scholarly journals Maternal pre-pregnancy body mass index, gestational weight gain and breastfeeding outcomes

2019 ◽  
Author(s):  
Hayley Martin ◽  
Kelly Thevenet-Morrison ◽  
Ann Dozier
Keyword(s):  
Body Mass Index ◽  
Weight Gain ◽  
Body Mass ◽  
Exclusive Breastfeeding ◽  
Directed Acyclic Graphs ◽  
Pregnancy Weight Gain ◽  
Increased Risk ◽  
Breastfeeding Cessation ◽  
Pregnancy Weight ◽  
The Impact

Abstract BackgroundIt is well established that mothers with above-normal pre-pregnancy body mass index (BMI) are at increased risk of breastfeeding cessation; however, the impact of pregnancy weight-gain is less well-defined. Excess pregnancy weight-gain may alter the hormonal preparation of breast tissue for lactation, increase the risk of complications that negatively impact breastfeeding (e.g. C-section, gestational diabetes), and may make effective latch more difficult to achieve.MethodsOur objective was to determine the impact of pregnancy weight-gain and pre-pregnancy BMI on the risk of breastfeeding cessation utilizing the Institute of Medicine’s 2009 recommendations. Cox proportional hazards models were utilized to estimate the risk of cessation of exclusive breastfeeding, and cessation of any breastfeeding among women who initiated exclusive and any breastfeeding, respectively, in a cross sectional sample of survey respondents from a New York county (N=1207). Pregnancy weight-gain category was interacted with pre-pregnancy BMI (3 levels of pre-pregnancy BMI, 3 levels of pregnancy weight-gain). Confounders of the relationship of interest were evaluated using directed acyclic graphs and bivariate analyses; variables not on the proposed causal pathway and associated with the exposure and outcome were included in multivariate models.ResultsAfter adjustment, women of normal and obese pre-pregnancy BMI with greater-than-recommended pregnancy weight-gain had 1.39 (1.03-1.86) and 1.48 (1.06-2.07) times the risk of any breastfeeding cessation within the first 3 months postpartum compared to women with normal pre-pregnancy BMI who gained within PWG recommendations. Overweight women with greater-than-recommended pregnancy weight-gain were at increased risk of cessation, although not significantly (adjusted Hazard Ratio [95% CI]: 1.29 [0.95 – 1.75]). No significant relationship was observed for exclusive breastfeeding cessation. ConclusionPre-pregnancy BMI and pregnancy weight-gain may be modifiable risk factors for early breastfeeding cessation. Understanding the mechanism behind this risk should be ascertained by additional studies aimed at understanding the physiological, social, logistical (positioning) and other issues that may lead to early breastfeeding cessation.

The Impact of Pre-Pregnancy Body Mass Index and Pregnancy Weight Gain on Maternal and Neonatal Outcomes [24A]

2016 ◽  
Vol 127 ◽  
pp. 17S ◽  
Author(s):  
Meike Schuster ◽  
A. Dhanya Mackeen ◽  
A. George Neubert ◽  
H. Lester Kirchner ◽  
Michael J. Paglia
Keyword(s):  
Body Mass Index ◽  
Weight Gain ◽  
Body Mass ◽  
Neonatal Outcomes ◽  
Pregnancy Weight Gain ◽  
Maternal And Neonatal Outcomes ◽  
Pregnancy Weight ◽  
The Impact

scholarly journals Maternal pre-pregnancy body mass index, gestational weight gain and breastfeeding outcomes

2020 ◽  
Author(s):  
Hayley Martin ◽  
Kelly Thevenet-Morrison ◽  
Ann Dozier
Keyword(s):  
Weight Gain ◽  
Exclusive Breastfeeding ◽  
Proportional Hazards ◽  
Directed Acyclic Graphs ◽  
Cox Proportional Hazards ◽  
Cross Sectional ◽  
Increased Risk ◽  
Causal Pathway ◽  
Breastfeeding Cessation ◽  
The Impact

