Association of body mass index of HIV-1–infected pregnant women and infant birth weight, body mass index, length, and head circumference: the National Institute of Child Health and Human Development International Site Development Initiative Perinatal Study

Abstract Objectives The consultation of women aspiring a vaginal birth after caesarean may be improved by integrating the individual evaluation of factors that predict their chance of success. Retrospective analysis of correlating factors for all trials of labor after caesarean that were conducted at the Department of Obstetrics of Charité-Universitätsmedizin Berlin, Campus Virchow Clinic from 2014 to October 2017. Methods Of 2,151 pregnant women with previous caesarean, 408 (19%) attempted a vaginal birth after cesarean. A total of 348 women could be included in the evaluation of factors, 60 pregnant women were excluded because they had obstetric factors (for example preterm birth, intrauterine fetal death) that required a different management. Results Spontaneous delivery occurred in 180 (51.7%) women and 64 (18.4%) had a vacuum extraction. 104 (29.9%) of the women had a repeated caesarean delivery. The three groups showed significant differences in body mass index, the number of prior vaginal deliveries and the child’s birth weight at cesarean section. The indication for the previous cesarean section also represents a significant influencing factor. Other factors such as maternal age, gestational age, sex, birth weight and the head circumference of the child at trial of labor after caesarean showed no significant influence. Conclusions The clear majority (70.1%) of trials of labor after caesarean resulted in vaginal delivery. High body mass index, no previous spontaneous delivery, and fetal distress as a cesarean indication correlated negatively with a successful vaginal birth after cesarean. These factors should be used for the consultation of pregnant women.

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Intake of antioxidants nutrients by pregnant womem: Associated factors

Revista de Nutrição ◽

10.1590/1678-98652018000400001 ◽

2018 ◽

Vol 31 (4) ◽

pp. 353-362

Author(s):

Luiz Gonzaga Ribeiro SILVA NETO ◽

Marilene Brandão TENÓRIO ◽

Raphaela Costa FERREIRA ◽

Alane Cabral Menezes de OLIVEIRA

Keyword(s):

Public Health ◽

Body Mass Index ◽

Birth Weight ◽

Vitamin A ◽

Health System ◽

Pregnant Women ◽

Body Mass ◽

Associated Factors ◽

Public Health System ◽

Maternal Body Mass Index

ABSTRACT Objective To evaluate the intake of antioxidant nutrients by pregnant women being cared for in the Brazilian public health system and associated factors. Methods A cross-sectional study was carried out with pregnant women cared for in the public health system in the city of Maceió, Brazil, in 2014, including 385 pregnant women and their newborns, and the collection of maternal information (socioeconomic, personal, prenatal, dietary and anthropometric data), and after the babies’ birth (gestational age, birth weight and length). Food intake was assessed by two 24-hour dietary reminders per pregnant woman with subsequent adjustments by the Estimated Average Requirement method. Data were processed and Pearson’s correlation was used to evaluate associations, considering p<0.05 as significant. Results A total of 388 pregnant women with a mean age of 24.06±5.92 years were studied, with inadequate intake and high variation of the following antioxidants: vitamin A (83.2%/62.7%), vitamin C (50.5%/75.7%), vitamin E (76.5%/60.2%), Selenium (60.8%/50.3%), Copper (98.5%/42.8%) and Zinc (79.6%/43.4%), respectively. Additionally, the following associations were observed: the intake of vitamin A (p=0.02), Copper (p=0.01), and Selenium (p=0.01) with the maternal Body Mass Index; the intake of vitamin A (0.04) and Selenium (p=0.02) with the birth weight; and between vitamin A (p=0.04) with the birth length. Conclusion The low intake of antioxidant nutrients by pregnant women is a reality, being associated to the maternal Body Mass Index and the birth weight and length of the newborn.

