Maternal early pregnancy body mass index and pregnancy outcomes among nulliparous women registered in tertiary care hospital and urban slum hospital of a metropolitan city

Dahake, Swati T.; Shaikh, Uzma

doi:10.4103/jehp.jehp_679_19

Cited by 4 publications

(6 citation statements)

References 13 publications

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“…Data from human epidemiologic studies suggest that maternal undernutrition impairs placental formation, leading to a reduction in placental size, alterations in histomorphology, and reduction of blood flow, which can diminish nutrient delivery to the fetus [10]. A low early pregnancy BMI has been associated with low birth weight (LBW) and preterm birth [3]. In addition to fetal growth restriction, maternal undernutrition has been associated with LBW and preterm delivery, plus the short-and long-term complications associated with these outcomes, and with maternal complications, such as life-threatening hemorrhage [11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

“…During the past few years, a secular trend toward increased birth weight and macrosomia related to greater maternal weight has been observed [ 2 ]. Early pregnancy overweight and obesity have been associated with adverse maternal outcomes [ 3 ]. Macrosomia increases the risk of cesarean delivery, shoulder dystocia, and subsequent childhood obesity [ 1 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…Early pregnancy overweight and obesity have been associated with adverse maternal outcomes [ 3 ]. Macrosomia increases the risk of cesarean delivery, shoulder dystocia, and subsequent childhood obesity [ 1 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

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Association Between Early Pregnancy Body Mass Index and Gestational Weight Gain in Relation to Neonatal Birth Weight

Mohapatra¹,

Harshini²,

Samantaray³

et al. 2022

Cureus

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Introduction: Maternal early pregnancy body mass index (BMI) and gestational weight gain (GWG) strongly correlate with pregnancy outcomes. Gestational hypertension and diabetes have been associated with overweight and obesity in pregnancy. A low pre-pregnancy BMI has been associated with low birth weight and preterm birth.Method: This observational study was carried out from November 2018 to July 2020 in a tertiary care hospital in South India with a sample size of 100. Pregnant women with uncomplicated singleton pregnancies booked for regular antenatal care by 10 weeks of gestation were included in the study. During the participants' antenatal check-ups, detailed history and examinations were made. The weight of the participants was recorded at every antenatal check-up. Information about the gestational age at delivery and the birth weight of the neonates were collected following delivery.Results: The mean age of women was 25.83 + 2.74 years. Of women who delivered low birth weight neonates (<2.5 kg), 86% had GWG below the Institute of Medicine (IOM) recommendation. A total of 57% of women with normal early pregnancy BMI and 67% of obese women had GWG within the IOM recommendation. Early pregnancy BMI had a positive correlation with neonatal birth weight (r (98) = 0.779, p = 0.001). Of the underweight pregnant women, 72% gave birth to small for gestational age (SGA) babies, and 97% percent of normal early pregnancy BMI women delivered neonates with normal weight for gestational age. A total of 33% of overweight and 50% of obese women had large for gestational age (LGA) babies. Conclusion:Results from this study suggest that maternal early pregnancy BMI is more strongly associated with neonatal birth weight than GWG. Therefore, early pregnancy BMI may be an important focus for counseling during pregnancy.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Association Between Early Pregnancy Body Mass Index and Gestational Weight Gain in Relation to Neonatal Birth Weight

Mohapatra¹,

Harshini²,

Samantaray³

et al. 2022

Cureus

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“…Gestational weight gain (GWG) is a unique and complex biological phenomenon to support normal fetal growth and development [ 1 ]. This phenomenon is caused by changes in the uterus and its contents such as placenta, amniotic fluid, fetus, as well as metabolic changes in the mother's body, including the accumulation of fluid and fat [ 2 ]. The U.S. Institute of Medicine (IOM) has recommended guidelines to help physicians in monitoring adequate GWG [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Pattern of weight gain in pregnant women in slum areas of Hamadan using multilevel ordinal regression

et al. 2023

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Background Adequate gestational weight gain (GWG) is an important factor for maternal and fetal health. This is especially important in low-income and slum areas due to limited access to health services and malnutrition. Thus, the purpose of this study is to evaluate the pattern of GWG changes in the slum areas of Hamadan in Iran. Methods In this longitudinal study, the study sample consisted of 509 pregnant women who referred to nine health care clinics in the slum areas of Hamadan. Women's weight gain based on the recommended GWG by U.S. Institute of Medicine (IOM) was divided into three categories: Inadequate weight gain, Adequate weight gain, and Excessive weight gain. In order to evaluate the trend of GWG, a multi-level ordinal model was used. Results According to pre-pregnancy BMI, a little more than half people (56.6%) were overweight or obese. 85.4% women in the first trimester and 49.1% in the second trimester did not have adequate GWG, but in the third trimester (38.9%) had adequate GWG. Based on multivariate analysis, pre- pregnancy BMI has a significant effect on the odds of inadequate GWG (P-value = 0.021); with one unit increase in pre-pregnancy BMI, the odds of inadequate GWG grows by 1.07 times compared to adequate and excessive GWG. Conclusions In general, women did not have adequate weight gain in the first and second trimesters.Thus, designing appropriate interventions to achieve optimal GWG seems to be necessary in slums.

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“…However, studies have shown that maternal and fetal fat mass gain are positively correlated with initial body mass index (BMI) levels 6 . Prepregnancy BMI is the most accurate measure of maternal obesity but, if booking is done in the first trimester, first‐trimester BMI may then be an alternative measure of maternal obesity because weight gain is usually at its lowest in the first trimester (0.5–2 kg) 7 . Reports show that in Nigeria, most women do not book in the first trimester 8 .…”

Section: Introductionmentioning

confidence: 99%

Fetal glycated albumin levels in offspring of obese women

Omokhodion

Kuti

Odukogbe

et al. 2023

Intl J Gynecology & Obste

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Objective To determine the association between maternal obesity and fetal glycated albumin (GA) levels among pregnant women. Methods A comparative, cross‐sectional study of 59 consenting, normoglycemic, pregnant women, who met the criteria for maternal obesity, attending the antenatal clinic of the University College Hospital, Nigeria, from June 2019 to December 2019. They were recruited at 36 weeks of gestation, followed up until delivery, and compared with 58 nonobese, normoglycemic pregnant controls. At delivery, blood samples were taken from the mothers and from the umbilical cords of their newborns for serum GA assay. Maternal and newborn variables were recorded, and comparisons were made using χ2 tests, independent t tests, odds ratios, analysis of variance, and Pearson correlates. Statistical significance was set at P < 0.05. Results The odds of elevated newborn GA were 3.21 times higher in obese women compared with nonobese women (P = 0.005) and 5‐min APGAR scores were higher in the newborns of nonobese women (P = 0.039). There was a significant correlation between maternal and neonatal GA for all participants (r = 0.346, P = 0.000). Conclusion These findings suggest that maternal obesity is associated with elevated fetal GA and low APGAR scores at 5 min in normoglycemic women.

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Maternal early pregnancy body mass index and pregnancy outcomes among nulliparous women registered in tertiary care hospital and urban slum hospital of a metropolitan city

Cited by 4 publications

References 13 publications

Association Between Early Pregnancy Body Mass Index and Gestational Weight Gain in Relation to Neonatal Birth Weight

Association Between Early Pregnancy Body Mass Index and Gestational Weight Gain in Relation to Neonatal Birth Weight

Pattern of weight gain in pregnant women in slum areas of Hamadan using multilevel ordinal regression

Fetal glycated albumin levels in offspring of obese women

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