Maternal Body Mass Index and Gestational Weight Gain and Their Association with Pregnancy Complications and Perinatal Conditions

This study aimed to evaluate the impact of selected pregnancy pathologies statistically depending on overweight/obesity and excessive maternal weight gain during pregnancy on women who gave birth in the years 2013–2015 at the Second Department of Gynecology and Obstetrics at the University Hospital in Bratislava, Slovakia. In a retrospective study, we analyzed data gathered from the sample, which consisted of 7122 women. Our results suggest a statistically significant, higher risk for the groups of women with overweight and obesity and gestational hypertension (adjusted odds ratio (AOR) = 15.3; 95% CI 9.0−25.8 for obesity), preeclampsia (AOR = 3.4; 95% CI 1.9−6.0 for overweight and AOR = 13.2; 95% CI 7.7−22.5 for obesity), and gestational diabetes mellitus (AOR = 1.9; 95% CI 1.2−2.9 for overweight and AOR = 2.4; 95% CI 1.4−4.0 for obesity). A higher incidence of pregnancies terminated by cesarean section was observed in the group of obese women. Gestational weight gain above IOM (Institute of Medicine) recommendations was associated with a higher risk of pregnancy terminated by C-section (AOR = 1.2; 95% CI 1.0−1.3), gestational hypertension (AOR = 1.7; 95% CI 1.0−2.7), and infant macrosomia (AOR = 1.7; 95% CI 1.3−2.1). Overweight and obesity during pregnancy significantly contribute to the development of pregnancy pathologies and increased incidence of cesarean section. Systematic efforts to reduce weight before pregnancy through prepregnancy dietary counseling, regular physical activity, and healthy lifestyle should be the primary goal.

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Maternal Body Mass Index and Gestational Weight Gain and Their Association with Pregnancy Complications and Perinatal Conditions

10.20944/preprints201904.0130.v1 ◽

2019 ◽

Cited By ~ 1

Author(s):

Martin Simko ◽

Adrian Totka ◽

Diana Vondrova ◽

Martin Samohyl ◽

Jana Jurkovicova ◽

...

Keyword(s):

Weight Gain ◽

Cesarean Section ◽

Gestational Weight Gain ◽

Gestational Hypertension ◽

Overweight And Obesity ◽

University Hospital ◽

Maternal Body Mass Index ◽

Gestational Weight ◽

Gynecology And Obstetrics ◽

The Impact

This study aimed to evaluate the impact of selected pregnancy pathologies statistically depending on overweight/obesity and excessive maternal weight gain during pregnancy on women who gave birth in the years 2013–2015 at the Second Department of Gynecology and Obstetrics at the University Hospital in Bratislava, Slovakia. In a retrospective study, we analyzed data gathered from the sample, which consisted of 7,122 women. Our results indicate a positive statistical dependency of the groups of women with overweight and obesity and gestational hypertension (adjusted odds ratio [AOR]=15.3; 95% CI 9.0−25.8 for obesity), preeclampsia (AOR=3.4; 95% CI 1.9−6.0 for overweight and AOR=13.2; 95% CI 7.7−22.5 for obesity), and gestational diabetes mellitus (AOR=1.9; 95% CI 1.2−2.9 for overweight and AOR=2.4; 95% CI 1.4−4.0 for obesity). A higher incidence of pregnancies terminated by cesarean section was observed in the group of obese women. Gestational weight gain above the IOM (the Institute of Medicine) recommendations was associated with a higher risk of pregnancy terminated by C-section (AOR=1.2; 95% CI 1.0−1.3), gestational hypertension (AOR=1.7; 95% CI 1.0−2.7), and infant macrosomia (AOR=1.7; 95% CI 1.3−2.1). Overweight and obesity during pregnancy significantly contribute to the development of pregnancy pathologies and increased incidence of cesarean section. Systematic efforts to reduce weight before pregnancy through pre-pregnancy dietary counseling, regular physical activity, and healthy lifestyle should be the primary goal.

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Maternal body mass index, gestational weight gain, and the risk of overweight and obesity across childhood: An individual participant data meta-analysis

Yearbook of Paediatric Endocrinology ◽

10.1530/ey.16.15.5 ◽

2019 ◽

Author(s):

Voerman E ◽

Santos S ◽

Patro Golab B ◽

Amiano P ◽

Ballester F ◽

...

Keyword(s):

Body Mass Index ◽

Weight Gain ◽

Gestational Weight Gain ◽

Body Mass ◽

Meta Analysis ◽

Overweight And Obesity ◽

Maternal Body Mass Index ◽

Individual Participant Data ◽

Gestational Weight ◽

Individual Participant

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Maternal body mass index: how much it affects mother and baby

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20200873 ◽

2020 ◽

Vol 9 (3) ◽

pp. 1050

Author(s):

Chaitanya A. Shembekar ◽

Shantanu C. Shembekar ◽

Manisha C. Shembekar ◽

Parul Sharma Saoji ◽

Jayshree J. Upadhye

Keyword(s):

