scholarly journals Weight gain during pregnancy and low birth weight babies: a retrospective cohort study in Gianyar District, Bali

2019 ◽  
Vol 7 (1) ◽  
pp. 49
Author(s):  
Putu Riza Kurnia Indriana ◽  
Luh Putu Suariyani ◽  
Ni Ketut Sutiari
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Pregnant Women ◽  
Medical Record ◽  
Retrospective Cohort ◽  
First Trimester ◽  
Institute Of Medicine ◽  
Anemia Group ◽  
Weight Gain During Pregnancy

Background and purpose: Low birth weight (LBW) is a major causal factor for neonatal and perinatal mortality. The aim of this study is to determine the risk of LBW incidence in pregnant women with weight gain not in accordance with the Institute of Medicine (IOM) standards.Methods: This study used a retrospective cohort design with data obtained from three Public Health Centres (PHCs) in Gianyar District over the period of January-December 2017. Samples in this study were 186 pregnant women with the following criteria: complete data on the mother’s medical record, had an antenatal care visit in the first trimester and at the end of the third trimester, at term delivery, not giving birth to twins and no complications during pregnancy. The sample size was determined with 95% confidence level, 80% power, the proportion of LBW in the group of inadequate weight gain of 26%, the proportion of LBW in the group of adequate weight gain of 9% and a relative risk (RR) estimate of 3.0. Data extracted from medical record consisted of weight gain, pre-pregnancy weight, height, upper arm circumference, hemoglobin level, employment, age, parity and birth weight. The cumulative incidence of LBW was calculated to determine the RR. Multivariate analysis with binary logistic regression was conducted to determine the adjusted RR (ARR).Results: The incidence of LBW in the group whose weight gain during pregnancy not in accordance with IOM standards was 59%, while those in accordance with the standards were 8.2% with RR=7.22 (95%CI: 3.96–13.19). The ARR for those with weight gain during pregnancy not in accordance with IOM standards was 15.33 (95%CI: 5.82-40.38). The incidence of LBW in the anemia group was 49% and not anemia group was 10%. The RR and ARR values for LBW in the anemia group were 4.72 (95%CI: 2.66-8.36) and 6.66 (95%CI: 2.53-17.53) respectively.Conclusion: Mothers experiencing weight gain during pregnancy that was not in accordance with IOM standards and anemia were found to increase the risk of LBW. Monitoring of weight gain during pregnancy should be implemented using the IOM standards and anemia prevention among pregnant mothers should be enhanced.

scholarly journals Pengaruh status gizi & asupan gizi ibu terhadap berat bayi lahir rendah pada kehamilan usia remaja

2016 ◽  
Vol 5 (1) ◽  
pp. 14-19 ◽  
Author(s):  
Retni Retni ◽  
Ani Margawati ◽  
Bagoes Widjanarko
Keyword(s):  
At Risk ◽  
Folic Acid ◽  
Weight Gain ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Nutritional Status ◽  
Pregnant Women ◽  
Nutrient Intake ◽  
Low Energy ◽  
Weight Gain During Pregnancy

Introduction. Teenage pregnancy at risk of having a baby with low birth weight (LBW). This happens because of the condition of the mother is still in the growth, physical development is not perfect so it can be detrimental to the health of mother and fetus. The research objective is to analyze the effect of nutritional status and nutrient intake of mothers of low birth weight in pregnancy adolescence.Methods:  The study design was observational with prospective cohort approach.The subject is the population of third trimester pregnant women aged 16-19 years amounted to 27 people. The nutritional status measured by antropometry. Nutrient intake was measured by 24-hour food recall method. Data were analyzed by calculating the relative riskResults: 66,7% had a protein energy malnutrition, 51,9% had less weight gain during pregnancy, and 59,3% are anemic. The mean intake of energy, protein, folic acid, iron, zinc, vitamin A and C are in not enough categories. The relative risk test showed that less weight gain during pregnancy (RR= 3,71;95% CI 1,34-10,25, low energy intake (RR =6.03; 95% CI 5,68-898,64), low protein (RR= 13,00;95% CI 1,97-85,45), low folic acid (RR = 13,00;95% CI 1,97-85,45), low iron (RR= 4,00;95% CI 1,71-9,34) at risk of having low birth weight. Conclusions: Pregnant women-adolescence with less weight gain during pregnancy, energy protein malnutrition and low energy, protein, folic acid and iron intake at risk of having low birth weight.