Abstract Background: It is well established that mothers with above-normal pre-pregnancy BMI are at increased risk of breastfeeding cessation; however, the impact of pregnancy weight-gain (PWG) is less well-defined. Excess PWG may alter the hormonal preparation of breast tissue for lactation, increase the risk of complications that negatively impact breastfeeding (e.g. Cesarean-section, gestational diabetes), and may make effective latch more difficult to achieve. Methods: Our objective was to determine the impact of PWG and pre-pregnancy BMI on the risk of breastfeeding cessation utilizing the Institute of Medicine’s 2009 recommendations. Cox proportional hazards models were utilized to estimate the risk of cessation of exclusive breastfeeding, and cessation of any breastfeeding among women who initiated exclusive and any breastfeeding, respectively, in a cross sectional sample of survey respondents from a New York county (N=1207). PWG category was interacted with pre-pregnancy BMI (3 levels of pre-pregnancy BMI, 3 levels of PWG). Confounders of the relationship of interest were evaluated using directed acyclic graphs and bivariate analyses; variables not on the proposed causal pathway and associated with the exposure and outcome were included in multivariate models. Results: After adjustment, women of normal and obese pre-pregnancy BMI with greater-than-recommended PWG had 1.39 (1.03-1.86) and 1.48 (1.06-2.07) times the risk of any breastfeeding cessation within the first 3 months postpartum compared to women with normal pre-pregnancy BMI who gained within PWG recommendations. Overweight women with greater-than-recommended PWG were at increased risk of cessation, although not significantly (aHR[95% CI]: 1.29 [0.95 – 1.75]). No significant relationship was observed for exclusive breastfeeding cessation. Conclusions: Pre-pregnancy BMI and PWG may be modifiable risk factors for early breastfeeding cessation. Understanding the mechanism behind this risk should be ascertained by additional studies aimed at understanding the physiological, social, logistical (positioning) and other issues that may lead to early breastfeeding cessation.

scholarly journals Maternal pre-pregnancy body mass index, gestational weight gain and breastfeeding outcomes

2020 ◽  
Author(s):  
Hayley Martin ◽  
Kelly Thevenet-Morrison ◽  
Ann Dozier
Keyword(s):  
Weight Gain ◽  
Exclusive Breastfeeding ◽  
Proportional Hazards ◽  
Directed Acyclic Graphs ◽  
Cox Proportional Hazards ◽  
Cross Sectional ◽  
Increased Risk ◽  
Causal Pathway ◽  
Breastfeeding Cessation ◽  
The Impact

Abstract Background: It is well established that mothers with above-normal pre-pregnancy BMI are at increased risk of breastfeeding cessation; however, the impact of pregnancy weight-gain (PWG) is less well-defined. Excess PWG may alter the hormonal preparation of breast tissue for lactation, increase the risk of complications that negatively impact breastfeeding (e.g. Cesarean-section, gestational diabetes), and may make effective latch more difficult to achieve. Methods: Our objective was to determine the impact of PWG and pre-pregnancy BMI on the risk of breastfeeding cessation utilizing the Institute of Medicine’s 2009 recommendations. Cox proportional hazards models were utilized to estimate the risk of cessation of exclusive breastfeeding, and cessation of any breastfeeding among women who initiated exclusive and any breastfeeding, respectively, in a cross sectional sample of survey respondents from a New York county (N=1207). PWG category was interacted with pre-pregnancy BMI (3 levels of pre-pregnancy BMI, 3 levels of PWG). Confounders of the relationship of interest were evaluated using directed acyclic graphs and bivariate analyses; variables not on the proposed causal pathway and associated with the exposure and outcome were included in multivariate models. Results: After adjustment, women of normal and obese pre-pregnancy BMI with greater-than-recommended PWG had 1.39 (1.03-1.86) and 1.48 (1.06-2.07) times the risk of any breastfeeding cessation within the first 3 months postpartum compared to women with normal pre-pregnancy BMI who gained within PWG recommendations. Overweight women with greater-than-recommended PWG were at increased risk of cessation, although not significantly (aHR[95% CI]: 1.29 [0.95 – 1.75]). No significant relationship was observed for exclusive breastfeeding cessation. Conclusions: Pre-pregnancy BMI and PWG may be modifiable risk factors for early breastfeeding cessation. Understanding the mechanism behind this risk should be ascertained by additional studies aimed at understanding the physiological, social, logistical (positioning) and other issues that may lead to early breastfeeding cessation.

scholarly journals Maternal pre-pregnancy body mass index, gestational weight gain and breastfeeding outcomes

2020 ◽  
Author(s):  
Hayley Martin ◽  
Kelly Thevenet-Morrison ◽  
Ann Dozier
Keyword(s):  
Weight Gain ◽  
Exclusive Breastfeeding ◽  
Proportional Hazards ◽  
Directed Acyclic Graphs ◽  
Cox Proportional Hazards ◽  
Cross Sectional ◽  
Increased Risk ◽  
Causal Pathway ◽  
Breastfeeding Cessation ◽  
The Impact

