Antepartum Bed Rest: Maternal Weight Change and Infant Birth Weight

2004 ◽  
Vol 5 (3) ◽  
pp. 177-186 ◽  
Author(s):  
Judith A. Maloni ◽  
Greg R. Alexander ◽  
Mark D. Schluchter ◽  
Dinesh M. Shah ◽  
Seunghee Park
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Gestational Age ◽  
Weight Change ◽  
Bed Rest ◽  
Institute Of Medicine ◽  
Maternal Weight ◽  
Race And Gender ◽  
Pregnancy Weight ◽  
Infant Birth

Despite lack of evidence for effectiveness, obstetricians in the United States prescribe antepartum bed rest for more than 700,000 women per year. However, in nonpregnant samples, bed rest treatment produces weight loss. This study assessed maternal weight change (gain) during antepartum hospitalization for bed rest treatment; compared appropriateness of infant birth weights for gestational age, race, and gender; and determined whether maternal weight change predicted infant birth weight. The convenience sample for this longitudinal study consisted of 141 women with high-risk pregnancies who were treated with hospital bed rest. Weekly rate of pregnancy weight change by body mass index was compared with Institute of Medicine recommendations for rate of pregnancy weight gain. Infant birth weight was compared with current US infant birth weights for matching gestational age, gender, and race. Weekly antepartum weight change was significantly lower than Institute of Medicine recommendations (P < 0.001). Infant birth weights were also significantly lower than the national mean when matched for each infant’s gestational age, race, and gender ( P < 0.001). Maternal weight change predicted infant birth weight ( P = 0.05). Bed rest treatment is ineffective for improving pregnancy weight gain. Lower infant birth weights across all gestational ages suggest that maternal weight loss during bed rest may be associated with an increased risk of fetal growth restriction. A randomized trial comparing women with high-risk pregnancies who are ambulatory with those on bed rest is needed to determine whether bed rest treatment, underlying maternal-fetal disease, or both influence inadequate maternal weight gain and poor intrauterine growth.

Maternal Weight Gain and Infant Birth Weight in Women with Class III Obesity

2019 ◽  
Author(s):  
Ann R. Tucker ◽  
Haywood L. Brown ◽  
Sarah K. Dotters-Katz
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Gestational Age ◽  
Morbidly Obese ◽  
Maternal Weight Gain ◽  
Class Iii ◽  
Maternal Weight ◽  
Class Iii Obesity ◽  
Iom Recommendations ◽  
Infant Birth

Abstract Objective The aim of this study is to describe the impact of maternal weight gain on infant birth weight among women with Class III obesity. Study Design Retrospective cohort of women with body mass index (BMI) ≥40 kg/m2 at initial prenatal visit, delivered from July 2013 to December 2017. Women presenting 14/0 weeks of gestational age (GA), delivering preterm, or had multiples or major fetal anomalies excluded. Maternal demographics and complications, intrapartum events, and neonatal outcomes abstracted. Primary outcomes were delivery of large for gestational age or small for gestational age (SGA) infant. Bivariate statistics used to compare women gaining less than Institute of Medicine (IOM) recommendations (LTR) and women gaining within recommendations (11–20 pounds/5–9.1 kg) (at recommended [AR]). Regression models used to estimate odds of primary outcomes. Results Of included women (n = 230), 129 (56%) gained LTR and 101 (44%) gained AR. In sum, 71 (31%) infants were LGA and 2 (0.8%) were SGA. Women gaining LTR had higher median entry BMI (46 vs. 43, p < 0.01); other demographics did not differ. LTR women were equally likely to deliver an LGA infant (29 vs. 34%, p = 0.5) but not more likely to deliver an SGA infant (0.8 vs. 1%, p > 0.99). After controlling for confounders, the AOR of an LGA baby for LTR women was 0.79 (95% CI: 0.4–1.4). Conclusion In this cohort of morbidly obese women, gaining less than IOM recommendations did not impact risk of having an LGA infant, without increasing risk of an SGA infant.