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Relationships Between Infant Birth Weight and Maternal Mastication Ability, Caloric Intake and Prepregnancy Body Mass Index of Women with Posterior Tooth Loss

Pesquisa Brasileira em Odontopediatria e Clínica Integrada ◽

10.4034/pboci.2019.191.146 ◽

2019 ◽

Vol 19 (1) ◽

pp. 1-7

Author(s):

Indah Sri Bernadetta Tarigan ◽

Nina Ariani ◽

Henni Koesmaningati ◽

Farisza Gita

Keyword(s):

Body Mass Index ◽

Birth Weight ◽

Body Mass ◽

Tooth Loss ◽

Caloric Intake ◽

Prepregnancy Body Mass Index ◽

Posterior Tooth ◽

Infant Birth

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The effects of body mass index, smoking and anemia on fetal birth weight

Perinatal Journal ◽

10.2399/prn.21.0292004 ◽

2021 ◽

Vol 29 ◽

Author(s):

Ersin Çintesun ◽

Feyza Nur İncesu Çintesun ◽

Meltem Aydoğdu ◽

Emine Taşkın ◽

Mete Can Ateş ◽

...

Keyword(s):

Body Mass Index ◽

Birth Weight ◽

Pregnant Women ◽

Vaginal Delivery ◽

Body Mass ◽

Fetal Weight ◽

Important Indicator ◽

Significant Difference ◽

Fetal Birth Weight ◽

Smoking Group

Objective: Fetal growth is an important indicator of fetal health. Low birth weight (LBW) is also associated with increased perinatal morbidity and mortality. Numerous factors that affect fetal weight have been identified. In this study, we aimed to investigate the effect of body mass index, smoking, and anemia on fetal birth weight on term pregnant women who had vaginal delivery in our clinic. Methods: This study is a retrospective cross-sectional study. This study included patients who had a spontaneous vaginal delivery at our hospital between January 1st, 2018, and June 15th, 2020. Measurements of hemoglobin (Hb) and hematocrit (Hct) levels during birth supported the diagnosis of anemia. Hb levels were compared in three categories in this study: (1) Hb<10 g/dL; (2) ≥10<11 g/dL; and (3) Hb ≥11 g/dL. Anemia was defined as having a Hb level <11 mg/dL. Birth weight was categorized as LBW <2500 g; normal birth weight (NBW) as ≥2500–3999 g, and macrosomia as ≥4000 g. Results: Analysis was performed on 1428 pregnant women. There was a statistically significant difference for the Hct and Hb subgroups between the groups (p<0.05). Fetal birth weight was found higher in the non-smoking group than in the smoking group (3302.1± 381.5 g vs. 2839.7±491.5 g; p<0.001). Body mass index (BMI) and Hb levels positively predicted fetal birth weight (β=0.134; p<0.001 and β=0.051; p=0.046), smoking was negatively predicted fetal birth weight (β=-0.245; p<0.001). Conclusion: BMI, Hb levels, and smoking status during mothers’ delivery are effective on fetal weight. Smoking was the strongest predictor of fetal birth weight compared with the other variables.

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Interaction Between Pre-pregnancy Body Mass Index and Gestational Weight Gain to Newborn Outcomes: Results From the VDPM Cohort Study in Indonesia

Current Developments in Nutrition ◽

10.1093/cdn/nzab046_067 ◽

2021 ◽

Vol 5 (Supplement_2) ◽

pp. 770-770

Author(s):

Dyah Ayu Larasati Kisworo Putri ◽

Nur Indrawaty Lipoeto ◽

Arif Sabta Aji

Keyword(s):