scholarly journals The performance of various anthropometric assessment methods for predicting low birth weight in pregnant women

2009 ◽  
Vol 9 (2) ◽  
pp. 197-206 ◽  
Author(s):  
Patricia de Carvalho Padilha ◽  
Elizabeth Accioly ◽  
Glória Valéria da Veiga ◽  
Tereza Cristina Bessa ◽  
Beatriz Della Libera ◽  
...  
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Nutritional Status ◽  
Pregnant Women ◽  
Maternity Hospital ◽  
World Health ◽  
Institute Of Medicine ◽  
Ministry Of Health ◽  
Health Organization

OBJECTIVES: to assess the performance of various anthropometric methods for the evaulation of the nutritional status of pregnant women as a means of predicting low birth weight (LBW). METHODS: a descriptive cross-cutting study carried out among 433 pregnant women (>20 years) attending a Public Maternity Hospital in Rio de Janeiro, Brazil. The adequacy of the weight gain at the end of the pregnancy was evaluated in accordance with the proposals of the Institute of Medicine and the Brazilian Ministry of Health. The sensitivity, specificity and accuracy of the adequacy of weight gain at the end of the pregnancy or nutritional state of mother as a predictor of low birth weight were calculated. RESULTS: the sensitivity of the various methods varied from 63.1% to 68.4% and the specificity from 71.2% to 75.1%. The adapted Institute of Medicine proposal drawn up by the Brazilian Ministry of Health, according to the classification of the pre-delivery nutritional status of the mother according to the World Health Organization cutoff points showed itself to be the most accurate (74.5%), this being the most adequate method for nutritional triage for reason of its association with low birth weight (OR=4.10; 95%CI=1.53-10.92). CONCLUSIONS: the best proposals for this population are those of the Institute of Medicine and the Brazilian Ministry of Health. Further studies aiming to ascertain the most appropriate methods of anthropometric evaluation for different populations should be encouraged.

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 The performance of various anthropometric assessment methods for predicting low birth weight in adolescent pregnant women

2014 ◽  
Vol 17 (3) ◽  
pp. 761-774 ◽  
Author(s):  
Denise Cavalcante de Barros ◽  
Cláudia Saunders ◽  
Marta Maria Antonieta de Souza Santos ◽  
Beatriz Della Líbera ◽  
Silvana Granado Nogueira da Gama ◽  
...  
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Pregnant Women ◽  
World Health ◽  
Ministry Of Health ◽  
Predictive Values ◽  
Low Weight ◽  
High Weight Gain ◽  
Anthropometric Assessment

Objective: To evaluate the performance of various anthropometric evaluation methods for adolescent pregnant women in the prediction of birth weight. Methods: It is a cross-sectional study including 826 adolescent pregnant women. In the pre-pregnancy body mass index (BMI) classification, the recommendations of the World Health Organization were compared with that of the Brazilian Ministry of Health and the Institute of Medicine (IOM) of 1992 and 2006. The gestational weight gain adequacy was evaluated according to the classification of IOM of 1992, of 2006 and of the Brazilian Ministry of Health. The newborns were classified as low birth weight (LBW) or macrosomic. Multinomial logistic regression was used for statistical analysis and sensibility, specificity, accuracy, positive and negative predictive values were calculated. Results: The evaluation, according to the Brazilian Ministry of Health, showed the best prediction for LBW among pregnant women with low weight gain (specificity = 69.5%). The evaluation according to the IOM of 1992 showed the best prediction for macrosomia among pregnant women with high weight gain (specificity = 50.0%). The adequacy of weight gain according to the IOM of 1992 classification showed the best prediction for LBW (OR = 3.84; 95%CI 2.19 - 6.74), followed by the method of the Brazilian Ministry of Health (OR = 2.88, 95%CI 1.73 - 4.79), among pregnant women with low weight gain. Conclusion: It is recommended the adoption of the Brazilian Ministry of Health proposal, associated with BMI cut-offs specific for adolescents as an anthropometric assessment method for adolescent pregnant women.