Body Mass Index ◽

Weight Gain ◽

Cesarean Section ◽

Pregnant Women ◽

Body Mass ◽

Maternal Obesity ◽

Overweight And Obesity ◽

Maternal Body Mass Index ◽

Normal Delivery ◽

The Impact

Background: Overweight, obesity, and morbid obesity in the mother are associated with adverse obstetrics well as neonatal outcome. Aim of this study was to assess the prevalence of overweight and obesity, and the impact of body mass index (BMI) on maternal and neonatal outcome.Methods: This is a retrospective study from January 2018 to September 2018 on 180 women with singleton term pregnancies. Maternal and neonatal outcomes at delivery were noted.Results: In present study, 3 (1.66%) pregnant women were underweight, 57 (31.66%) pregnant women had normal BMI, 71 (39.44%) pregnant women were overweight while 49 (27.22%) pregnant women were obese. Gestational weight gain was less than 8 kgs in 40 (22.22%) pregnant women, weight gain was 8-15.9 kgs in 132 (73.33%) pregnant women while weight gain was more than 16 kgs in 8 (4.44%) pregnant women. Out of 3 underweight women, 1 delivered by cesarean section and 2 had normal delivery, out of 57 women with normal BMI, 21 delivered by cesarean section and 36 had normal delivery, out of 71 overweight women, 47 delivered by cesarean section and 34 had normal delivery while out of 49 obese women, 38 delivered by cesarean section and 11 had normal delivery. PET and GDM was seen in 9 (7.5%) women each while macrosomia were seen in 5 (4.16%) women.Conclusions: Increased association was seen with maternal obesity and adverse outcome of pregnancy like PIH, GDM, cesarean section.

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Maternal body mass index, gestational weight gain, and the risk of overweight and obesity across childhood: An individual participant data meta-analysis

PLoS Medicine ◽

10.1371/journal.pmed.1002744 ◽

2019 ◽

Vol 16 (2) ◽

pp. e1002744 ◽

Cited By ~ 62

Author(s):

Ellis Voerman ◽

Susana Santos ◽

Bernadeta Patro Golab ◽

Pilar Amiano ◽

Ferran Ballester ◽

...

Keyword(s):

Body Mass Index ◽

Weight Gain ◽

Gestational Weight Gain ◽

Body Mass ◽

Meta Analysis ◽

Overweight And Obesity ◽

Maternal Body Mass Index ◽

Individual Participant Data ◽

Gestational Weight ◽

Individual Participant

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The Role of Health-related Behaviors in Gestational Weight Gain among Women with Overweight and Obesity: A Cross-sectional Analysis

Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics ◽

10.1055/s-0040-1712132 ◽

2020 ◽

Vol 42 (06) ◽

pp. 316-324

Author(s):

Daiane Sofia Morais Paulino ◽

Maira Pinho-Pompeu ◽

Fernanda Raikov ◽

Juliana Vasconcellos Freitas-Jesus ◽

Helymar Costa Machado ◽

...

Keyword(s):

Weight Gain ◽

Sleep Duration ◽

Gestational Weight Gain ◽

Overweight And Obesity ◽

The Body ◽

Stepwise Logistic Regression ◽

Cross Sectional ◽

Gestational Weight ◽

Health Related Behaviors ◽

Health Related

Abstract Objective To evaluate the influence of health-related behaviors including food intake, physical activity, sleep time, smoking habits, stress, depression, and optimism on excessive gestational weight gain (GWG) among women with overweight and obesity. Methods A cross-sectional study was conducted at the Women's Hospital of the Universidade de Campinas, Campinas, state of São Paulo, Brazil, with 386 mediate postpartum women that fit the inclusion criteria of ≥ 19 years old, first prenatal care visit at or before 14 weeks, and single live baby. Dietary habits, physical exercise practice, sleep duration, smoking and alcohol habits were self-reported. Psychosocial history was evaluated using the Edinburgh Postpartum Depression Scale (EPDS), Perceived Stress Scale (PSS), and Life Orientation Test-Revised (LOT-R). Sociodemographic, obstetric, anthropometric, and neonatal data were retrieved from medical records. Descriptive statistics and stepwise logistic regression were performed. Results The prevalence of overweight and obesity was 29.27% and 24.61%, respectively, according to the body mass index (BMI). Excessive GWG was observed in 47.79% of women with overweight and in 45.26% of women with obesity. Excessive GWG among overweight and obese women was associated with inadequate vegetable and bean consumption (odds ratio [OR] = 2.95, 95% confidence interval [CI]: 1.35–6.46 and OR = 1.91; 95%CI: 1.01–3.63, respectively) and stress (OR = 1.63; 95%CI 1.01–2.64). After adjustment by maternal age, multiparity, sleep duration, smoking, and alcohol intake, we found that stress (PSS ≥ 20) was associated with excessive GWG in women with overweight or obesity (OR: 1.75; 95%CI: 1.03–2.96). Conclusion Among women with overweight and obesity, stress is the main variable associated with excessive GWG. Inadequate vegetables and beans consumption also showed association with excessive GWG.

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Association of gestational weight gain with cesarean section: a prospective birth cohort study in Southwest China

BMC Pregnancy and Childbirth ◽

10.1186/s12884-020-03527-1 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Lujiao Huang ◽

Ju Zhang ◽

Hong Sun ◽

Hongli Dong ◽

Run Li ◽

...