Body Mass Index ◽

Cohort Study ◽

Weight Gain ◽

Birth Weight ◽

Gestational Weight Gain ◽

Body Mass ◽

Head Circumference ◽

Pregnancy Outcomes ◽

Gestational Weight ◽

Newborn Outcomes

Abstract Objectives The aim of this study was to analyze the interaction between pre-pregnancy body mass index (PP BMI), gestational weight gain (GWG), and newborn outcomes among pregnant mothers in West Sumatera, Indonesia. Methods This VDPM cohort study was conducted from September 2017 to March 2018 in West Sumatra, Indonesia. We obtained 195 healthy mother-infant pairs. GWG status created by comparing PP BMI and GWG guidelines based on the World Health Organization (WHO). Newborn birth weight, birth length, and head circumference were taken immediately after delivery as pregnancy outcomes. SPSS version 20.0 was used to analyze bivariate and multivariate analysis to assess the interaction between PP BMI and gestational weight gain in pregnancy outcomes with adjusting potential confounders. A P-value less than 0.05 was considered as a significant association. Results Of the 195 mother-infant pairs (Mean 29.66 years) included in the main sample, Most of the mothers had 46.7% normal PP BMI with most of them had an inadequate GWG status during pregnancy with 53.3%. Adequate and excessive GWG statuses were 34.4% and 12.3%, respectively. There was a significant association between PP BMI and GWG (p < 0.01). This study had no interaction between PP BMI and GWG to the newborn outcomes (p > 0.05). Adverse newborn outcomes were not statistically significant among groups. However, mothers who had inadequate GWG status may have significant lower birth weight and head circumference compared to normal and excessive GWG status (p < 0.05). Conclusions This study had no interaction between PP BMI and GWG status to newborn outcomes. However, the GWG status associated with newborn outcomes in birth weight and head circumference level. Further prospective studies with a larger number are required to confirm this finding. Funding Sources Indonesian Danone Institute Foundation.

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A study to determine the effect of maternal prepregnancy body mass index on the anthropometric measurements of the newborn

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20201138 ◽

2020 ◽

Vol 7 (4) ◽

pp. 826

Author(s):

Brinda Prasanna Kumar ◽

E. Adarsh ◽

Sahana G.

Keyword(s):

Body Mass Index ◽

Birth Weight ◽

Body Mass ◽

Head Circumference ◽

Anthropometric Measurements ◽

Chest Circumference ◽

Normal Vaginal Delivery ◽

Antenatal Visit ◽

Arm Circumference ◽

Maternal Bmi

Background: Maternal pre-pregnancy BMI is well established to be a detrimental factor for prenatal development and neonatal anthropometric measures. Objectives of the study was to study the association between maternal pre-pregnancy Body Mass Index (BMI) and the anthropometry of the newborn.Methods: A hospital based cross-sectional, observational study was conducted that included 236 normal newborns and their mothers. A pre-designed questionnaire was used to collect relevant socio-demographic data and obstetric history. Details regarding maternal pre-pregnancy weight was collected from antenatal records at first antenatal visit, maternal height was measured and BMI was calculated. Neonatal anthropometric measurements including birth weight, recumbent length, head circumference, chest circumference and the mid arm circumference was measured.Results: In this study 49.6% of the women were in the age group of 21-25 years, 52.5% of them were multi-gravida and 56.4% had normal vaginal delivery. Among the newborns included in the study 25.8% had low birth weight. We saw a significant positive correlation between BMI and age, BMI and birth weight, BMI and chest circumference that is with increase in BMI there was significant increase in the age, birth weight and chest circumference and vice versa. There was no association between maternal BMI and mid-arm circumference or head circumference of the newborn.Conclusions: Study showed the association between maternal BMI and anthropometry of the newborn especially with respect to the BMI and birth weight, BMI and chest circumference. Thereby, establishing that interventions aimed at improving the nutritional status of the mother have a direct impact on the fetal growth outcomes.

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An investigation into the correlation between pre-pregnancy body mass index and birth outcomes of newborn in Jersey

Proceedings of The Nutrition Society ◽

10.1017/s0029665120005984 ◽

2020 ◽

Vol 79 (OCE2) ◽

Author(s):

Urszula Sliwka ◽

Katarzyna Przybylowicz ◽

Neil MacLachlan ◽

Jakub Morze ◽

Anna Danielewicz ◽

...

