Effects of gestational weight gain and body mass index on obstetric outcome

Çalık, Kıymet Yeşilçiçek; Yildiz, Nazende Korkmaz; Erkaya, Reyhan

doi:10.1016/j.sjbs.2018.02.014

Cited by 14 publications

(11 citation statements)

References 31 publications

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“…To be effective, such strategies ought to be based on a thorough understanding of context-specific correlates of pre-pregnancy overweight. In our study, and in line with previous investigations [41–43], higher age (above 30 years) was associated with increased odds of pre-gestation overweight. Older age may in fact be accompanied by multiple pregnancies and consequently a higher possibility of weight retention.…”

Section: Discussionsupporting

confidence: 93%

Pre-pregnancy BMI, gestational weight gain and birth outcomes in Lebanon and Qatar: Results of the MINA cohort

et al. 2019

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Accumulating evidence has highlighted the role of maternal nutritional status on fetal development, birth outcomes and child health. The Mother and Infant Nutritional Assessment (MINA) cohort is a 3-year follow-up study of pregnant women and their children in Qatar and Lebanon. This study reports on the characteristics and determinants of pre-pregnancy BMI and Gestational Weight Gain (GWG) of MINA particiants, as well as birth outcomes. A total of 272 pregnant women were recruited during their first trimester from primary healthcare centers as well as private clinics in Beirut (n = 194) and Doha (n = 147). During the first visit, data collection included pre-pregnancy weight, sociodemographic and lifestyle characteristics. The weight before delivery and neonatal outcomes were extracted from the medical records. GWG was calculated as the difference between weight before delivery and pre-pregnancy weight and was classified into insufficient, adequate, and excessive, as per the IOM criteria. Overall, 42.1% of women had a pre-pregnancy BMI≥25 Kg/m 2 (58% in Qatar vs 30.8% in Lebanon, p<0.001). Only 30.2% of women had adequate GWG, while 25.7% and 44.1% of women had insufficient and excessive GWG, respectively. In the cohort 68.7% of infants had a weight adequate-for-gestational age (AGA), 6.7% were SGA and 24.6% were LGA. The proportions of LGA were higher with greater GWG (p<0.05). After adjustment, Qatari women were 3 times more likely to be overweight or obese before pregnancy while a higher education level was associated with significantly lower odds of pre-pregnancy BMI≥25 Kg/m 2 . Pre-pregnancy BMI≥25 Kg/m 2 and regular breakfast consumption were predictors of excessive GWG (OR: 3.20, CI: 1.48–6.91; OR: 2.84, CI: 1.15–7.02, respectively). The high prevalence of pre-pregnancy overweight and excessive GWG among MINA participants underscores the need for culture-specific intervention programs to promote healthy body weight in women of childbearing age, and prevent excessive weight gain during pregnancy.

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Section: Discussionsupporting

confidence: 93%

Pre-pregnancy BMI, gestational weight gain and birth outcomes in Lebanon and Qatar: Results of the MINA cohort

et al. 2019

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“…However, some studies point to abnormalities in uterine contractility and an increase in fat deposits in the soft areas of the pelvis [26]. This increase in C-section rates has already been described in other studies [1,10,24,25,27] and may also influence the risk of neonatal complications and the possibilities of newborn admission.…”

Section: Discussionmentioning

confidence: 76%

“…Many experimental and epidemiological studies show that nutritional changes in the prenatal and postnatal stages of life can have a significant impact on the child's health and development [2,3,[7][8][9]. Maternal overweight, obesity, and morbid obesity are already known to be associated with adverse obstetric and neonatal outcomes [3,10]. In particular, maternal obesity is associated with gestational diabetes mellitus (GDM) [11,12], preeclampsia [12], congenital malformations and macrosomia [3], preterm birth [3], low Apgar scores [4], admittance to neonatal intensive care unit [13], low-weight newborns [3,14], and with an increase in obstetric interventions such as pregnancy caesarean section [12,15] and labor induction [16,17].…”

Section: Introductionmentioning

confidence: 99%

Relationship between Maternal Body Mass Index and Obstetric and Perinatal Complications

