P907 Pregnancy outcome according to maternal weight gain rate by trimester

AbstractObjectiveTo study whether the dietary patterns of Finnish pregnant women are associated with their weight gain rate during pregnancy.DesignA validated 181-item FFQ was applied retrospectively to assess the diet during the eighth month of pregnancy, and maternal height and maternal weight at first and last antenatal visits were recalled. Information on sociodemographic characteristics, parity and smoking of the pregnant women was obtained by a structured questionnaire and from the Finnish Birth Registry. Principal components analysis was used to identify dietary patterns that described the diet of pregnant women based on their food consumption profile.SettingFinland.SubjectsSubjects consisted of 3360 women who had newly delivered in 1997–2002 and whose baby carried human leucocyte antigen-conferred susceptibility to type 1 diabetes in two university hospital regions, Oulu and Tampere, in Finland.ResultsOut of seven dietary patterns identified, the ‘fast food’ pattern was positively associated (β = 0·010, se = 0·003, P = 0·004) and the ‘alcohol and butter’ pattern was inversely associated (β = –0·010, se = 0·003, P < 0·0001) with weight gain rate (kg/week) during pregnancy after adjusting for potential dietary, perinatal and sociodemographic confounding factors. Both of the dietary pattern associations demonstrated dose dependency.ConclusionsPregnant women should be guided to have a well-planned, balanced, healthy diet during pregnancy in order to avoid rapid gestational weight gain. The association between diet, health and maternal weight gain of the women who consumed alcohol during pregnancy should be studied further.

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Pregnancy outcome in North American women. I. Effects of diet, cigarette smoking, and psychological stress on maternal weight gain

American Journal of Clinical Nutrition ◽

10.1093/ajcn/36.6.1205 ◽

1982 ◽

Vol 36 (6) ◽

pp. 1205-1213 ◽

Cited By ~ 64

Author(s):

T A Picone ◽

L H Allen ◽

M M Schramm ◽

P N Olsen

Keyword(s):

Weight Gain ◽

Cigarette Smoking ◽

Pregnancy Outcome ◽

Psychological Stress ◽

North American ◽

Maternal Weight Gain ◽

Maternal Weight ◽

American Women

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Rate and pattern of weight gain in Indian women from the upper income group during pregnancy and its effect on pregnancy outcome

Journal of Developmental Origins of Health and Disease ◽

10.1017/s2040174412000335 ◽

2012 ◽

Vol 3 (5) ◽

pp. 387-392 ◽

Cited By ~ 3

Author(s):

L. Raje ◽

P. Ghugre

Keyword(s):

Weight Gain ◽

Birth Weight ◽

Pregnancy Outcome ◽

Maternal Nutrition ◽

First Trimester ◽

Income Group ◽

Maternal Weight Gain ◽

Maternal Weight ◽

Indian Women ◽

Weight Gain During Pregnancy

Maternal weight gain and pattern of weight gain during pregnancy influence the ultimate outcome of pregnancy. Pregravid body mass index (BMI), maternal dietary intake, maternal height and age all determine the weight gain during pregnancy. The study was taken up with an objective to observe maternal weight gain and its pattern in pregnancy in women from an upper income group and to find out their association with pregnancy outcome. 180 normal primiparous pregnant Indian women (20–35 years) from an upper income group were recruited between the 10th and 14th weeks of pregnancy and were followed up throughout their pregnancy to record total and trimester-wise weight gain. Neonatal birth weights were recorded. The results showed that mothers with high pregravid BMI gained more weight during pregnancy than the recommended weight gain; in addition, weight gain in the first trimester was significantly correlated with birth weight of the neonates (P = 0.019). Significant correlation was found between weight gain in the third trimester and birth weight of the neonate irrespective of maternal BMI. The rate of weight gain was significantly correlated with neonatal birth weights irrespective of maternal pregravid BMI (P = 0.022) and as per its categories (P = 0.027). Thus, overall it can be concluded that adequate maternal nutrition before and during pregnancy is important for adequate weight gain by the mother and can result in better outcome of pregnancy. The rate of weight gain is also an important contributing factor.