Keyword(s):

Weight Gain ◽

Cesarean Section ◽

Birth Cohort ◽

Gestational Weight Gain ◽

Southwest China ◽

The Other ◽

Public Health Issue ◽

Birth Cohort Study ◽

Gestational Weight ◽

Prospective Birth Cohort

Abstract Background Cesarean section (CS) is a rising public health issue globally, and is particularly serious in China. Numerous studies have suggested that gestational weight gain (GWG) control may be an effective way to reduce the rate of CS. However, rare study has examined the association between GWG and CS among women in Southwest China. We proposed to examine their association based on a prospective birth cohort, and further to explore the optimal GWG range. Methods We retrieved data from a prospective birth cohort from Sichuan Provincial Hospital for Women and Children, Southwest China. Unconditional multivariable logistic regression was used to examine the association between GWG and CS by adjusting for potential confounders. In one analysis, we incorporated the GWG as a categorical variable according to the Institute of Medicine (IOM) recommendation, similar to the method used in the majority of previous studies. In the other analysis, we directly incorporated GWG as a continuous variable and natural cubic splines were used to characterize the potential nonlinear exposure-response relationship, aiming to identify the optimal GWG. We further stratified the above analysis by pre-pregnancy BMI and GDM, and then a heterogeneity test based on a multivariate meta-analysis was conducted to examine whether the stratum specific estimations agreed with each other. Results A total of 1363 participants were included. By adopting the IOM recommendation, the adjusted OR of CS was 0.63 (0.47, 0.84) for insufficient GWG and 1.42 (1.06, 1.88) for excessive GWG. After stratification by pre-pregnancy BMI, we found a higher risk of CS in associated with excessive GWG in the stratum of underweight compared with the other strata, which implied that pre-pregnancy BMI may be an effect modifier. By applying a flexible spline regression, the optimal GWG levels in terms of reducing the CS rate based on our data were more stringent than those of IOM recommendation, which were 9–12 kg for underweight women, < 19 kg for normal weight women and < 10 kg for overweight/obese women. Conclusions These results suggested that a more stringent recommendation should be applied in Southwest China, and that more attention should be given to underweight women.

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581: Excess gestational weight gain is associated with gestational hypertension/preeclampsia and cesarean birth

American Journal of Obstetrics and Gynecology ◽

10.1016/j.ajog.2010.10.601 ◽

2011 ◽

Vol 204 (1) ◽

pp. S232

Author(s):

Judith Chung ◽

Kathryn Melsop ◽

William Gilbert ◽

Aaron B. Caughey ◽

Cheryl Walker ◽

...

Keyword(s):

Weight Gain ◽

Gestational Weight Gain ◽

Gestational Hypertension ◽

Cesarean Birth ◽

Gestational Weight

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Pre-pregnancy BMI, gestational weight gain and body image are associated with dietary under-reporting in pregnant Japanese women

Journal of Nutritional Science ◽

10.1017/jns.2018.3 ◽

2018 ◽

Vol 7 ◽

Cited By ~ 3

Author(s):

Mie Shiraishi ◽

Megumi Haruna ◽

Masayo Matsuzaki ◽

Ryoko Murayama ◽

Satoshi Sasaki

Keyword(s):

Weight Gain ◽

Urinary Excretion ◽

Gestational Weight Gain ◽

Multiple Logistic Regression Analysis ◽

Japanese Women ◽

Portion Size ◽

Assessment Tools ◽

University Hospital ◽

Related Factors ◽

Gestational Weight

AbstractDietary under-reporting is a common problem when using self-reported dietary assessment tools. However, there are few studies regarding under-reporting during pregnancy. This study aimed to explore the demographic and psychosocial characteristics related to dietary under-reporting in pregnant Japanese women. A cross-sectional study was conducted between 2010 and 2011 at a university hospital in Tokyo, Japan. Nutrient intake was assessed using a self-administered Diet History Questionnaire (DHQ), which had questions about the consumption frequency and portion size of selected food items. The 24-h urinary excretion levels of urea N and K were used as the dietary protein and K intake reference values, respectively. Under-reporting of protein and K was defined as the bottom 25 % of the reporting accuracy (the ratio of reported intake on the DHQ to the estimated intake based on urinary excretion). Under-reporters were defined as participants who under-reported both protein and K intake. Multiple logistic regression analysis was performed to examine the factors associated with under-reporters. Of 271 healthy women at 19–23 weeks of gestation, thirty-five participants (12·9 %) were identified as under-reporters. Under-reporters had a lower pre-pregnancy BMI (adjusted OR (AOR) = 0·81) and lower gestational weight gain (AOR = 0·82); they also reported managing their gestational weight gain with the aim to return to their pre-pregnancy weight soon after childbirth (AOR = 2·99). Healthcare professionals should consider the potential for dietary under-reporting and the possible related factors when assessing the dietary intakes of pregnant Japanese women using self-administered questionnaires.

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

Medicinski podmladak ◽

10.5937/mp71-27850 ◽

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

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