Ballesta‐Castillejos

Gómez‐Salgado

Rodríguez‐Almagro

et al. 2020

JCM

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Over the past few decades, overweight and obesity have become a growing health problem of particular concern for women of reproductive age as obesity in pregnancy has been associated with increased risk of obstetric and neonatal complications. The objective of this study is to describe the incidence of obstetric and perinatal complications in relation to maternal body mass index (BMI) at the time prior to delivery within the Spanish Health System. For this purpose, a cross-sectional observational study was conducted aimed at women who have been mothers between 2013 and 2018 in Spain. Data were collected through an online survey of 42 items that was distributed through lactation associations and postpartum support groups. A total of 5871 women answered the survey, with a mean age of 33.9 years (SD = 4.26 years). In the data analysis, crude odds ratios (OR) and adjusted odds ratios (AOR) were calculated through a multivariate analysis. A linear relationship was observed between the highest BMI figures and the highest risk of cephalopelvic disproportion (AOR of 1.79 for obesity type III (95% CI: 1.06–3.02)), preeclampsia (AOR of 6.86 for obesity type III (3.01–15.40)), labor induction (AOR of 1.78 for obesity type III (95% CI: 1.16–2.74)), emergency C-section (AOR of 2.92 for obesity type III (95% CI: 1.68–5.08)), morbidity composite in childbirth (AOR of 3.64 for obesity type III (95% CI: 2.13–6.24)), and macrosomia (AOR of 6.06 for obesity type III (95% CI: 3.17–11.60)), as compared with women with normoweight. Women with a higher BMI are more likely to develop complications during childbirth and macrosomia.

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“…More specifically, restricted GWG lower than the recommendations were found to be associated with stillbirth, infant death, and child neurocognitive development and behavior [5]. On the other hand, excessive GWG during early pregnancy was associated with an increased risk of gestational hypertension and preeclampsia, caesarean delivery, macrosomia, and post-partum weight retention after delivery [6–8]. Furthermore, excessive GWG was found to exacerbate the generational impact of obesity, whereby women who exceed the recommended weight gain during pregnancy are more likely to retain weight post-partum and to enter the next pregnancy with a higher BMI and deliver heavier babies, who have higher odds to become overweight or obese adults later in life [9].…”

Section: Introductionmentioning

confidence: 99%

Gestational weight gain and gestational diabetes among Emirati and Arab women in the United Arab Emirates: results from the MISC cohort

Hashim

Radwan

Hasan

et al. 2019

BMC Pregnancy Childbirth

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BackgroundNutritional status of women during pregnancy has been considered an important prognostic indicator of pregnancy outcomes.ObjectivesTo investigate the pattern of gestational weight gain (GWG) and gestational diabetes mellitus (GDM) and their risk factors among a cohort of Emirati and Arab women residing in the United Arab Emirates (UAE). A secondary objective was to investigate pre-pregnancy body mass index (BMI) and its socio-demographic correlates among study participants.MethodsData of 256 pregnant women participating in the cohort study, the Mother-Infant Study Cohort (MISC) were used in this study. Healthy pregnant mothers with no history of chronic diseases were interviewed during their third trimester in different hospitals in UAE. Data were collected using interviewer-administered multi-component questionnaires addressing maternal sociodemographic and lifestyle characteristics. Maternal weight, weight gain, and GDM were recorded from the hospital medical records.ResultsAmong the study participants, 71.1% had inadequate GWG: 31.6% insufficient and 39.5% excessive GWG. 19.1% reported having GDM and more than half of the participants (59.4%) had a pre-pregnancy BMI ≥ 25 kg/m2. The findings of the multiple multinomial logistic regression showed that multiparous women had decreased odds of excessive gain as compared to primiparous [odds ratio (OR): 0.17; 95% CI: 0.05–0.54]. Furthermore, women with a pre-pregnancy BMI ≥ 25 kg/m2 had increased odds of excessive gain (OR: 2.23; 95%CI: 1.00–5.10) as compared to those with pre-pregnancy BMI < 25 kg/m2. Similarly, women who had a pre-pregnancy BMI ≥ 25 kg/m2 were at higher risk of having GDM (OR: 2.37; 95%CI: 1.10–5.12). As for the associations of women’s characteristics with pre-pregnancy BMI, age and regular breakfast consumption level were significant predictors of higher pre-pregnancy BMI.ConclusionsThis study revealed alarming prevalence rates of inadequate, mainly excessive, GWG and GDM among the MISC participants. Pre-pregnancy BMI was found a risk factor for both of these conditions (GWG and GDM). In addition, age and regular breakfast consumption were significant determinants of pre-pregnancy BMI. Healthcare providers are encouraged to counsel pregnant women to maintain normal body weight before and throughout pregnancy by advocating healthy eating and increased physical activity in order to reduce the risk of excessive weight gain and its associated complications.

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Effects of gestational weight gain and body mass index on obstetric outcome

Cited by 14 publications

References 31 publications

Pre-pregnancy BMI, gestational weight gain and birth outcomes in Lebanon and Qatar: Results of the MINA cohort

Pre-pregnancy BMI, gestational weight gain and birth outcomes in Lebanon and Qatar: Results of the MINA cohort

Relationship between Maternal Body Mass Index and Obstetric and Perinatal Complications

Gestational weight gain and gestational diabetes among Emirati and Arab women in the United Arab Emirates: results from the MISC cohort

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