Early Weight Gain during Pregnancy: Which Women are the Most Affected?

Abstract

Maternal weight gain during pregnancy is a good prediction tool in short and long term health of pregnant women and their children. To study the effect of early weight gain of pregnant women until the end of the 2 nd trimester of pregnancy, depending on their pre-pregnancy body mass index. 116 healthy pregnant women were followed until the 2 nd trimester of pregnancy, their weight and height before pregnancy, as well as the current weight at the end of the 1 st and 2 nd trimesters were collected. Data included age, parity, eating habits and physical activity level. Statistics were performed using the Statview software. The mean pre-pregnancy BMI was 27 ± 5.27 kg/m². Weight gain in the 2 nd trimester is 6.33 ± 4.84 kg. It decreases with the increasing age of the mother (25% of women between 20 and 24.9 years vs 12.5% of more than 35). Also, it decreases with the increasing number of children (62.5% in nulliparous vs 25% in multiparous). Breakfast is skipped by 64.5 % of overweight pregnant women in the 1st trimester and 90 % in the 2 nd one. 80.17% and 69.83% of pregnant women do not practice any physical activity. Overweight and obese pregnant women before pregnancy do not take enough weight during pregnancy. Prospects will to analyze behaviors related to health and social status. Keyword:First and second trimester Pregnancy pre-pregnancy BMI Weight gain Health and social status

Exploring the impact of maternal nutritional status on the compositional profile of mid-trimester biofluids

“…According to very recent literature data, pre-pregnancy obesity is associated not only with an increased risk of pregnancy complications, such as gestational diabetes, pregnancyinduced hypertension, preeclampsia, and miscarriages (Lacerda et al, 2014;Lim and Mahmood, 2015;Santangeli et al, 2015;Shin et al, 2015;Thanoon et al, 2015;Ayensu et al, 2016;Bjorke-Monsen et al, 2016;Enomoto et al, 2016;Hung and Hsieh, 2016;Jebeile et al, 2016;Pan et al, 2016Tebbani et al,2016), but also with adverse pregnancy outcomes including ceasarean section, preterm delivery, post-term delivery, fetal and infant deaths, congenital anomalies, and LGA infant delivery (Yazdani et al, 2012;Lacerda et al, 2014;Shin et al, 2015;Woolner et al, 2015;Ayensu et al, 2016;Bjorke-Monsen et al, 2016;Enomoto et al, 2016;Hung and Hsieh, 2016;Jacob et al, 2016;Jebeile et al, 2016;Pan et al, 2016;Pongcharoen et al, 2016;Tebbani et al, 2016;Zhang et al, 2017).…”

“…Apart from pre-pregnancy BMI, maternal gestational weight gain (GWG) is, also, an issue of paramount importance, given that increased rates of pregnancy complications and adverse outcomes (Lacerda et al, 2014;Merkx et al, 2015;Tielemans et al, 2015;Ayensu et al, 2016;Diemert et al, 2016;Enomoto et al, 2016;Hung and Hsieh, 2016;Ponpegcharoen et al, 2016;Tebbani et al, 2016;Papazian et al, 2017) may arise from excessive GWG.…”

“…Interestingly, excessive GWG may, also, (a) result in maternal weight retention (Shin et al, 2015;Tielemans 2015;Diemert et al, 2016;Tebbani et al, 2016) and abdominal adiposity (Diemert et al, 2016) -conditions that may determine a women's lifetime risk for cardiovascular disease (Diemert et al, 2016) -, and (b) be linked to childhood obesity (Merkx et al, 2015;Diemert et al, 2016;Jebeile et al, 2016;Tebbani et al, 2016), a potential risk factor for chronic diseases in later life (Sahoo et al, 2015;Tielemans et al, 2015;Aris et al, 2017;Uzogara 2017). Selected studies on the potential effect of maternal pre-pregnancy BMI and GWG on pregnancy evolution and outcome are analyzed in Table 1.7.…”