Maternal body mass index and gestational weight gain and their association with perinatal outcomes in Viet Nam

Ota, Erika; Haruna, Megumi; Suzuki, Motoi; Anh, Đặng Đức; Tho, Le Huu; Tam, Nguyen Thi Thanh; Thiem, Vu Dinh; Anh, c Nguyen Thi Hien; Isozaki, Mitsuhiro; Shibuya, Kenji; Ariyoshi, Koya; Murashima, Sachiyo; Moriuchi, Hiroyuki; Yanai, Hideki

doi:10.2471/blt.10.077982

Cited by 150 publications

(154 citation statements)

References 31 publications

Supporting

Mentioning

120

Contrasting

Unclassified

Order By: Relevance

“…On the other hand, prevalence of LGA was 10.5%, was comparable to previous reports from Thailand [18] and Vietnam [15]. However, the rate was slightly lower than that reported from Western countries [4,9,13,16,17].…”

Section: Discussionsupporting

confidence: 83%

See 1 more Smart Citation

Prevalence and risk factors for inappropriate birth weight for gestational age

Boriboonhirunsarn

2015

Asian Biomedicine

View full text Add to dashboard Cite

Background:Infants with an inappropriate birth weight for their gestational age are more likely to develop complications during pregnancy and postpartum, and have increased long-term health risks. Objectives: To determine the prevalence and risk factors for infants with inappropriate birth weight for their gestational age. Methods: We enrolled 820 women with uncomplicated, singleton pregnancies who gave birth to a live born infant at term. Prepregnancy baseline and obstetric information were extracted from medical records, including body mass index (BMI), gestational weight gain, and infant birth weight. Prevalence of small-for-gestational age (SGA) and large-for-gestational age (LGA) infants was determined. We compared variables between groups to identify associated factors. Results: Prevalence of SGA was 2.6% and LGA was 10.5%. Prepregnancy BMI and gestational weight gain were significantly higher in the LGA than in the SGA group (P = 0.041 and < 0.001, respectively). The birth weight and gestational weight gain, but not the prepregnancy BMI, were significantly different (P < 0.001). Logistic regression analysis determined that inadequate gestational weight gain significantly increased the risk of SGA (adjusted OR 3.20, 95%CI 1.06 to 9.64, P = 0.039), and significantly reduced the risk of LGA (adjusted OR 0.43, 95% CI 0.20 to 0.91, P = 0.028). Excessive gestational weight gain significantly increased the risk of LGA (adjusted OR 2.00, 95% CI 1.21 to 3.30, P = 0.006). There was no significant association with prepregnancy BMI. Conclusions: Controlling gestational weight gain may improve maternal and neonatal outcomes.

show abstract

Section: Discussionsupporting

confidence: 83%

“…In this study, the prevalence of SGA was only 2.6%, which was relatively lower than previously reported [2,5,10,13,[15][16][17]. On the other hand, prevalence of LGA was 10.5%, was comparable to previous reports from Thailand [18] and Vietnam [15].…”

Section: Discussionsupporting

confidence: 65%

Prevalence and risk factors for inappropriate birth weight for gestational age

Boriboonhirunsarn

2015

Asian Biomedicine

View full text Add to dashboard Cite

show abstract

“…Although BMI and parity are both known to affect the birth weight of the baby, the influence of BMI on the birth weight of the baby has been shown to be more than that of parity [17,[20][21]. In the current study, low BMI significantly affected the mean birth weight while no significant effect was noted with parity.…”

Section: Discussioncontrasting

confidence: 62%

Customised symphysio fundal height charts

Shamawarna¹,

Goonewardene²,

Perera

2013

Ceylon Med. J.

View full text Add to dashboard Cite

Objectives To evaluate the feasibility, applicability and the value of customised symphysio fundal height (SFH) charts developed for women of Indian origin in the United Kingdom (UK: CSFH -In chart) and women of African origin in the UK (CSFH -Af chart) in detecting fetal growth restriction and predicting low birth weight (LBW) of the neonate in a Lankan population, and to compare these results with the results obtained from the SFH chart currently used in Sri Lanka (FHB chart) and another SFH chart which uses a range of plus or minus 2-3 cm of the value of the gestational age in weeks as the reference range (GA  2 to 3 cm chart).Methods Pregnant women (n = 416) with confirmed periods of gestation (POG) of <22 weeks and having a singleton fetus and with no obstetric complications, had their age, parity, POG and Body Mass Index (BMI) documented. Their SFH were measured at four weekly, fortnightly and weekly intervals between 20 -28, 28 -36 and 37 -41 weeks respectively and plotted on the CSFH -In chart, CSFH -Af chart, FHB chart and the GA  2 to 3 cm chart. The gestational age at delivery and the birth weight were recorded. Pre term deliveries were excluded leaving 401 participants for analysis.Results There were 164 (39.4 %) primigravidae, 76 (18.9 %) had low BMI and 71 (17.7 %) had a high BMI. Maternal BMI at booking was positively correlated to the birth weight of the baby but not the parity. In detecting LBW at term, the CSFH -In chart had the best sensitivity, specificity, positive predictive value, negative predictive value, and the likelihood ratios. Of the two non customised charts the GA  2 to 3 cm chart was better than the FHB chart.Conclusions Until a customised SFH chart is developed for Sri Lanka, the CSFH -In chart or the GA  2 to 3 cm chart should be used for antenatal monitoring of fetal growth.