Multiple Gestation: Side Effects of Antepartum Bed Rest

2006 ◽  
Vol 8 (2) ◽  
pp. 115-128 ◽  
Author(s):  
Judith A. Maloni ◽  
Seunghee Park Margevicius ◽  
Elizabeth G. Damato
Keyword(s):  
Depressive Symptoms ◽  
Weight Gain ◽  
Side Effects ◽  
Gestational Age ◽  
Repeated Measures ◽  
Bed Rest ◽  
Multiple Gestation ◽  
Maternal Weight Gain ◽  
Maternal Weight ◽  
Infant Birth

The birth rate for higher order multiples has dramatically increased in recent decades. Multiple gestation pregnancies are considered to be at high obstetric risk. Antepartum bed rest is often prescribed to offset complications despite the lack of evidence for its effectiveness in preventing complications. This longitudinal repeated-measures study identified side effects of antepartum bed rest treatment for 31 hospitalized women with twin or triplet gestation. Maternal weight gain and infant birth weight were recorded. Antepartum stressors were measured by the Antepartum Stressors Hospital Inventory, and depressive symptoms were measured by the Center for Epidemiologic Studies Depression Scale (CES-D). Antepartum and post-partum side effects of bed rest were also assessed by the Antepartum and Postpartum Symptom Checklists. The weekly rate of maternal weight gain during hospitalization was significantly less than recent recommendations for multiple gestation weight gain (t =– 2.14,p = .04). Infant birth weights were appropriate for gestational age. There were fewer than expected small-for-gestational-age infants. Concerns regarding family status and separation from family were the major antepartum stressors. Women reported a high number of symptoms during bed rest (M= 22), which did not significantly change across 2 weeks. CES-D scores for depressive symptoms were high on antepartum hospital admission. Postpartum symptoms were initially high but had significantly declined by 6 weeks: F(1, 27)= 15.68, p = .00. These findings suggest that interventions are needed to reduce antepartum maternal weight loss, stress, physiologic and psychosocial symptoms, and depressive symptoms, as well as reduce postpartum symptoms of maternal morbidity.

scholarly journals An association between maternal weight change in the year before pregnancy and infant birth weight: ELFE, a French national birth cohort study

PLoS Medicine ◽  
2019 ◽  
Vol 16 (8) ◽  
pp. e1002871 ◽  
Author(s):  
Marion Lecorguillé ◽  
Madalina Jacota ◽  
Blandine de Lauzon-Guillain ◽  
Anne Forhan ◽  
Marie Cheminat ◽  
...  
Keyword(s):  
Cohort Study ◽  
Birth Weight ◽  
Birth Cohort ◽  
Weight Change ◽  
Birth Cohort Study ◽  
Maternal Weight ◽  
Infant Birth

scholarly journals Comparison of Two Criteria of Weight Gain Adequacy During Pregnancy in Relation to Anthropometric Indices in Uruguayan Young Children

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1057-1057
Author(s):  
Lucía Pienovi ◽  
Carmen Donangelo ◽  
Cecilia Severi
Keyword(s):  
Weight Gain ◽  
Growth Patterns ◽  
World Health ◽  
Institute Of Medicine ◽  
Maternal Weight ◽  
Pregnancy Weight Gain ◽  
Anthropometric Indices ◽  
Health Organization ◽  
Pregnancy Weight ◽  
Weight Gain During Pregnancy

Abstract Objectives To compare the relationship between maternal weight gain during pregnancy and anthropometric indices of Uruguayan children under 4 years examined by two different criteria for adequate pregnancy weight gain: Atalah et al. (AEA) widely used in Latin America and Institute of Medicine (IOM). Methods Descriptive study of data from the First National Survey of Child Health, Nutrition and Development of Uruguay (ENDIS) of children (n = 1602; age 24.3 ± 10.6 months) recruited in 2013. Weight and height of the children were measured. Child birth weight (BW) and pregnancy weight gain (PregWG) were reported at the interview. PregWG was classified as adequate or excessive according to AEA and IOM criteria. Z scores for weight-for-age (WAZ), height-for-age (HAZ), weight-for-height (WHZ) and body mass index-for-age (BAZ) of the children were obtained from the Growth Patterns of World Health Organization. Results Prevalence of excessive PregWG was higher based on AEA (51.2%) compared to IOM (38.9%) criteria (P &lt; 0.001). Excessive PregWG was associated with higher child BW compared to adequate PregWG using both criteria (AEA: 3361 ± 525 g and 3203–550 g, IOM: 3379 ± 543 g and 3224–534 g, respectively) (P &lt; 0.001). Prevalence of macrosomic BW (&gt;4000 g) with excessive PregWG was similar using AEA (10%) and IOM (12%). WAZ was higher with excessive compared to adequate PregWG using AEA (0.52 ± 1.07 and 0.32 ± 1.66, respectively) (P &lt; 0.005) but not different by using IOM (0.51 ± 1.08 and 0.37 ± 1.55, respectively) (P = 0.057). HAZ was lower with excessive compared to adequate PregWG based on AEA (−0.4 ± 1.12 and −0.23 ± 1.10, respectively) (P = 0.001) but not different based on IOM (−0.7 ± 1.15 and −0.18 ± 1.09, respectively) (P = 0.057). WHZ and BAZ did not differ by PregWG categories using AEA or IOM. Conclusions Prevalence of excessive weight gain during pregnancy was higher using AEA compared to IOM criteria. However, only subtle differences in the associations between adequacy of pregnancy weight gain and child anthropometric indices were observed when using AEA or IOM criteria. Funding Sources Instituto Nacional de Estadística, Uruguay.

