scholarly journals Gestational Weight Gain and Offspring Longitudinal Growth in Early Life

2015 ◽  
Vol 67 (1) ◽  
pp. 49-57 ◽  
Author(s):  
Jill C. Diesel ◽  
Cara L. Eckhardt ◽  
Nancy L. Day ◽  
Maria M. Brooks ◽  
Silva A. Arslanian ◽  
...  
Keyword(s):  
Weight Gain ◽  
Gestational Weight Gain ◽  
Infant Growth ◽  
Growth Patterns ◽  
World Health ◽  
Z Score ◽  
Growth Standards ◽  
Gestational Weight ◽  
Excessive Gestational Weight Gain ◽  
Health Organization

Background: Excessive gestational weight gain (GWG) increases the risk of childhood obesity, but little is known about its association with infant growth patterns. Aim: The aim of this study was to examine the association between GWG and infant growth patterns. Methods: Pregnant women (n = 743) self-reported GWG at delivery, which we classified as inadequate, adequate or excessive based on the current guidelines. Offspring weight-for-age z-score (WAZ), length-for-age z-score (LAZ (with height-for-age (HAZ) in place of length at 36 months)) and body mass index z-score (BMIZ) were calculated at birth, 8, 18 and 36 months using the 2006 World Health Organization growth standards. Linear mixed models estimated the change in z-score from birth to 36 months by GWG. Results: The mean (SD) WAZ was -0.22 (1.20) at birth. Overall, WAZ and BMIZ increased from birth to, approximately, 24 months and decreased from 24 to 36 months, while LAZ/HAZ decreased from birth through 36 months. Excessive GWG was associated with higher offspring WAZ and BMIZ at birth, 8 and 36 months, and higher HAZ at 36 months, compared with adequate GWG. Compared with the same referent, inadequate GWG was associated with smaller WAZ and BMIZ at birth and 8 months. Conclusion: Excessive GWG may predispose infants to obesogenic growth patterns, while inadequate GWG may not have a lasting impact on infant growth.

A Study to Assess the Effect of Maternal Obesity on Pregnancy Outcome in a Tertiary Medical Centre of South Bihar

2021 ◽  
Vol 8 (30) ◽  
pp. 2784-2789
Author(s):  
Aishwarya Aishwarya ◽  
Arshi Praveen ◽  
Vineeta Singh
Keyword(s):  
Weight Gain ◽  
Pregnancy Outcome ◽  
Vaginal Delivery ◽  
Gestational Weight Gain ◽  
Maternal Obesity ◽  
World Health ◽  
Normal Vaginal Delivery ◽  
Childbearing Age ◽  
Gestational Weight ◽  
Excessive Gestational Weight Gain

BACKGROUND World health organization (WHO) declares obesity as a pandemic issue, having high prevalence in females, especially in the childbearing age than in males. Pregnancies complicated by obesity has been identified as early as 1945. Prepregnancy obesity endangers both maternal and fetal well-being. Increasing body mass index (BMI) is associated with increased adverse obstetric and fetal outcomes. Pre-pregnancy obesity and excessive gestational weight gain are parts of maternal obesity during pregnancy. Prenatal maternal obesity and excessive gestational weight gain also improve placental nutrition transfer to the developing foetus and foetal development. The purpose of this study was to evaluate the association between early pregnancy BMI and maternal complications as well as labour outcome. METHODS A prospective observational study comprising 250 antenatal women with singleton uncomplicated pregnancies, booked at Narayan Hospital, Rohtas, South Bihar within the first 12 weeks of gestation were selected for the study. The following inclusion and exclusion criteria were considered. With the help of a predesigned questionnaire, basic information including weight and height was collected in the first check up and BMI was calculated accordingly. BMI was calculated using the formula weight (kg)/height 2 (m2). RESULTS The mean age of mothers was 25.98 ± 3.92 years. Mothers who underwent caesarean section had BMI of 27.36 ± 5.768 and for normal vaginal delivery mothers it was 27.94 ± 6.076, whereas for mother who had undergone forceps delivery, BMI was 30.60 ± 3.864 whereas for other assisted vaginal delivery it was 29.75 ± 7.246. There is mild correlation of BMI of mother to the birth weight of baby. On applying regression analysis, we found mild correlation with R square 0.134. There was no correlation of BMI of mother to the hospital stay of their children. CONCLUSIONS We concluded that however statistically there is no significant association between obesity and numerous maternal and perinatal risks in obese pregnant women but it poses a considerable challenge to the obese patient in successful completion of pregnancy. KEYWORDS Obesity, BMI, Pregnancy Outcome, NICU, Mode of Delivery

scholarly journals Impact of maternal obesity on pregnancy course and maternal and perinatal complications

