicencio-Carrisoza,

Mora-Vargas

et al. 2024

JCM

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Background. Gestational weight gain (GWG) constitutes an essential aspect of the gestational process. Due to factors such as pregestational body mass index (BMI), nutritional intake, level of physical activity, and psychological aspects, the recommended GWG may not be achieved, leading to adverse neonatal outcomes. Adolescents, due to their physiological and mental developmental stage, are at a higher risk of inappropriate GWG. Our aim is to highlight the importance of GWG in our population and to determine the correlation with perinatal outcomes. Methods. Pregnant adolescents who attended a tertiary care institution for prenatal care were included; maternal data such as preBMI and GWG were used to determine maternal and neonatal outcomes using the chi-square test and OR determination. Results. A total of 202 adolescent pregnant patients were included, comprising those with inadequate GWG (n = 70), adequate GWG (n = 85), and excessive GWG (n = 47). A statistically significant association was found between low BMI and inadequate GWG. Patients with inadequate GWG demonstrated a correlation with IUGR and low birth weight, while patients with excessive GWG gave birth to macrosomic neonates. Conclusion. We concluded that previous habits play a significant role in determining weight gain throughout pregnancy. GWG has a direct impact on neonatal growth and development.

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Section: Discussionsupporting

confidence: 88%

Impact of Pre-Gestational BMI and Gestational Weight Gain on Fetal Development Outcomes in Adolescent Pregnant Women

Grobeisen-Duque,

Villavicencio-Carrisoza,

Mora-Vargas

et al. 2024

JCM

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“…However, these findings relate to gestational weight gain only in the 3 rd trimester of gestation, whereas in the current study, gestational weight gain was obtained from 1 st to 3 rd trimester of gestation. It seems possible that inadequate gestational weight gain may be reflective of nutritional deficiencies particularly during early gestation, which could affect plasma volume expansion and maternal tissue development to support the foetus to term, resulting to preterm delivery [ 39 , 40 ]. Indeed, preterm delivery poses major health complications to babies and increases the risk of neonatal and infant mortality.…”

Section: Discussionmentioning

confidence: 99%

Association between Gestational Weight Gain and Maternal and Birth Outcomes in Northern Ghana

Niyi,

Li,

Zumah

2024

BioMed Research International

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Background. Although inappropriate gestational weight gain is considered closely related to adverse maternal and birth outcomes globally, little evidence was found in low- and middle-income countries. Study Objectives. This study is aimed at identifying the determinants of gestational weight gain and examine the association between gestational weight gain and maternal and birth outcomes in the Northern Region of Ghana. Study Methods. The study used a facility-based cross-sectional study design involving 611 antenatal and delivery records in Tatale district, Tamale west, and Gushegu municipal hospitals. A two-stage sampling method involving cluster and simple random sampling was employed. Descriptive statistical analysis and measures of central tendency were used to describe the sample. The multinomial logistic regression model was used to determine the determinants of gestational weight gain and its association with maternal and birth outcomes. Results. Among the 611 women included in the study, 516 (84.45%) had inadequate gestational weight gain, and 19 (3.11%) had excessive gestational weight gain. The gestational weight gain ranged from 2 kg to 25 kg with a mean of 7.26±3.70 kg. The risk factor for inadequate gestational weight gain was low prepregnancy BMI (adjusted odds ratio AOR=1.33, 95% CI=1.18−2.57, P=0.002). Pregnant women who had inadequate gestational weight gain were significantly less likely to deliver through caesarean section (AOR=0.27, 95% CI=0.12−0.61, P=0.002), and those who had excessive weight gain were more likely to undergo caesarean section (AOR=19.81, 95% CI=5.38−72.91, P=0.001). The odds of premature delivery (birth<37 weeks) among pregnant women with inadequate weight gain were 2.88 (95% CI=1.27−6.50, P=0.011). Furthermore, subjects who had excessive weight gain were 43.80 times more likely to give birth to babies with macrosomia (95% CI=7.07−271.23, P=0.001). Conclusion. Inappropriate gestational weight gain is prevalent in Ghana, which is associated with caesarean section, preterm delivery, delivery complications, and macrosomia. Urgent policy interventions are needed to improve on the frequent monitoring and management of gestational weight gain of pregnant women till term.

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“…Previous studies have shown that the risk of post-term birth increase with increasing maternal BMI [ 26 ]. We overthrew the systematic review and meta-analyses focused on GWG and infant outcomes, while few pieces of evidence mentioned post-term birth [ 7 , 27 , 28 ]. In the present study, we found that inadequate GWG was associated with a higher risk of post-term birth among mothers with normal weight.…”

Section: Discussionmentioning

confidence: 99%

Associations between gestational weight gain under different guidelines and adverse birth outcomes: A secondary analysis of a randomized controlled trial in rural western China

Zhu,

Wang,

et al. 2024

PLOS Glob Public Health

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Several gestational weight gain (GWG) guidelines have been established based on monocenter or multicenter researches. We aimed to examine the associations between categories of GWG under the Institute of Medicine (IOM) recommendation guideline, the Chinese National Health Commission (NHC) guideline, and weight-gain-for-gestational-age z-scores derived from the INTERGROWTH-21st Project and adverse birth outcomes. We used data from an antenatal micronutrient supplementation trial in rural western China between 2002 and 2006. Maternal weekly average GWG during the second and third trimesters was calculated and classified into inadequate, adequate and excessive GWG according to the IOM and NHC, respectively. Weight-gain-for-gestational-age z-scores derived from the INTERGROWTH-21st Project were grouped into three subgroups using two approaches: z-score percentile<25th, 25th to 75th, >75th and z-score <-1, -1 to 1, >1 SD. Infant birth weight and gestational age were measured using standard approaches. Generalized linear model with binomial family and logit link was applied to estimate the odds ratio (OR) and 95% confidential intervals (CI) for GWG categories and adverse birth outcomes. Among 1,239 women with normal weight (18.5 kg/m2 to 23.9 kg/m2) during early pregnancy, 18.0% and 34.2% were classified as adequate GWG according to IOM and NHC, respectively. Less than half of Chinese women reached optimal GWG by any recommendation guideline. According to NHC, excessive GWG showed a significant association with macrosomia (OR 3.75, 95% CI 1.03, 13.74), large-for-gestation-age (LGA) (OR 2.12, 95% CI 1.01, 4.45), and inadequate GWG was associated with post-term birth (OR 2.25, 95% CI 1.21, 4.16), compared with adequate GWG. Inappropriate GWG was associated with adverse birth outcomes even among women with normal weight during early pregnancy. The monitoring and interventions of weight status during pregnancy, especially for the second and third trimesters, are of great public health importance for optimal birth outcomes. Additionally, developing guideline of appropriate GWG ranges should account for the traits of regional population.

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Associations between Gestational Weight Gain Adequacy and Neonatal Outcomes in Tanzania

Cited by 6 publications

References 35 publications

Impact of Pre-Gestational BMI and Gestational Weight Gain on Fetal Development Outcomes in Adolescent Pregnant Women

Impact of Pre-Gestational BMI and Gestational Weight Gain on Fetal Development Outcomes in Adolescent Pregnant Women

Association between Gestational Weight Gain and Maternal and Birth Outcomes in Northern Ghana

Associations between gestational weight gain under different guidelines and adverse birth outcomes: A secondary analysis of a randomized controlled trial in rural western China

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