The Effect of Obesity in Pregnancy and Gestational Weight Gain on Neonatal Outcome in Glucose‐Tolerant Mothers

AbstractObjectiveTo determine if response to a low glycaemic index (GI) dietary intervention, measured by changes in dietary intake and gestational weight gain, differed across women of varying socio-economic status (SES).DesignSecondary data analysis of the ROLO randomised control trial. The intervention consisted of a two-hour low-GI dietary education session in early pregnancy. Change in GI was measured using 3 d food diaries pre- and post-intervention. Gestational weight gain was categorised as per the 2009 Institute of Medicine guidelines. SES was measured using education and neighbourhood deprivation.SettingThe National Maternity Hospital, Dublin, Ireland.SubjectsWomen (n 625) recruited to the ROLO randomised control trial.ResultsThe intervention significantly reduced GI and excess gestational weight gain (EGWG) among women with third level education residing in both disadvantaged (GI, mean (sd), intervention v. control: −3·30 (5·15) v. −0·32 (4·22), P=0·024; EGWG, n (%), intervention v. control: 7 (33·6) v. 22 (67·9); P=0·022) and advantaged areas (GI: −1·13 (3·88) v. 0·06 (3·75), P=0·020; EGWG: 41 (34·1) v. 58 (52·6); P=0·006). Neither GI nor gestational weight gain differed between the intervention and control group among women with less than third level education, regardless of neighbourhood deprivation.ConclusionsA single dietary education session was not effective in reducing GI or gestational weight gain among less educated women. Multifaceted, appropriate and practical approaches are required in pregnancy interventions to improve pregnancy outcomes for less educated women.

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Antenatal body mass index (BMI) and weight gain in pregnancy – its association with pregnancy and birthing complications

Journal of Perinatal Medicine ◽

10.1515/jpm-2015-0172 ◽

2016 ◽

Vol 44 (4) ◽

Cited By ~ 7

Author(s):

Josefine Theresia Maier ◽

Elisabeth Schalinski ◽

Ulrich Gauger ◽

Lars Hellmeyer

Keyword(s):

Weight Gain ◽

Gestational Weight Gain ◽

Overweight And Obesity ◽

Labor Induction ◽

Reproductive Age ◽

Common Finding ◽

Pregnancy Weight Gain ◽

Gestational Weight ◽

Pregnancy Weight ◽

In Pregnancy

AbstractOverweight and obesity is a serious health risk in both developed and developing nations. It is a common finding among women in their reproductive age. Half of patients entering their pregnancy in the US have a BMI >25.0 and therefore qualify as overweight or obese. Moreover, there is a tendency towards increased weight gain during pregnancy. Studies have shown that gestational overweight is associated with complications in pregnancy and birthing as well as short-term and long-term impacts on neonatal outcome in childhood and adulthood.Five hundred and ninety-one women visiting our tertiary perinatal center in 2014 were analyzed for antenatal BMI, gestational weight gain, as well as pregnancy outcome and complication together with neonatal weight and outcome. Pregnancy weight gain was assessed based on the IOM guidelines (Institute of Medicine) issued in 2009.Twenty-nine percent of our population was overweight with a BMI of more than 25.0. The general weight gain was in every BMI group similar (median ranging from 12.0 to 14.0 kg). Approximately one third gained more than the appropriate amount (37%, P<0.001). Women with more gestational weight were at risk of labor induction (55.0% vs. 45.7% labor induction in total, P=0.007). Strikingly, those patients were found to have significantly higher rates of secondary cesarean section (22.4% vs. 15.4%) and decreased chances of spontaneous vaginal birth (57.5% vs. 61.4%) (P=0.008). Furthermore women with a pregnancy weight gain in excess of the guidelines gave birth to neonates with a higher birth weight (>75.centile, 28.3% vs. 21.3%, P<0.001).Altogether, one third of the analyzed population is already overweight or obese when entering pregnancy. A higher gestational weight gain than the recommended amount was found in 37% of cases. We found an association with pregnancy and birthing complications as well as higher infant weight. This highlights the importance of preconceptive and prenatal advice, and if necessary, intervention on BMI and weight gain.

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Effect of Diet and Physical Activity–based Interventions in Pregnancy on Gestational Weight Gain and Pregnancy Outcomes

Obstetric Anesthesia Digest ◽

10.1097/01.aoa.0000532297.91365.84 ◽

2018 ◽

Vol 38 (2) ◽

pp. 102

Author(s):

Keyword(s):

Physical Activity ◽

Weight Gain ◽

Gestational Weight Gain ◽

Pregnancy Outcomes ◽

Gestational Weight ◽

Diet And Physical Activity ◽

In Pregnancy

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HbA1c and Gestational Weight Gain Are Factors that Influence Neonatal Outcome in Mothers with Gestational Diabetes

Journal of Women s Health ◽

10.1089/jwh.2015.5432 ◽

2016 ◽

Vol 25 (6) ◽

pp. 579-585 ◽

Cited By ~ 8

Author(s):

Beatriz Barquiel ◽

Lucrecia Herranz ◽

Natalia Hillman ◽

M Ángeles Burgos ◽

Cristina Grande ◽

...

Keyword(s):

Weight Gain ◽

Gestational Diabetes ◽

Gestational Weight Gain ◽

Neonatal Outcome ◽

Gestational Weight

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Reducing Excessive Gestational Weight Gain: Lessons from the Weight Control Literature and Avenues for Future Research

Women s Health ◽

10.2217/whe.11.70 ◽

2011 ◽

Vol 7 (6) ◽

pp. 641-661 ◽

Cited By ~ 30

Author(s):

Suzanne Phelan ◽

Kris Jankovitz ◽

Todd Hagobian ◽

Barbara Abrams

Keyword(s):

Weight Gain ◽

Gestational Weight Gain ◽

Weight Control ◽

Future Research ◽

Self Monitoring ◽

Gestational Weight ◽

Excessive Gestational Weight Gain ◽

Daily Diet ◽

Potential Applications ◽

In Pregnancy

Excessive gestational weight gain is a prevalent problem and an independent predictor of future obesity in both mothers and offspring. Intervention research to prevent excessive gestational weight gain is still in its infancy but results to date have been quite modest. Research in weight control outside of pregnancy over the past 30 years has been more robust and identified several key components of effective programs, including use of caloric restriction, daily diet self-monitoring, self-weighing, behavior therapy and ongoing patient–provider contact. The aim of this article is to summarize intervention components shown to be effective in promoting successful weight control outside of pregnancy and explore potential applications in pregnancy. Available evidence suggests that the strategies shown to be effective for weight control outside of pregnancy may also promote better weight control in pregnancy, but several lines for future investigation remain.

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