show abstract

“…Estudos brasileiros com gestantes da rede básica de saúde Tabela 3. Análise ajustada do risco gestacional para hipertensão, diabetes, parto pré-termo, realização de cesárea e baixo peso ao nascer em relação ao ganho de peso na gestação em estudo de base populacional encontraram uma incidência de ganho ponderal excessivo de 29% e insuficiente de 36,5 a 38% 25,[27][28][29] .…”

Section: Discussionunclassified

Índice de massa corporal e ganho de peso gestacional como fatores preditores de complicações e do desfecho da gravidez

Gonçalves

Mendoza-Sassi

César

et al. 2012

Rev. Bras. Ginecol. Obstet.

View full text Add to dashboard Cite

ResumoOBJETIVO: Avaliar o impacto do índice de massa corporal (IMC) no início da gestação e do ganho de peso no desfecho gestacional, para que esta medida possa ser implantada e valorizada pelos serviços de saúde de pré-natal. MÉTODO: Estudo transversal de base populacional. Na pesquisa, foram incluídos todos os nascimentos ocorridos nas duas únicas maternidades do município do Rio Grande (RS), em 2007. Dentre as 2.557 puérperas entrevistadas, o cálculo do IMC só pôde ser realizado em 1.117 puérperas. A análise foi realizada no programa Stata 11. Nos desfechos hipertensão, diabetes mellitus, trabalho de parto prematuro e cesárea foi realizada regressão logística. No caso do peso ao nascer, o ajuste ocorreu pela regressão logística multinomial, tendo como categoria base o grupo de 2.500 a 4.000 g. Em todas as análises foi adotado valor p<0,05 de um teste bicaudal. RESULTADOS: Não foi observado aumento do risco de hipertensão e diabetes nas pacientes dos diferentes grupos de IMC e ganho de peso. O risco de parto pré-termo foi evidenciado no grupo com ganho de peso ≤8 kg (p<0,05). Em relação à via de parto, observa-se uma tendência, quanto maiores o IMC no início da gestação e o ganho de peso durante a gestação, maior o risco de parto cirúrgico, chegando 11% no grupo de obesas (p=0,004) e a 12% no grupo com ganho ≥17 kg (p=0,001). O peso do recém-nascido foi influenciado pelo IMC e pelo ganho de peso, sendo que quanto maiores o IMC no início da gestação e o ganho de peso gestacional, maior o risco de macrossomia. CONCLUSÕES: O monitoramento do IMC e o ganho ponderal durante a gestação é procedimento de baixo custo e de grande utilidade para o estabelecimento de intervenções nutricionais visando à redução de riscos maternos e fetais. Abstract PURPOSE:To evaluate the impact of body mass index (BMI) at the beginning of pregnancy and weight gain on pregnancy outcome so that this measure can be implemented and valued by prenatal care health services. METHOD: Crosssectional population-based study of all births in the only two hospitals in Rio Grande city (Brazil), in 2007. Among the 2,557 mothers interviewed, it was possible to calculate BMI in only 1,117. The Stata 11 software was used for data analysis. Logist regression was applied to the outomes involving diabetes mellitus, premature labor and cesarean section. Regarding birth weight, data were adjusted by multinomial logistic regression using as base category the group of 2,500 to 4,000 g. The level of significance was set at p-value <0.05 in a two-tailed test. RESULTS: There was no increased risk of hypertension or diabetes in patients in the different groups of BMI and weight gain. The risk of preterm delivery was evident in the group with a weight gain ≤8 kg (p<0.05). Regarding the route of delivery, it was observed that the higher the BMI in early pregnancy (p=0.001) and the greater the weight gain during pregnancy (p=0.004), the greater the risk of surgical delivery, which reached 11% in the group of obese mothers (p=0.004) and 12% in the group with a weight ga...

show abstract

Maternal body mass index and gestational weight gain and their association with perinatal outcomes in Viet Nam

Cited by 150 publications

References 31 publications

Prevalence and risk factors for inappropriate birth weight for gestational age

Prevalence and risk factors for inappropriate birth weight for gestational age

Customised symphysio fundal height charts

Índice de massa corporal e ganho de peso gestacional como fatores preditores de complicações e do desfecho da gravidez

Contact Info

Product

Resources

About