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

2012 ◽  
Vol 3 (5) ◽  
pp. 387-392 ◽  
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.

scholarly journals KENAIKAN BERAT BADAN IBU HAMIL TERHADAP BERAT LAHIR BAYI DI KOTA PALANGKA RAYA

2018 ◽  
Vol 3 (2) ◽  
pp. 230
Author(s):  
Sofia Mawaddah ◽  
Chika Magfirah Muhtar
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Pregnant Women ◽  
P Value ◽  
Maternal Weight Gain ◽  
Maternal Weight ◽  
Chi Square ◽  
Cross Sectional ◽  
Infant Birth ◽  
Weight Gain During Pregnancy

Abstract   Background: Maternal weight gain during pregnancy indicates maternal adaptation fetal growth. The lack of weight gain during pregnancy is strongly correlated with decrease in birth weight. Nutritional status measured by weight gain during pregnancy found that the baby birth weight has positive correlation with the weight gain of pregnant women. Objective: To know the analysis relationship between weight gain of pregnant women and infant birth weight. Method: This research is quantitative study with observational analytic design and cross sectional approach. This research was conducted in one the Palangka Raya with sample of 72 respondents selected using consecutive sampling. The population in this study were mothers who had given birth at one Palangka Raya for the January-December 2017. The secondary data was recorded for the last education, parity, maternal weight at the beginning of the first trimester (≤12 weeks),pregnant woman weight before delivery and the baby birth weight, the data were analyzed by using the chi-square test. Results: The results of statistical tests obtained p-value= 0,000 and OR= 268,750). The more the weight gain of pregnant women, the more the baby's birth weight will increase. Conclusion: There is a significant relationship between weight gain of pregnant women and infant birth weight. Keywords: Pregnancy, maternal weight gain, baby's birth weight.     Abstrak   Latar Belakang:Kenaikan berat badan ibu selama hamil menandakan adanya adaptasi ibu terhadap pertumbuhan janin. Kurangnya pertambahan berat badan selama kehamilan berkorelasi kuat dengan penurunan berat lahir. Status gizi yang diukur berdasarkan kenaikan berat badan selama hamil didapatkan bahwa berat lahir bayi mempunyai korelasi positif dengan kenaikan berat badan ibu hamil. Tujuan:Diketahuinya analisis hubungan antara  kenaikan berat badan ibu hamil dengan berat lahir bayi. Metode:Penelitian ini bersifat kuantitatif dengan desain analitik observasional dan pendekatan menggunakan cross sectional. Penelitian ini dilakukan di salah satu PMB Kota Palangka Raya dengan sampel berjumlah 72 responden yang dipilih menggunakan consecutive sampling. Populasi pada penelitian ini yaitu ibu yang telah bersalin di salah satu PMB Kota Palangka Raya periode Januari-Desember 2017. Dilakukan pencatatan data sekunder terhadap pendidikan terakhir,paritas,berat badan ibu pada awal kehamilan trimester I (≤12 minggu), berat badan ibu hamil menjelang persalinan dan berat lahir bayi, kemudian data tersebut dianalisis hubungannya dengan menggunakan uji chi-square. Hasil:Hasil uji statistik diperoleh nilai p-value=0,000 dan nilai OR=268,750). Jadi, semakin bertambah kenaikan berat badan ibu hamil,maka semakin bertambah pula berat lahir bayi. Kesimpulan:Ada hubungan yang signifikan antara kenaikan berat badan ibu hamil dengan berat lahir bayi. Kata Kunci: Kehamilan, kenaikan berat badan ibu hamil, berat lahir bayi.

scholarly journals Adequate weight gain in pregnancy: An analysis of its determinants in a cross-sectional study

2014 ◽  
Vol 142 (11-12) ◽  
pp. 695-702 ◽  
Author(s):  
Alina Popa ◽  
Raluca Popescu ◽  
Gina Botnariu
Keyword(s):  
Weight Gain ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Cross Sectional Study ◽  
Institute Of Medicine ◽  
Obese Women ◽  
Sectional Study ◽  
Maternal Weight ◽  
Cross Sectional ◽  
Weight Gain During Pregnancy

Introduction. Prenatal care is considered an important tool for promoting a healthy lifestyle, but has not been studied as a predictor for maternal weight gain during pregnancy, especially in Romania, where evidence about pregnancy and nutrition is scarce. Objective. This study has aimed to explore the relationship between pre-gestational body mass index (BMI), adequacy of prenatal care and weight gain during pregnancy. Methods. We carried a cross-sectional study on a sample of 400 pregnant women admitted at the ?Cuza Voda? Obstetrics and Gynecology Hospital in Iasi. Information regarding demographic characteristics, number of prenatal visits, date of the initial hospital record, nutritional education during pregnancy were registered throughout a questionnaire filled out by means of a direct interview. The anthropometric indicators analyzed were the pre-gestational BMI and the pregnancy weight gain. Data on caloric intake were obtained using a food frequency questionnaire. Results. Weight gain within the limits of the Institute of Medicine recommendations was noticed at 44.35% of the women who declared that they received nutritional advice compared to 40.7% of those who did not receive advice regarding diet during pregnancy. Overweight (53.1%) and obese women (66.7%) had a larger weight gain than those with a normal pre-pregnancy BMI (29.8%) (p<0.001). The variables that were identified with an effect on weight gain in this sample of pregnant women were: inadequate prenatal care, pre-gestational BMI and energy intake. Conclusion. Identifying the pre-gestational BMI and diet changes as predictors of weight gain underline the importance of an individualized prenatal care.

