Gestational weight gain and adverse maternal outcomes in Brazilian women according to body mass index categories: An analysis of data from the Birth in Brazil survey

Brandão, Thelma; Padilha, Patrícia de Carvalho; Gama, Silvana Granado Nogueira da; Leal, María do Carmo; Araújo, Roberta Gabriela Pimenta da Silva; Barros, Denise Cavalcante de; Pereira, Ana Paula Esteves; Santos, Karina dos; Belizán, José M.; Saunders, Cláudia

doi:10.1016/j.clnesp.2020.03.009

Cited by 8 publications

(45 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…If prepregnancy weight was unknown, we adopted the weight measured up to the 13 th week of pregnancy or the weight reported by the woman during the interview. 10 For height, we considered the data recorded or reported by the woman in the interview.…”

Section: Gestational Weight Gain Reflects Different Changes Arising Fmentioning

confidence: 99%

“…17 Gestational weight gain (kg) -GWG, the exposure variable -was built from the difference between final gestation weight and prepregnancy weight. 18 The following methods were used for GWG assessment: (i) total GWG in percentiles as proposed by Brandão et al; 10 (ii) Intergrowth percentiles 9 -standardized GWG -; and (iii) IOM recommendations on total GWG. 2 Brandão et al 10 recommended percentiles (P) between P30 and P70 for normal BMI.…”

Section: Gestational Weight Gain Reflects Different Changes Arising Fmentioning

confidence: 99%

“…18 The following methods were used for GWG assessment: (i) total GWG in percentiles as proposed by Brandão et al; 10 (ii) Intergrowth percentiles 9 -standardized GWG -; and (iii) IOM recommendations on total GWG. 2 Brandão et al 10 recommended percentiles (P) between P30 and P70 for normal BMI. The same interval was adopted with the aim of achieving correspondence with the Intergowth percentiles.…”

Section: Gestational Weight Gain Reflects Different Changes Arising Fmentioning

confidence: 99%

“…[2][3][4] That study was based on a multiethnic cohort (China, Italy, Oman, India, United States, United Kingdom, Kenya and Brazil). 9 Brandão et al, 10 when analyzing data from the "Birth in Brazil" national survey on deliveries and births, proposed total GWG percentiles for all prepregnancy BMI categories, including classes I, II and III of obesity. 10 The Brazilian Ministry of Health, 11 in its publication entitled Low Risk Prenatal Care, corroborates the IOM recommendations (2009) 2 for scheduling gestational weight gain, despite their not having been implemented universally.…”

Section: Introductionmentioning

confidence: 99%

“…9 Brandão et al, 10 when analyzing data from the "Birth in Brazil" national survey on deliveries and births, proposed total GWG percentiles for all prepregnancy BMI categories, including classes I, II and III of obesity. 10 The Brazilian Ministry of Health, 11 in its publication entitled Low Risk Prenatal Care, corroborates the IOM recommendations (2009) 2 for scheduling gestational weight gain, despite their not having been implemented universally. 2,11 Although some analyses of gestational weight gain based on IOM recommendations 2 have been performed SGA and LGA outcomes have still not been tested according to Intergrowth standards, 9 nor according to the proposal put forward by Brandão et al, 10 which inclues in their sample a considerable diversity of data on the Brazilian population.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Diferentes métodos para avaliação do ganho de peso gestacional e sua associação com o peso ao nascer

Araújo

Silva

Barros

et al. 2021

Epidemiol. Serv. Saúde

Self Cite

View full text Add to dashboard Cite

Resumo Objetivo Analisar a associação de diferentes métodos para avaliação do ganho de peso gestacional com nascidos vivos pequenos para idade gestacional (PIG) ou grandes para idade gestacional (GIG). Métodos Estudo transversal, com mulheres adultas, IMC pré-gestacional de eutrofia, gestação única e idade gestacional no parto ≥28 semanas, da pesquisa ‘Nascer no Brasil’, em 2011-2012. Resultados Participaram do estudo 11 mil mulheres; a prevalência de ganho excessivo foi de 33,1% segundo os métodos Brandão et al., e IOM, e 37,9% segundo Intergrowth. A chance de nascer PIG para ganho de peso insuficiente foi de OR=1,52 (IC95% 1,06;2,19), OR=1,52 (IC95% 1,05;2,20) e OR=1,56 (IC95% 1,06;2,30) para Brandão et al., IOM e Intergrowth, respectivamente, enquanto o ganho de peso excessivo apresentou OR=1,53 (IC95% 1,28;1,82), OR=1,57 (IC95% 1,31;1,87) e OR=1,65 (IC95% 1,40;1,96), para GIG, respectivamente. Conclusão Comparados às recomendações do IOM, Intergrowth e Brandão et al. apresentam-se como alternativas para identificar PIG e GIG.

show abstract

Section: Gestational Weight Gain Reflects Different Changes Arising Fmentioning

confidence: 99%

Section: Gestational Weight Gain Reflects Different Changes Arising Fmentioning

confidence: 99%

Section: Gestational Weight Gain Reflects Different Changes Arising Fmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Diferentes métodos para avaliação do ganho de peso gestacional e sua associação com o peso ao nascer

Araújo

Silva

Barros

et al. 2021

Epidemiol. Serv. Saúde

Self Cite

View full text Add to dashboard Cite

show abstract

Gestational weight gain below instead of within the guidelines per class of maternal obesity: a systematic review and meta-analysis of obstetrical and neonatal outcomes

Mustafa

Seif

Javinani

et al. 2022

American Journal of Obstetrics & Gynecology MFM

View full text Add to dashboard Cite

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

Niyi,

Li,

Zumah

2024

BioMed Research International

View full text Add to dashboard Cite

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.

show abstract

Gestational weight gain and adverse maternal outcomes in Brazilian women according to body mass index categories: An analysis of data from the Birth in Brazil survey

Cited by 8 publications

References 28 publications

Diferentes métodos para avaliação do ganho de peso gestacional e sua associação com o peso ao nascer

Diferentes métodos para avaliação do ganho de peso gestacional e sua associação com o peso ao nascer

Gestational weight gain below instead of within the guidelines per class of maternal obesity: a systematic review and meta-analysis of obstetrical and neonatal outcomes

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

Contact Info

Product

Resources

About