Abstract Background: It is well established that mothers with above-normal pre-pregnancy BMI are at increased risk of breastfeeding cessation; however, the impact of pregnancy weight-gain (PWG) is less well-defined. Excess PWG may alter the hormonal preparation of breast tissue for lactation, increase the risk of complications that negatively impact breastfeeding (e.g. Cesarean-section, gestational diabetes), and may make effective latch more difficult to achieve. Methods: Our objective was to determine the impact of PWG and pre-pregnancy BMI on the risk of breastfeeding cessation utilizing the Institute of Medicine’s 2009 recommendations. Cox proportional hazards models were utilized to estimate the risk of cessation of exclusive breastfeeding, and cessation of any breastfeeding among women who initiated exclusive and any breastfeeding, respectively, in a cross sectional sample of survey respondents from a New York county (N=1207). PWG category was interacted with pre-pregnancy BMI (3 levels of pre-pregnancy BMI, 3 levels of PWG). Confounders of the relationship of interest were evaluated using directed acyclic graphs and bivariate analyses; variables not on the proposed causal pathway and associated with the exposure and outcome were included in multivariate models. Results: After adjustment, women of normal and obese pre-pregnancy BMI with greater-than-recommended PWG had 1.39 (1.03-1.86) and 1.48 (1.06-2.07) times the risk of any breastfeeding cessation within the first 3 months postpartum compared to women with normal pre-pregnancy BMI who gained within PWG recommendations. Overweight women with greater-than-recommended PWG were at increased risk of cessation, although not significantly (aHR[95% CI]: 1.29 [0.95 – 1.75]). No significant relationship was observed for exclusive breastfeeding cessation. Conclusions: Pre-pregnancy BMI and PWG may be modifiable risk factors for early breastfeeding cessation. Understanding the mechanism behind this risk should be ascertained by additional studies aimed at understanding the physiological, social, logistical (positioning) and other issues that may lead to early breastfeeding cessation.

scholarly journals The effect of maternal pregnancy body mass index as a measure of pregnancy weight gain on neonatal birth weight in Maiduguri metropolitan council of Borno state, Nigeria

2012 ◽  
Vol 2 (6) ◽  
pp. 168-172 ◽  
Author(s):  
Baba Usman Ahmadu ◽  
◽  
Mustapha Modu Gofama ◽  
Garba Mohammed Ashir ◽  
Jose Pwavimbo Ambe ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Weight Gain ◽  
Birth Weight ◽  
Body Mass ◽  
Pregnancy Weight Gain ◽  
Neonatal Birth Weight ◽  
Pregnancy Weight

scholarly journals Maternal Anthropometry and Intrauterine Growth Retardation (IUGR) - A Hospital Based Study

1970 ◽  
Vol 28 (2) ◽  
pp. 73-80
Author(s):  
Bishnupada Dhar ◽  
Kazi Jahangir Hossain ◽  
Subrata K Bhadra ◽  
Aleya Mowlah ◽  
Golam Mowlah
Keyword(s):  
Weight Gain ◽  
Positive Impact ◽  
First Trimester ◽  
Pregnancy Weight Gain ◽  
Foetal Growth ◽  
Increased Risk ◽  
Maternity Hospitals ◽  
Socio Demographic Factors ◽  
Pregnancy Weight ◽  
The Impact