scholarly journals Karakteristik kehamilan dan persalinan pada usia <20 tahun di RSUP Prof. Dr. R. D. Kandou Manado periode 1 Januari 2013 – 31 Desember 2014

e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Karlin Abdurradjak ◽  
Linda M. Mamengko ◽  
John J.E. Wantania
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Pregnant Women ◽  
Medical Record ◽  
Maternal Death ◽  
Descriptive Study ◽  
Obstetrics And Gynecology ◽  
Fetal Malformation ◽  
Pregnancy And Childbirth ◽  
Keywords Pregnancy

Abstract: Age is an important factor to determine the prognosis of pregnancy. Globally, the complications of pregnancy and childbirth are the second leading cause of death in women aged 15 to 19 years. Maternal death in pregnant women and childbirth at the age below 20 years is 2 to 5 times higher than at the age of 20 to 29 years and increases again at the age of 30 to 35 years. Around 20-30% of women under 20 years old especially in primiparity have higher risk of having low birth weight (LBW) babies and fetal malformation is the cause of perinatal mortality. This study aimed to determine characteristics of pregnancy and childbirth at age <20 years in Obstetrics and Ginecology Department at Prof. Dr. R. D. Kandou Hospital, Manado from January 1, 2013 to December 31, 2014. This was a retrospective descriptive study using patients' medical record, parturition book, and some datas from the sub-section perinatology. Samples were all mothers who gave birth at age <20 years in Obstetrics and Gynecology department at Prof. Dr. R. D. Kandou hospital, Manado from January 1, 2013 to December 31, 2014. The results showed that there were 1,066 cases of age <20 years from 8,499 childbirths, most were 18-19 years old without any complications. About childbirth, most had head fetal presentation, spontaneous childbirth,, and birth weight 2500-3000 grams. Keywords: pregnancy, childbirth, age <20 years Abstrak: Usia merupakan salah satu faktor penting yang ikut menentukan prognosa kehamilan. Secara global komplikasi kehamilan dan persalinan merupakan penyebab kedua kematian pada wanita di usia 15 sampai 19 tahun. Kematian maternal pada wanita hamil dan melahirkan di usia di bawah 20 tahun diperkirakan 2-5 kali lebih tinggi dari pada di usia 20 sampai 29 tahun dan meningkat kembali di usia 30-35 tahun. Sekitar 20-30% wanita yang berusia dibawah 20 tahun terutama pada primipara berisiko tinggi melahirkan bayi dengan berat badan lahir rendah (BBLR) serta mengalami malformasi janin yang merupakan penyebab kematian perinatal. Penelitian ini bertujuan untuk mengetahui karakteristik kehamilan dan persalinan pada usia < 20 tahun dibagian Obstetri Ginekologi RSU Prof. Dr. R. D. Kandou Manado periode 1 Januari 2013-31 Desember 2014. Jenis penelitian ini deskriptif retrospektif. menggunakan rekam medis pasien, buku partus, dan data dari sub bagian perinatologi. Sampel penelitian ialah semua ibu yang melahirkan pada usia <20 tahun di bagian Obstetri dan Ginekologi di RSU Prof. Dr. R. D. Kandou Manado periode 1 Januari 2013 – 31 Desember 2014. Hasil penelitian memperlihatkan terdapat 1.066 kasus persalinan pada usia <20 tahun dari 8.499 total persalinan dan paling banyak terjadi pada kelompok usia 18-19 tahun, tanpa komplikasi kehamilan maupun persalinan. Mengenai persalinan, yang paling sering ditemukan ialah presentasi janin letak kepala, persalinan spontan, dengan berat badan lahir 2500-3000 gram.Kata kunci: kehamilan, persalinan, usia < 20 tahun

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