Gestational weight gain and adverse pregnancy outcomes in a nulliparous cohort

Chung, J; Taylor, Rennae S.; Thompson, John M. D.; Anderson, Ngaire; Dekker, Gustaaf A.; Kenny, Louise C.; McCowan, Lesley

doi:10.1016/j.ejogrb.2012.11.020

Cited by 104 publications

(103 citation statements)

References 28 publications

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“…6,8 Person et al also inferred from their study that disproportionate LGA babies had a higher incidence of Caesarean sections and composite neonatal morbidities like birth trauma, low Apgar score, hypoglycemia and respiratory disorders. 15 In this present study also there was a significant association of primary Caesarean section with LGA babies (p=0.02).…”

Section: Discussionmentioning

confidence: 99%

“…6 Chung et al studied the adverse effects of increased gestational weight gain among 1950 pregnant women based on their prepregnancy body mass index and found that LGA infants and Caesarean deliveries were higher in that group. 8 In their study by Mc Innis et al significant reduction of incidence of LGA babies were seen if the women achieved normal body weight pre pregnancy or lose 10 % of their body weight. 9 On the contrary Averett et al found no association of maternal obesity and LGA babies.…”

Section: Discussionmentioning

confidence: 99%

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Maternal factors associated with large for gestational age babies and its outcome when compared with those of appropriate for gestational age

John

Rani

Ghose

2017

Int J Reprod Contracept Obstet Gynecol

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INTRODUCTIONFoetal macrosomia is a common obstetrical problem affecting 20% babies born at term.1 Conventionally babies with birth weight more than 90th percentile is considered to be large for gestational age and those between 5 th and 90 th percentile as appropriate for gestational age. The birth weight cut-off may be based on absolute birth weight or greater than a particular percentile for the babies of that gestational age.2 Large for gestational age babies can lead to complications during delivery like prolonged labour, shoulder dystocia, birth injuries, post-partum haemorrhage, increased need for caesarean sections for cephalopelvic disproportion, anaesthetic complications and thromboembolic events. Also neonatal adverse outcomes of hypoglycemia, hypomagnesemia and hyperbilirubinemia are more common in these babies. 4 Antenatal detection of large for gestational age foetus will be helpful in anticipating these complications. This study is undertaken to determine the maternal factors associated with this condition so that the complications can be anticipated and managed in a better manner if not prevented. METHODSThis study was conducted in a tertiary care center based on collection of retrospective data about large for gestational age (LGA) babies born over a period of one year. The inclusion criteria were singleton pregnancies which resulted in LGA babies over this period of time. All the mothers who delivered babies who were large for ABSTRACT Background: Large for gestational age (LGA) babies are known to have a higher incidence of birth trauma, difficult delivery and Caesarean sections. Knowledge about maternal factors associated with this can help in prediction and prevention of complications. Methods: Maternal factors in 112 cases of LGA babies was studied along with its outcome and compared with an equal number of controls. Results: 0.05% deliveries resulted in LGA babies. Age and parity were not significantly different in the two groups and so were the associated medical disorders of hypothyroidism and gestational hypertension. Significant association was found with post-dated pregnancies (p=0.04) and gestational diabetes mellitus (p=0.05). Also, higher number of primary Caesarean sections resulted in the case group. Conclusions: Post dated pregnancies and gestational diabetes were maternal factors associated with LGA babies and higher number of primary Caesarean sections resulted in these cases.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Maternal factors associated with large for gestational age babies and its outcome when compared with those of appropriate for gestational age

John

Rani

Ghose

2017

Int J Reprod Contracept Obstet Gynecol

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“…More emphasis is placed on using interpretative, encouraging, persuasive language to explain relevant knowledge to patients and clarify their necessity. Relieve tension and fear, which helps patients actively cooperate with treatment [6][7]. Detailed patience expresses the necessity of surgery and the safety of the surgical procedure.…”

Section: Clinical Data and Methodsmentioning

confidence: 99%

Application of Prenatal Health Education and Nutrition Intervention in Patients with Pregnancy-induced Hypertension

Pan¹,

Yang²

2018

Proceedings of the 8th International Conference on Education, Management, Information and Management Society (EMIM 2018)

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Abstract. Objective, to use prenatal health education and nutritional intervention strategies for pregnant women with pregnancy-related hypertension to explore the effect of interventions on patient outcomes and analyze them. Methods, a total of 90 pregnant women with gestational hypertension were selected and randomly divided into the observation group and the control group by random number method. The control group used the routine intervention nursing method. The observation group used prenatal health education and nutritional guidance. The values of blood pressure changes, delivery methods, weight changes, and other indicators were analyzed. Results Compared with the results of the control group, the normal rate of body weight gain during pregnancy in the observation group was significantly higher than that in the control group, and the difference between the groups was significant (P>0.05). In the observation group, the degree of satisfaction was significantly higher than that in the control group, with significant differences between groups. There was a statistically significant difference (P <0.05). The blood pressure of pregnant women in the observation group decreased significantly (P <0.05). Conclusion, The use of prenatal health education and nutritional intervention in patients with pregnancy-induced hypertension can help patients understand health knowledge, change their bad habits, and can help patients to improve clinical curative effect and improve the quality of life of patients. Maternal birth process progressed smoothly, effectively improving the outcome of childbirth, which is worth learning from in clinical practice.Pregnancy-induced hypertension is a common and unique disease that affects the life and health of pregnant women and perinatal babies. It is also a common complication during maternity gestation. The current stage is the second cause of death from maternal deaths in China. The main clinical manifestations include high blood pressure, proteinuria, and edema, severe symptoms such as headache, coma, convulsions, and even maternal and child deaths. Prenatal examination and treatment awareness are enhanced, and maternal mortality caused by pregnancy-induced hypertension is greatly reduced [1][2] . Therefore, if the prevention and treatment are not treated in time or the method selection is not appropriate, and a series of more serious complications are caused, the condition will progress to severe pre-eclampsia or even eclampsia, threatening the life safety of the mother and child. The importance of obstetricians should be emphasized on this issue, and the prevalence of pregnancies in pregnant women is currently on a sharp upward trend. The disease is more frequent in the second trimester of pregnancy. It is easy to restrict the growth and development of fetuses with pregnancy-induced hypertension, cause maternal dystocia, or cause more severe birth injury, and the mortality rate shows a significant upward trend. According to relevant investigation reports, the main cause of the disea...

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“…From approximately 20 weeks' gestation, both systolic and diastolic BP progressively increase towards term [5]. BP has been found to track moderately during pregnancy (i.e., women who started in the highest BP tertile in the first trimester remained in the highest tertile in the third trimester) [6], which has been recognized to be inf luenced by individual maternal characteristics, in particular, gestational weight gain, although research is required to further explore this relationship [7]. Postnatally, BP drops in the 48 h after birth, before rising back up to nonpregnant levels [8].…”

Section: Healthy Pregnancy and Physiological Changes To Blood Pressurementioning

confidence: 99%

How to assess and manage hypertension during and after pregnancy

McKenna¹,

Huda²,

Freeman³

et al. 2013

Clinical Practice

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Gestational weight gain and adverse pregnancy outcomes in a nulliparous cohort

Cited by 104 publications

References 28 publications

Maternal factors associated with large for gestational age babies and its outcome when compared with those of appropriate for gestational age

Maternal factors associated with large for gestational age babies and its outcome when compared with those of appropriate for gestational age

Application of Prenatal Health Education and Nutrition Intervention in Patients with Pregnancy-induced Hypertension

How to assess and manage hypertension during and after pregnancy

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