Annie M Dude1, William Grobman1, David Haas2, Brian M Mercer3, Samuel Parry4, Robert M Silver5, Ronald Wapner6, Deborah Wing7, George Saade8, Uma Reddy9, Jay Iams10, Michelle A Kominiarek1. 1. Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois. 2. Department of Obstetrics and Gynecology, Indiana University School of Medicine, Indianapolis, Indiana. 3. Department of Obstetrics and Gynecology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio. 4. Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania. 5. Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Utah, Salt Lake City, Utah. 6. Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University, New York, New York. 7. Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of California-Irvine, Irvine, California. 8. Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Texas Medical Branch-Galveston, Galveston, Texas. 9. Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Science, Yale University, New Haven, Connecticut. 10. Department of Obstetrics and Gynecology, The Ohio State University, Columbus, Ohio.
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. Thieme. All rights reserved.
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. Thieme. All rights reserved.
Authors: Gabriella D Cozzi; Christina T Blanchard; Macie L Champion; Allison Todd; Margaret Davis; Paula Chandler-Laney; Krista Casazza; Brian M Casey; Alan T Tita; Jeff M Szychowski; Akila Subramaniam Journal: Am J Perinatol Date: 2020-08-27 Impact factor: 3.079
Authors: William A Grobman; Emma G Crenshaw; Derek J Marsh; Rebecca B McNeil; Victoria L Pemberton; David M Haas; Michelle Debbink; Brian M Mercer; Samuel Parry; Uma Reddy; George Saade; Hyagriv Simhan; Farhana Mukhtar; Deborah A Wing; Kiarri N Kershaw Journal: Am J Perinatol Date: 2021-06-03 Impact factor: 3.079
Authors: Rodrigo Chamorro; Karla A Bascuñán; Cynthia Barrera; Jorge Sandoval; Claudia Puigrredon; Rodrigo Valenzuela Journal: Int J Environ Res Public Health Date: 2022-02-09 Impact factor: 3.390