scholarly journals Association Between Maternal Pre-pregnancy Body Mass Index, Dietary Intake, and Birth Size Outcomes: Results From the VDPM Cohort Study in Indonesia

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 706-706
Author(s):  
Arif Sabta Aji ◽  
Dyah Ayu Larasati Kisworo Putri ◽  
Nur Indrawaty Lipoeto

Abstract Objectives This study analyzed the association between pre-pregnancy body mass index (PPBMI), dietary intake status, and birth size outcomes in the VDPM cohort study in West Sumatra, Indonesia. Methods The VDPM study is a prospective longitudinal study including 239 healthy pregnant women of Indonesian women with singleton pregnancies. Data on maternal dietary intake including energy, carbohydrate, protein, and fat intake, and anthropometry were collected during pregnancy. New-born anthropometry for 195 new-born babies was measured immediately after delivery. Bivariate and multivariate regression analyses were constructed to determine the association between PPBMI, dietary intake status, and birth size outcomes. Results The mean birth weight was 3195 ± 463 g. Dietary intake of pregnant mothers had a significant correlation with newborn birth weight, length of birth, head circumference, and placental weight as pregnancy outcome indicators (p ≤ 0.05). This study showed that no association between pre-pregnancy BMI status and birth size outcomes (p ≥ 0.05). Conclusions Our studies have not shown a statistically significant difference between PPBMI and birth size outcomes. However, maternal dietary intake associated with birth size outcomes, more research is warranted to confirm these findings. Funding Sources Indonesian Danone Institute Foundation.

2021 ◽  
Vol 29 ◽  
Author(s):  
Ersin Çintesun ◽  
Feyza Nur İncesu Çintesun ◽  
Meltem Aydoğdu ◽  
Emine Taşkın ◽  
Mete Can Ateş ◽  
...  

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.


2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 770-770
Author(s):  
Dyah Ayu Larasati Kisworo Putri ◽  
Nur Indrawaty Lipoeto ◽  
Arif Sabta Aji

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 &lt; 0.01). This study had no interaction between PP BMI and GWG to the newborn outcomes (p &gt; 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 &lt; 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.


2014 ◽  
Vol 16 (1) ◽  
Author(s):  
Zorana J Andersen ◽  
Jennifer L Baker ◽  
Kristine Bihrmann ◽  
Ilse Vejborg ◽  
Thorkild IA Sørensen ◽  
...  

2008 ◽  
Vol 87 (6) ◽  
pp. 1743-1749 ◽  
Author(s):  
Nina Jansson ◽  
Anna Nilsfelt ◽  
Martin Gellerstedt ◽  
Margareta Wennergren ◽  
Lena Rossander-Hultheén ◽  
...  

PLoS ONE ◽  
2015 ◽  
Vol 10 (6) ◽  
pp. e0130101 ◽  
Author(s):  
Shaoping Yang ◽  
Anna Peng ◽  
Sheng Wei ◽  
Jing Wu ◽  
Jinzhu Zhao ◽  
...  

2013 ◽  
Vol 60 ◽  
pp. 209-216 ◽  
Author(s):  
Eleni Papadopoulou ◽  
Ida H. Caspersen ◽  
Helen E. Kvalem ◽  
Helle K. Knutsen ◽  
Talita Duarte-Salles ◽  
...  

Author(s):  
Chanchal Arora ◽  
Smitha Thadathil ◽  
Rejani R. ◽  
Punita A. Sharma

Background: Mothers are the creators and sustainers of progeny. The health and wellbeing of children is intimately linked with the health, nutrition, education and well-being of their mothers because she is both the seed as well as the soil where in the baby is nurtured for 9 months. Hence the present study was conducted to determine the association between first trimester body mass index (BMI) of antenatal mothers with the mode of delivery, birth weight and APGAR scores of new born babies at birth in a tertiary care hospital.Methods: A cross-sectional study was conducted amongst 115 antenatal mothers who reported to the Labor room in a tertiary care hospital of Pune during the period of Nov. 2017 to Feb. 2018, to determine the association between first trimester body mass index (BMI) of antenatal mothers with the mode of delivery, birth weight and APGAR scores of new born babies.Results: The findings were suggestive of increased odds of APGAR of <7 at 1 min of birth among new born babies born to the study participants of low BMI group as compared to the new born babies born to the high BMI group; Increased odds of birth weight of  >3.5 kg and gestational weight gain of >14 kg and greater odds of complications among new born babies born to the study participants of high BMI group than the new born babies born to the low BMI group.Conclusions: The study concluded that birth weight of the new born babies shows a clinically significant increasing trend in association with the increasing first trimester BMI of their mothers.


Author(s):  
K. Karthika ◽  
Anjali Wagh

Background: India is now facing a double burden with underweight on one side, and a rapid upsurge in overweight, particularly in the urban settings on the other side. With a maternal mortality rate of 174 per100,000 live births and with an infant mortality rate of 38 per 1000 live births, there is an absolute need to focus upon the health of the mothers and thence that of the new-born. So, we planned to study the correlation between the BMI of the mother with that of the outcome of the pregnancy.Methods: 152 women, who were registered and gave birth in the respective hospitals during the study period were selected randomly and were enrolled for the study. A detailed history was taken on their socio-economic class, obstetric status, diet and body mass index was calculated. And, the anthropometry of the new borns was taken.Results: Mothers with BMI less than normal had babies of low birth weight in major proportion (86%). Mothers with BMI falling under normal range had 13% low birth weight babies. Mothers with BMI more than normal had 55.5% low birth weight babies, 29.6% normal birth weight babies and also around 15% high birth weight babies.Conclusions: There is a definite correlation between the BMI of mother and the anthropometry of the child. Any deviation from the normal body mass index of the mother is seen to be related to a change in the anthropometry of the newborn.


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