This was a prospective observational study conducted on374 pregnant women who remained in the study beginningfrom first trimester until gave birth to singleton newbornbabies selected from five maternity hospitals located atdifferent regions in the country over a period of thirtymonths from July 2002 to December 2004. Objectives ofthe study were: (1) To find out the incidence of IUGR in thehospital based study, (2) To observe the impact of prepregnancyweight and pregnancy weight gain on IUGR,(3) To select appropriate cut off points of pre-pregnancyweight and pregnancy weight gain to identify women at riskfor delivering IUGR babies and (4) To observe theassociation between socio-demographic factors andmaternal anthropometry.Twenty one percent women delivered IUGR babies. Motherswho gained <4 kg in second trimester and <5kg in thirdtrimester gave birth to significantly higher incidence ofIUGR babies (29.1% and 35.3% respectively) in comparisonto mothers gained e” 4 kg and e” 5 kg who gave birth to14.4% and 9.3% IUGR babies (p<.001) . Maternal weightfor height in the lower range of normalcy at early pregnancywas associated with an increased risk of IUGR whencompare to normal or over weight for height group ofmothers (30.6% vs. 9.5%; p=<.001). The study revealedthat combination of <90 percent of standard weight forheight and net weight gain per week <125gm have strongnegative influence on foetal growth (39.5% IUGR babies).On the contrary, combination of e” 110 percent of weightfor height and weekly weight gain of e” 150 gm havesignificant positive impact on foetal growth (6.7% IUGR) .For total weight gain, best cut off point for identifying riskwomen of delivering IUGR babies was recommended 8.5kg and that for prepregnancy or first trimester weight was47.5 kg.Key words: Low birth weight; intrauterine growthretardation; AnthropometryDOI: 10.3329/jbcps.v28i2.5366J Bangladesh Coll Phys Surg 2010; 28: 73-80

scholarly journals The Effects of Pre-Pregnancy Body Mass Index and Weight Gain During Pregnancy on Perinatal Outcomes: A Retrospective Cohort Study

2021 ◽  
Author(s):  
Engin Yurtcu ◽  
Sibel Mutlu ◽  
Enis Ozkaya
Keyword(s):  
Body Mass Index ◽  
Weight Gain ◽  
Preterm Delivery ◽  
Body Mass ◽  
Retrospective Cohort ◽  
Neonatal Intensive Care ◽  
Perinatal Outcomes ◽  
Pregnancy Weight Gain ◽  
Pregnancy Weight ◽  
Weight Gain During Pregnancy

OBJECTIVE: To investigate the effects of pre-pregnancy body mass index and weight gain during pregnancy on perinatal outcomes and delivery mode. STUDY DESIGN: In this retrospective cohort study, 722 pregnant women giving birth between 2018-2019 were screened from our hospital database. First, they were divided into four groups according to their pre-pregnancy body mass index (low-weight/normal-weight/overweight/obese), and then they were redivided into three groups according to pregnancy weight gain (≤7/8-15/≥16 kg). Prenatal body mass index and pregnancy weight gain were compared concerning maternal-neonatal results and mode of delivery. RESULTS: According to pre-pregnancy body mass index, among the obese pregnant group, gestational diabetes mellitus (p<0.001), preeclampsia (p=0.029), preterm delivery (p=0.011) and cesarean delivery (p=0.061) rates were more common. As the body mass index increases, neonatal intensive care requirement (p=0.0020) and low 1st minute APGAR scores (p=0.019) were detected more frequently. However, as pregnancy weight gain decreased, preterm delivery (p=0.041) increased. Also, birth weight increased (p<0.001) with the weight gain of the pregnant. Pregnant women gaining more than 16 kg were associated either with a lower <2500 g or a higher birth weight risk >4000 g. CONCLUSION: Pre-pregnancy high body mass index is associated with negative obstetric outcomes like gestational diabetes, preeclampsia, preterm delivery, and increased cesarean rates, and poor fetal incidences with a low APGAR score and high neonatal intensive care admission rates.

scholarly journals The Relationship of Maternal Prepregnancy Body Mass Index and Pregnancy Weight Gain to Neurocognitive Function at Age 10 Years among Children Born Extremely Preterm

2017 ◽  
Vol 187 ◽  
pp. 50-57.e3 ◽  
Author(s):  
Elizabeth T. Jensen ◽  
Jelske W. van der Burg ◽  
Thomas M. O'Shea ◽  
Robert M. Joseph ◽  
Elizabeth N. Allred ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Weight Gain ◽  
Body Mass ◽  
Neurocognitive Function ◽  
Pregnancy Weight Gain ◽  
Prepregnancy Body Mass Index ◽  
Extremely Preterm ◽  
Pregnancy Weight ◽  
Relationship Of ◽  
The Relationship

Prepregnancy Body Mass Index and Pregnancy Weight Gain

2000 ◽  
Vol 96 (2) ◽  
pp. 194-200 ◽  
Author(s):  
LAURA A. SCHIEVE ◽  
MARY E. COGSWELL ◽  
KELLEY S. SCANLON ◽  
GERALDINE PERRY ◽  
CYNTHIA FERRE ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Weight Gain ◽  
Body Mass ◽  
Pregnancy Weight Gain ◽  
Prepregnancy Body Mass Index ◽  
Pregnancy Weight
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