scholarly journals PENINGKATAN BERAT BADAN IBU SAAT HAMIL BERHUBUNGAN DENGAN BERAT BADAN LAHIR BAYI

2021 ◽  
Vol 7 (4) ◽  
pp. 818-823
Author(s):  
Muhammad Subaim ◽  
Lidya Ariyanti
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Pregnant Women ◽  
Statistical Tests ◽  
P Value ◽  
Normal Infant ◽  
Maternal Weight ◽  
Chi Square ◽  
Weight Category ◽  
Infant Birth

Background : Infant mortality occurs in perinatal insanction (0 - 6 days), followed by death in neonatal indancy (7 – 28 days) and infant time (>28 days-<1year). The cause of death of perinatal babies in Lampung Province in 2013 was caused by asphyxia by 37.14% and the largest neonatal death was caused by BBLR by 28.18%.Purpose : Known correlation of weight gain of mothers while pregnant with the results of baby birth weight in Ambon Market Bandar Lampung Year 2019Methods: Quantitative research type, analytical survey research design with cross sectional approach. The population of 108 pregnant women based on the slovin formula was obtained by a sample of 85 respondents, sampling techniques using simple random sampling.Analyze univariate data and bivariate statistical tests using chi squaretest.Result : From 85 respondents obtained 51 respondents (60.0%) experienced normal weight gain, 34 respondents (40.0%) abnormal weight gain, 58 respondents (68.2%) with normal infant birth weight category, 27 respondents (31.8%) with the weight category of babies born abnormally. Conclusion : Statistical test results using chi square test are obtained p-value = 0.001 (< 0.05) which means there is a correlation of increase in maternal weight while pregnant with the results of baby birth weight in Ambon Market Bandar Lampung City Year 2019. Suggestion Pregnant women can maintain nutritional status from the beginning of the trimester to the end of the trimester through regular consumption of nutrients and energy according to the needs of the condition of the pregnant woman. Keywords : BB Enhancement, Pregnant Women, Baby Birth Weight ABSTRAK Pendahuluan: Kematian bayi terjadi pada masa bayi perinatal (0 - 6 hari), diikuti kematian pada masa bayi neonatal (7 – 28 hari) dan masa bayi (>28 hari-<1tahun). Penyebab kematian bayi perinatal Provinsi Lampung tahun  2013 disebabkan  karena  asfiksia  sebesar 37,14% dan kematian neonatal terbesar disebabkan BBLR sebesar28,18%.Tujuan:Diketahui korelasi peningkatan berat badan ibu saat hamil dengan hasil berat badan lahir bayi di Pasar Ambon Kota Bandar Lampung Tahun 2019.Metode: Jenis penelitian kuantitatif, rancangan penelitian Survei Analitik dengan pendekatan crosssectional. Populasi 108 ibu hamil berdasarkan rumus slovin didapat sampel sebanyak 85 responden, teknik sampling menggunakan simple random sampling. Analisa data univariat dan bivariat, uji statistik menggunakan uji chisquare.Hasil: Dari 85 responden didapat 51 responden (60,0%) mengalami peningkatan berat badan normal, 34 responden (40,0%) mengalami peningkatan berat badan tidak normal, 58 responden (68,2%) dengan kategori berat lahir bayi normal, 27 responden (31,8%) dengan kategori berat bayi lahir tidak normal.Kesimpulan: Hasil uji statistik menggunakan uji chi square didapat nilai p-value = 0,001 (<0.05) yang artinya terdapat korelasi peningkatan berat badan ibu saat hamil dengan hasil berat badan lahir bayi di Pasar Ambon Kota Bandar Lampung Tahun 2019.Saran ibu hamil dapat menjaga status gizi mulai dari awal trimester hingga akhir trimester melalui konsumsi zat gizi dan energi yang teratur sesuai dengan kebutuhan kondisi ibuhamil. Kata Kunci :Peningkatan BB, Ibu Hamil, Berat Badan Lahir Bayi 

scholarly journals Gestational Weight Gain among Healthy Pregnant Women from Asia in Comparison with Institute of Medicine (IOM) Guidelines-2009: A Systematic Review