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Epidemiological predictor variables in relation to the outcome of pregnancy in an urban setting

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20183998 ◽

2018 ◽

Vol 5 (10) ◽

pp. 4489

Author(s):

Prerna Shankar ◽

Vikas Pathania

Keyword(s):

Physical Activity ◽

Socioeconomic Status ◽

Weight Gain ◽

Preterm Birth ◽

Pregnancy Outcome ◽

Adverse Pregnancy Outcome ◽

Predictor Variables ◽

Maternal Weight Gain ◽

Maternal Weight ◽

Adverse Pregnancy

Background: Fetal weight at birth is the singular parameter resonant of maternal health and is measured with reasonable precision, while measuring preterm birth or IUGR requires a valid estimate of gestational age. Notwithstanding the relevance of mortality and morbidity as measures of adverse pregnancy outcome, proxy markers like low birth weight (LBW), preterm birth, intrauterine growth restriction (IUGR) and congenital anomalies have been used in the past. This exercise aims to study the epidemiological predictor variables in pregnant women attending ante-natal clinic and its association with birth outcome.Methods: This prospective study was carried out over a one-year period at a tertiary care teaching hospital. Data was collected using structured questionnaire, investigation reports and ante-natal cards. The outcome of delivery in all registered women was recorded by following them up till delivery.Results: The variables having a statistically significant association with an adverse pregnancy outcome were maternal and paternal education, family income, socioeconomic status (SES), gravidity, maternal complications, level of physical activity, rest during pregnancy, trimester of initiation of ANC visits, diet, iron supplementation, maternal weight gain, exposure to tobacco/environmental tobacco smoke and gestational age.Conclusions: Parental education, good antenatal care, early detection of high risk pregnancy, light physical activity and adequate rest, adequate nutrition with supplementation and exposure to ETS markedly influence the pregnancy outcome and intervention in these areas would result in an improved birth outcome. Factors having marginal scope of intervention include age of the pregnant women, adequate inter-pregnancy interval, maternal weight gain and socioeconomic status.

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Timing of Maternal Weight Gain and Pregnancy Outcome

Journal of the American Dietetic Association ◽

10.1016/s0002-8223(99)00479-4 ◽

1999 ◽

Vol 99 (9) ◽

pp. A26

Author(s):

H.S. Harvey ◽

E.S. Farrior

Keyword(s):

Weight Gain ◽

Pregnancy Outcome ◽

Maternal Weight Gain ◽

Maternal Weight

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A Longitudinal Study of the Factor VII Rise during Pregnancy

Thrombosis and Haemostasis ◽

10.1055/s-0037-1614986 ◽

1998 ◽

Vol 79 (02) ◽

pp. 328-330 ◽

Cited By ~ 4

Author(s):

D. Wright ◽

J. M. Thomson ◽

A. Sidebotham ◽

C. F. Hirst ◽

P. Hirsch ◽

...

Keyword(s):

Weight Gain ◽

Longitudinal Study ◽

Factor Viia ◽

Factor Vii ◽

Maternal Weight Gain ◽

Maternal Weight ◽

Foetal Growth ◽

Indirect Measures ◽

Activity State ◽

State Factor

SummaryA longitudinal study of 21 pregnant women has been undertaken using a variety of factor VII assays, including factor VIIa, to investigate the increase of factor VIIc. All assays demonstrated significant rises (p <0.001), most marked for factor VIIa (82%) and factor VIIc rabbit (81%). Smaller rises were seen for factor VIIc bovine (50%) and VII antigen (40%). Three indirect measures of activity state, factor VIIc rabbit:antigen, bovine:antigen and bovine:rabbit, provided conflicting data. Factor VIIa:antigen showed a significant increase of 36% (p <0.001). Within individual pregnancies the change in factor VIIc rabbit and antigen correlated with maternal weight gain (p <0.05). Two activity state measures, bovine:rabbit and bovine:antigen, showed negative correlation with birthweight. The increases in both zymogen and in activity state appear to contribute to the factor VIIc rise. The extent of this rise appears to be influenced by maternal weight gain. Increased factor VII activation is associated with reduced foetal growth.

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