2020 ◽  
Vol 71 (3) ◽  
pp. 54-58
Author(s):  
Milan Lacković
Keyword(s):  
Risk Factors ◽  
Weight Gain ◽  
Gestational Weight Gain ◽  
Pregnancy Complications ◽  
Maternal Obesity ◽  
Overweight And Obesity ◽  
Perinatal Complications ◽  
Anthropometric Parameter ◽  
Gestational Weight ◽  
Excessive Gestational Weight Gain

 The prevalence of obesity and obesity-related health problems is increasing worldwide, especially among woman and man of reproductive age and obesity is designated as one of the most important global health threats in 21st century.  Pregnancy in obese woman is considered as a high-risk pregnancy. Pre-pregnancy obesity and excessive gestational weight gain (GWG) are distinct risk factors with differing associated adverse outcomes, but they could also carry a cumulative negative impact on pregnancy course. Pre-pregnancy obesity is the anthropometric parameter most strongly correlated with perinatal complications. Maternal complications following obesity include antepartum, intrapartum and postpartum complications, such as pregnancy related hypertension, preeclampsia, gestational diabetes mellitus, preterm birth, venous thromboembolism, labor dystocia, labor induction, instrumental and cesarean delivery. Fetal complications related to maternal obesity might include increased prevalence of congenital anomalies, growth abnormalities, prematurity and stillbirth. Pre- pregnancy overweight and obesity is a potentially modifiable risk factor compromising pregnancy outcome. Among all complications that might arise during pregnancy and that could not be predicted and therefore prevented, pre- pregnancy overweight and obesity management control can significantly reduce potential pregnancy complications. Pre-conceptual counseling should provide in a timely manner awareness of this arising medical condition and provide risk reduction of complications following pre- pregnancy obesity and excessive GWG  obesity, pre-pregnancy obesity, excessive gestational weight gain, pregnancy risk factors, pregnancy complications  

Excessive gestational weight gain results in higher contractile microvascular state in women with normal pre-gestational weight

Placenta ◽  
2019 ◽  
Vol 83 ◽  
pp. e100
Author(s):  
Fabian Pardo ◽  
Valentina Orellana ◽  
Judith Gómez ◽  
Axcel Aedo ◽  
Luis Sobrevia
Keyword(s):  
Weight Gain ◽  
Gestational Weight Gain ◽  
Gestational Weight ◽  
Excessive Gestational Weight Gain

scholarly journals Gestational Weight Gain and Pregnancy Outcomes among Nulliparous Women

2019 ◽  
Author(s):  
Annie M. Dude ◽  
William Grobman ◽  
David Haas ◽  
Brian M. Mercer ◽  
Samuel Parry ◽  
...  
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Gestational Weight Gain ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Pregnancy Outcomes ◽  
Large For Gestational Age ◽  
Gestational Weight ◽  
Excessive Gestational Weight Gain ◽  
Hypertensive Disorders

Abstract Objective To determine the association between total gestational weight gain and perinatal outcomes. Study Design Data from the Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-To-Be (NuMoM2b) study were used. Total gestational weight gain was categorized as inadequate, adequate, or excessive based on the 2009 Institute of Medicine guidelines. Outcomes examined included hypertensive disorders of pregnancy, mode of delivery, shoulder dystocia, large for gestational age or small for-gestational age birth weight, and neonatal intensive care unit admission. Results Among 8,628 women, 1,666 (19.3%) had inadequate, 2,945 (34.1%) had adequate, and 4,017 (46.6%) had excessive gestational weight gain. Excessive gestational weight gain was associated with higher odds of hypertensive disorders (adjusted odds ratio [aOR] = 2.05, 95% confidence interval [CI]: 1.78–2.36) Cesarean delivery (aOR = 1.24, 95% CI: 1.09–1.41), and large for gestational age birth weight (aOR = 1.49, 95% CI: 1.23–1.80), but lower odds of small for gestational age birth weight (aOR = 0.59, 95% CI: 0.50–0.71). Conversely, inadequate gestational weight gain was associated with lower odds of hypertensive disorders (aOR = 0.75, 95% CI: 0.62–0.92), Cesarean delivery (aOR = 0.77, 95% CI: 0.65–0.92), and a large for gestational age birth weight (aOR = 0.72, 95% CI: 0.55–0.94), but higher odds of having a small for gestational age birth weight (aOR = 1.64, 95% CI: 1.37–1.96). Conclusion Both excessive and inadequate gestational weight gain are associated with adverse maternal and neonatal outcomes.

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