2019 ◽  
Vol 2019 ◽  
pp. 1-10 ◽  
Author(s):  
Priyanka Arora ◽  
Bani Tamber Aeri
Keyword(s):  
Systematic Review ◽  
Weight Gain ◽  
Birth Weight ◽  
Pregnant Women ◽  
Gestational Weight Gain ◽  
Gestational Age ◽  
The United States ◽  
Asian Women ◽  
Institute Of Medicine ◽  
Gestational Weight

In 1990, Institute of Medicine (IOM) recommended gestational weight gain (GWG) ranges for women in the United States primarily to improve infant birth weight. Changes in key aspects of reproductive health of women of child bearing age, a rising prevalence of obesity, and noncommunicable diseases prompted the revision of IOM guidelines in 2009. However, there is no such recommendation available for Asian women. This systematic review assesses the utility of IOM-2009 guidelines among Indian and other Asian pregnant women in terms of maternal and fetal outcomes. 624 citations were identified using PubMed and Google Scholar, out of which 13 were included. Prospective/retrospective studies of healthy Asian women with a singleton pregnancy which specifically examined fetal-maternal outcomes relative to IOM-2009 guidelines were included. Results. Majority of pregnant Indian women achieved less GWG than the recommendations whereas a mixed trend was noticed among the other Asian pregnant women. The most common fetal-maternal complications among the excessive GWG women were found to be macrosomia, large for gestational age and caesarean section followed by gestational diabetes and hypertension, whereas low birth weight, small for gestational age and preterm birth, was found to be associated with low GWG women. The findings highlight the need for appropriate GWG limits across the different body mass index levels specifically for Indians and other Asian population. However, there are not enough publications regarding the utility of IOM-2009 guidelines among the Indian and other Asian women. Thus, higher-quality researches are warranted in future to further validate the findings of the present review.

scholarly journals Fetal Head Growth during Early to Mid-Gestation Associated with Weight Gain in Mothers with Hyperemesis Gravidarum: A Retrospective Cohort Study

Nutrients ◽  
2020 ◽  
Vol 12 (6) ◽  
pp. 1664 ◽  
Author(s):  
Mitsue Muraoka ◽  
Koichiro Takagi ◽  
Mariko Ueno ◽  
Yoshihiro Morita ◽  
Hiroaki Nagano
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Gestational Age ◽  
Hyperemesis Gravidarum ◽  
Abdominal Circumference ◽  
Control Group ◽  
Maternal Weight Gain ◽  
Maternal Weight ◽  
Fetal Head ◽  
Head Growth

The epigenetic impact of malnutrition in mothers with hyperemesis gravidarum (HG) on their offspring has not been fully elucidated. Recently, several reports have demonstrated that children born to mothers with HG were small for gestational age and had low birth weight, reduced insulin sensitivity, and neurodevelopmental delays during childhood. Therefore, we examined the relationship between fetal growth and changes in the maternal body weight in HG cases. A total of 34 patients with HG were hospitalized and delivered at term between 2009 and 2012. The records of 69 cases of pregnant women without a history of HG were extracted after matching their maternal age, parity, pregestational body mass index (BMI), gestational age, and fetal sex ratio with those of the HG group for comparison. The maternal weight gain at term was less in the HG than in the control group. There was no statistical difference in birth weight, placental weight, and ultrasonic fetometric parameters expressed in standard deviation (SD) scores, including biparietal diameter, abdominal circumference, and femur length, between the HG and the control group. Whereas fetal head growth in the HG group was positively associated with maternal weight gain at 20 weeks of gestation only, this association was not observed in the control group. We herein demonstrate that maternal weight gain from the nadir is associated with fetal head growth at mid-gestation. Thus, maternal undernutrition in the first trimester of pregnancy could affect fetal brain growth and development, leading to an increased risk of neurodevelopmental delays in later life.

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