The impact of maternal obesity on fetal adiposity in the third trimester

2010 ◽  
Vol 95 (Supplement 1) ◽  
pp. Fa25-Fa25
Author(s):  
N. Farah ◽  
M. Kennelly ◽  
V. Donnelly ◽  
B. Stuart ◽  
M. Turner
2019 ◽  
Vol 40 (11) ◽  
pp. 1561-1578
Author(s):  
Miri Kestler-Peleg ◽  
Osnat Lavenda ◽  
Shelli Keren-Leneman ◽  
Karni Ginzburg

Contemporary families experience the paradox of traditionalism/postmodernism especially in the postnatal period which presents many challenges to couples subsystem. One of them is the change in roles, which often leads to decreased relationships’ equality. This article tests the impact of change in perceived spousal equality after giving birth on relationships’ quality and the implications of the latter for mothers’ psychological adjustment. Participants included 349 Israeli pregnant women who completed self-reported questionnaires at the third trimester of pregnancy (T1) and 5 months postnatal (T2). The questionnaires dealt with perceived spousal equality, relationship’s quality and psychological adjustment (i.e., postpartum depression, negative and positive affect and life satisfaction). Results demonstrated that decrease in perceived equality from T1 to T2 reduced the levels of relationship’s quality, which in turn resulted in a decrease in mothers’ psychological adjustment, 5 months after giving birth. The centrality of spousal relationship for mothers’ psychological adjustment is discussed.


2021 ◽  
pp. 1-24
Author(s):  
Karim Karbin ◽  
Fatemeh Khorramrouz ◽  
Ehsan Mosa Farkhani ◽  
Seyyed Reza Sobhani ◽  
Negin Mosalmanzadeh ◽  
...  

Abstract Objective: To investigate the impact of household food insecurity during the third trimester of pregnancy on the growth indicators of infants aged less than six months. Design: Retrospective longitudinal study. Setting: 137 healthcare centres (15 cities) in Khorasan Razavi province, Iran. Data were extracted from the Sina Electronic Health Record System (SinaEHR®). Participants: This study was conducted on 2,481 mother and infant dyads during November 2016-March 2019. The household food insecurity access scale (HFIAS; nine-item version) was used to measure food insecurity in the third trimester of pregnancy. Women who delivered singleton infants were included in the study, and anthropometric indices of infants were measured throughout the first sixth months of life. Results: Approximately 67% of the participants were food-secure, while 33% had varying degrees of food insecurity. The children born to the mothers in the food-insecure households were respectively 2.01, 3.03, and 3.83 times more likely to be stunted at birth (95% CI: 1.17-3.46), four months (95% CI: 1.21-7.61), and six months of age (95% CI: 1.37-10.68) compared to their counterparts in the food-secure households. However, there were no significant differences in mean birthweight, birth height, and head circumference at birth between the two groups. Conclusions: Household food insecurity during pregnancy is a risk factor for stunting in infants aged less than six months. Therefore, national nutrition programs could considerably support women in food-insecure households during and before pregnancy.


Author(s):  
Jelena Meinilä ◽  
Miira M. Klemetti ◽  
Emilia Huvinen ◽  
Elina Engberg ◽  
Sture Andersson ◽  
...  

Abstract Background/objectives The impact of maternal macronutrient intake during pregnancy on offspring childhood adiposity is unclear. We assessed the associations between maternal macronutrient intake during and after pregnancy with offspring adiposity at 5 years of age. Additionally, we investigated whether gestational diabetes (GDM), BMI, or breastfeeding modified these associations. Subjects/methods Altogether, 301 mother–child dyads with maternal prepregnancy BMI ≥ 30 and/or previous GDM participated in the Finnish Gestational Diabetes Prevention Study (RADIEL) and its 5 years follow-up. Macronutrient intakes (E%) were calculated from 3-day food records collected at 5–18 weeks’ gestation, in the third trimester, and at 12 months and 5 years after pregnancy. Offspring body fat mass (BFM) and fat percentage (BF%) at 5 years were measured by bioimpedance. Statistical analyses were multivariate linear regression. Results Mean (SD) prepregnancy BMI was 33(4) kg/m2. GDM was diagnosed in 47%. In normoglycemic women, higher first half of pregnancy n-3 PUFA intake was associated with lower offspring BFM (g) (ß −0.90; 95% CI −1.62, −0.18) and BF% (ß −3.45; 95% CI −6.17, −0.72). In women with GDM, higher first half of pregnancy n-3 PUFA intake was associated with higher offspring BFM (ß 0.94; 95% CI 0.14, 1.75) and BF% (ß 3.21; 95% CI 0.43, 5.99). Higher SFA intake in the third trimester and cumulative intake across pregnancy (mean of the first half and late pregnancy) was associated with higher BFM and BF% (across pregnancy: ß 0.12; 95% CI 0.03, 0.20 and ß 0.44; 95% CI 0.15, 0.73, respectively). Higher carbohydrate intake across pregnancy was associated with lower BFM (ß −0.044; 95% CI −0.086, −0.003), and borderline associated with BF% (ß −0.15; 95% CI −0.31, 0.00). Conclusions The macronutrient composition of maternal diet during pregnancy is associated with offspring BFM and BF% at 5 years. GDM modifies the association between prenatal n-3 PUFA intake and offspring anthropometrics.