Keyword(s):

Body Mass Index ◽

Nutritional Status ◽

Pregnant Women ◽

Body Mass ◽

Birth Outcomes ◽

Gestational Age ◽

Newborn Outcomes ◽

Infant Birth ◽

Maternal Bmi ◽

Delivery Type

AbstractThe role of nutritional status of pregnant women and birth outcomes is ambiguous. Recent studies show that pre-pregnancy body weight is equally important as weight gain during pregnancy. Body mass index (BMI) is the most accessible and easy to check a nutritional status index, which may help to control the gestation and predict infant health outcome. This study aimed to examine the associations between pre-pregnancy body mass index and the infant birth parameters. A presented observational study was offered to 200 pregnant women from Antenatal Clinic at Jersey General Hospital in 2017. Total number of 83 women agreed to take part in this project. Diet, lifestyle, socio-economic, and demographic data were obtained from participants. Delivery and birth data were taken from hospital records. Offspring feeding data and selected anthropometric measurements for mothers and their newborns were also collected. Differences between BMI for delivery type and way of feeding were verified with chi-square test. Differences and correlation between maternal BMI and newborn outcomes were verified with Kruskal-Wallis’ test and Spearman's rank test. Mean BMI of mothers included to the study was 22.8 ± 4.4 with mean weight 61.9 ± 11.6. Before pregnancy BMI was normal in 67% women and about 23% was overweight or obese. We do not observed differences between delivery type and way of feeding during first 48 hours, and women in BMI categories. Also no differences and correlation were observed for the Apgar score, gestational age of birth, and newborn's weight and length at birth. However, newborn weight correlated with newborn length (r = 0.433) and gestational age (r = 0.568) at birth. Concluding, the maternal pre-pregnancy BMI was not correlated with type of delivery, way of feeding and newborn outcomes. Previous studies show that high pre-pregnancy maternal BMI may be associated with adverse offspring outcomes at birth and later life. Future extended research is needed to explain these relations, with inclusion of the specific factors as maternal diet, lifestyle and ethnicity.

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Predictors of adults’ body mass index and the association with index child’s infant birth weight, in the Lifeways Cross-Generation Cohort Study of a thousand families in the Republic of Ireland

Journal of Developmental Origins of Health and Disease ◽

10.1017/s2040174417000435 ◽

2017 ◽

Vol 8 (6) ◽

pp. 649-657 ◽

Cited By ~ 3

Author(s):

S. McKey ◽

M. Heinen ◽

J. Mehegan ◽

R. Somerville ◽

H. Khalil ◽

...

Keyword(s):

Body Mass Index ◽

Birth Weight ◽

Body Mass ◽

Linear Models ◽

Outcome Variable ◽

Final Model ◽

Adult Body Mass ◽

Adult Body ◽

The Republic ◽

Infant Birth

The Lifeways study is novel in having information on three generations of the same families. It is well established that infant birth weight (IBW) predicts individuals’ risk of adult chronic disease and more recently studies report cross-generation transmission of risk patterns. The aims of this analysis were to examine whether adults’ birth weights were associated with measures of own health status or social position and to relate adults’ birth weights to that of the index child’s IBW. Finally, we assessed whether birth weight of either adults or children was associated with adult body mass index (BMI) of parents and grandparents. We included 1075 children whose IBW was recorded at recruitment from hospital records and 2546 adult cohort members followed from 2001 until 2014. At baseline, a sub-group of 920 adults had reported own birth weight (RBW). Results showed male adults’ RBW were significantly higher than females’ (P=0.001). Mothers’ RBW was significantly correlated with IBW (r=0.178, P<0.001). In mixed effects linear models with BMI as the outcome variable, of all adults, and in sub-groups of adults with RBW and of mothers only, the IBW was associated with adult BMI adjusting for other predictors. Adults’ BMI was positively associated with age (P=0.013), index child’s IBW (P=0.001), gender (P<0.001) but not own RBW, adjusting for family identification number. When mothers were removed from the adult models however, IBW ceased to be associated with BMI, a final model showed RBW being associated with adult BMI (P=0.04). There are cross-generational associations in the Lifeways cohort, the maternal association being stronger.

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