EP14.05: Intra- and interobserver reproducibility of fetal measurements in third trimester ultrasound: does maternal weight matter?

This prospective type of study was conducted in nine rural upazilas of Rajshahi district with a viewto find out the biological risk factors of low birth weight (LBW). The calculated minimum requiredsample size was 748. A total 900 pregnant mothers in 3rd trimester were selected by two stagecluster sampling technique for follow up. Data were collected for 822 singleton live birthsuccessfully and analyzed. Maternal weight < 50 kgs at 3rd trimester, birth interval < 2 years andfemale sex of the new born were identified as the important risk factors of LBW in rural communityof Rajshahi district. Sex of the newborns is genetically determined, but maternal weight < 50kgsin third trimester and birth space < 2 years can prevented by measures like proper antenatal care,health & nutritional education, effective family planning services etc.doi: 10.3329/taj.v16i2.3881TAJ December 2003; Vol.16(2): 50-53

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Association of gestational weight gain rate with infant anaemia in China: a birth cohort study

British Journal Of Nutrition ◽

10.1017/s0007114520002354 ◽

2020 ◽

Vol 124 (12) ◽

pp. 1285-1292

Author(s):

Shaohua Yin ◽

Yubo Zhou ◽

Hongtian Li ◽

Zhihao Cheng ◽

Yali Zhang ◽

...

Keyword(s):

Weight Gain ◽

Gestational Weight Gain ◽

Birth Cohort Study ◽

Maternal Weight ◽

Third Trimester ◽

Maternal Anaemia ◽

Gestational Weight ◽

Excessive Gestational Weight Gain ◽

Increased Risk ◽

Hb Concentration

AbstractExcessive gestational weight gain (GWG) increases the risk of maternal anaemia during pregnancy, but whether it is associated with offspring anaemia has not been investigated. We aimed to prospectively investigate the association of GWG rate in the second/third trimester with infant Hb concentration and anaemia risk. The present study comprised 13 765 infants born during 2006–2009 to mothers who participated in a trial on prenatal micronutrient supplementation. The GWG was calculated by subtracting the maternal weight at enrolment from that at end-pregnancy. The GWG rate was calculated as dividing the GWG by number of weeks between the two measurements and classified into quintiles within each category of maternal BMI. Infant Hb concentrations were measured at 6 and 12 months of age, and anaemia was defined as an Hb concentration <110 g/l. Of the 13 765 infants, 949 (6·9 %) were anaemic at 6 months and 728 (5·3 %) at 12 months. The GWG rate was inversely and linearly associated with the infant Hb concentrations at both 6 and 12 months (P < 0·001 for linearity). Compared with the middle quintile of GWG rate, the highest quintile was associated with an increased risk of anaemia at 6 months (adjusted OR 1·30, 95 % CI 1·07, 1·59) and 12 months (adjusted OR 1·74, 95 % CI 1·40, 2·17). The associations were consistently mediated by maternal anaemia during pregnancy (P < 0·001). In conclusion, excessive GWG rate appears to be associated with an increased risk of infant anaemia, partly independent of maternal anaemia during pregnancy that mediates the association.

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The relationship between third trimester maternal weight gain, hematologic status and infant birthweight in Liberian mothers

Ecology of Food and Nutrition ◽

10.1080/03670244.1993.9991344 ◽

1993 ◽

Vol 30 (3-4) ◽

pp. 309-319 ◽

Cited By ~ 2

Author(s):

Robert T. Jackson ◽

Fatimah Linda C. Jackson ◽

Stella Yu

Keyword(s):

Weight Gain ◽

Maternal Weight Gain ◽

Maternal Weight ◽

Third Trimester ◽

The Relationship

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Short-Term Nutrition Education Reduces Low Birthweight and Improves Pregnancy Outcomes among Urban Poor Women in Bangladesh

Food and Nutrition Bulletin ◽

10.1177/156482651403500403 ◽

2014 ◽

Vol 35 (4) ◽

pp. 414-421 ◽

Cited By ~ 15

Author(s):

Khurshid Jahan ◽

S. K. Roy ◽

Seema Mihrshahi ◽

Nigar Sultana ◽

Soofia Khatoon ◽

...

Keyword(s):

Weight Gain ◽

Nutrition Education ◽

Low Birthweight ◽

Intervention Group ◽

Control Group ◽

Maternal Weight Gain ◽

Maternal Weight ◽

Third Trimester ◽

Short Term ◽

The Third

Background Maternal malnutrition and poor gestational weight gain are the most important causes of low birthweight and infant mortality in Bangladesh. Objective To assess the effect of short-term nutrition education on weight gain in the third trimester of pregnancy, birth outcomes, and breastfeeding. Methods Three hundred pregnant women participated in this randomized, controlled trial during a 3-month intervention period. The study was conducted in two antenatal clinics in urban Dhaka. One group of women was given monthly education sessions during the third trimester of pregnancy to promote consumption of khichuri, while the control group received only routine services from the health facilities. Birthweight was recorded within 24 hours after delivery. Breastfeeding practices were observed for 1 month after delivery. Results In the intervention group, maternal weight gain in the third trimester was 60% higher (8.60 vs. 5.38 kg, p = .011), mean birthweight was 20% higher (2.98 vs. 2.49 kg, p < .001), the rate of low birth-weight was 94% lower (2.7% vs. 44.7%, p < .001), and the rate of initiation of breastfeeding within 1 hour after birth was 52% higher (86.0% vs. 56.7%, p < .001), in comparison with the control group. Birthweight was associated with frequency of intake of khichuri ( p < 0.001). Conclusions Nutrition education with a focus on promoting consumption of khichuri during the third trimester of pregnancy significantly reduced the rate of low birthweight and increased maternal weight gain.

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