2013 ◽  
Vol 98 (2) ◽  
pp. 643-652 ◽  
Author(s):  
Barbara J. Meyer ◽  
Frances M. Stewart ◽  
Elizabeth A. Brown ◽  
Josephine Cooney ◽  
Solveig Nilsson ◽  
...  

Author(s):  
Janice H. Simo ◽  
Pascal Foumane ◽  
Ngo Um E. Meka ◽  
Julius S. Dohbit ◽  
Felix Essiben ◽  
...  

Background: In the environment, there’s not enough studies on the effects of sexual activity during pregnancy on labor outcome, especially for nulliparous women. The aim was to assess the effects of sexual activity during the third term of pregnancy on the outcome of labor in nulliparous women.Methods: A prospective cohort study on labor was carried out for 11 months at the labor ward of the Yaoundé gynaeco-obstetric and pediatric Hospital. In this study compared women were exposed to at least one unprotected sexual intercourse with vaginal ejaculation per week during the third trimester of pregnancy (exposed group), to those who had less than one unprotected sexual intercourse per week (non-exposed group).Results: Of the 1123 primiparous women who gave birth within the study period, 426 consented to enroll in the study. Amongst these women, 186 women in the exposed group compared to 240 women in the non-exposed group. Intercourse during pregnancy predisposed on arrival into the labor ward to a Bishop’s score ≥7 (RR = 1.94; CI = 1.63-2.3) and within the course of labor to a spontaneous per vaginal delivery (RR = 1.18; CI = 1.06-1.31) and an active phase duration <6 hours (RR = 1.52; CI = 1.36-1.7). Furthermore, sexual intercourse during pregnancy protected against labor induction (RR = 0.21; CI = 0.12-0.36), dystocia (RR = 0.36; CI =  0.27-0.49), cesarean section (RR = 0.29; CI = 0.15-0.55), episiotomy (RR = 0.56; CI = 0.36-0.87) and an Apgar  score <7 at the first minute of birth (RR = 0.31; CI = 0.14-0.7).Conclusions: Sexual activity during pregnancy improves the prognosis of labor in primiparous women. In the absence of contraindications, consented unprotected heterosexual vaginal intercourse should be promoted in nulliparous women.


2020 ◽  
Vol 10 (9) ◽  
pp. 619
Author(s):  
Barbora Blazkova ◽  
Anna Pastorkova ◽  
Ivo Solansky ◽  
Milos Veleminsky ◽  
Milos Veleminsky ◽  
...  

Objectives: To analyze the impact of polycyclic aromatic hydrocarbons (PAHs) in ambient air at the time of delivery and five years of age on cognitive development in five year old children. Materials and Methods: Two cohorts of children born in the years 2013 and 2014 from Karvina (Northern Moravia, n = 70) and Ceske Budejovice (Southern Bohemia, n = 99) were studied at the age of five years for their cognitive development related to the exposure to PAHs, determined in the ambient air as the concentration of benzo[a]pyrene (B[a]P) and OH–PAH (hydroxy-PAH) metabolites in urine of the newborns at the time of delivery. As psychological tests, the Bender Visual Motor Gestalt Test (BG test) and the Raven Colored Progressive Matrices (RCPM test) were used. Results: Concentrations of B[a]P in the third trimester of mother’s pregnancies were 6.1 ± 4.53 ng/m3 in Karvina, and 1.19 ± 1.28 ng/m3 (p < 0.001) in Ceske Budejovice. Neither the outcome of the RCPM test nor the BG test differed between children in Karvina vs. Ceske Budejovice, or boys vs. girls. Cognitive development in five year old children was affected by the higher exposure to PM2.5 during the third trimester in girls in Karvina. Conclusions: We did not observe any significant effect of prenatal PAH exposure on psychological cognitive tests in five year old children.


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