Ching-Chung Liang1,2,3, Minston Chao3, Shuenn-Dhy Chang1,2, Sherry Yueh-Hsia Chiu4,5. 1. Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Branch, Tao-Yuan, Taiwan. 2. College of Medicine, Chang Gung University, Tao-Yuan, Taiwan. 3. Department of Health Care Management, College of Management, Chang Gung University, Tao-Yuan, Taiwan. 4. Department of Health Care Management, College of Management, Chang Gung University, Tao-Yuan, Taiwan. sherrychiu@mail.cgu.edu.tw. 5. Division of Hepatogastroenterology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan. sherrychiu@mail.cgu.edu.tw.
Abstract
PURPOSE: We aimed to examine the effect of gestational weight gain (GWG) on perinatal outcomes, quality of life (QoL) during pregnancy, and medical costs of childbirth. METHODS: The observational cohort comprised 2210 pregnant women who were classified into three groups based on their pre-pregnancy body mass index (BMI) and GWG in relation to the 2020 Institute of Medicine (IOM) recommendations. The data were collected on perinatal outcomes, urinary incontinence (UI) during pregnancy, changes in sexual function, and medical costs of hospitalization for delivery. Univariate and multivariable logistic regression models were employed to explore those associations. RESULTS: Only 42.1% of women met the 2020 IOM guidelines. After adjustments for potential confounding factors, women with above-normal GWG had adverse pregnancy outcomes, including a large fetal head circumference and macrosomia, and women with below-normal GWG were more likely to deliver low-birthweight fetuses preterm than women with normal GWG. Only 16.8% of women reported sexual activity during pregnancy. There were not significant differences in sexual activity and satisfaction, or QoL among the three GWG groups. Child-bearing expenses were higher for women with above-normal GWG than for women with normal GWG. Although the child-bearing expenses were higher for the above-normal GWG, the proportion of women with expenses above the median increased according to pre-pregnancy BMI. CONCLUSION: Our results show that inappropriate GWG is associated with a greater risk of adverse perinatal outcomes and increased medical expenses for delivery. Healthcare providers are advised to counsel women to maintain their GWG following the 2020 IOM recommendations throughout pregnancy.
PURPOSE: We aimed to examine the effect of gestational weight gain (GWG) on perinatal outcomes, quality of life (QoL) during pregnancy, and medical costs of childbirth. METHODS: The observational cohort comprised 2210 pregnant women who were classified into three groups based on their pre-pregnancy body mass index (BMI) and GWG in relation to the 2020 Institute of Medicine (IOM) recommendations. The data were collected on perinatal outcomes, urinary incontinence (UI) during pregnancy, changes in sexual function, and medical costs of hospitalization for delivery. Univariate and multivariable logistic regression models were employed to explore those associations. RESULTS: Only 42.1% of women met the 2020 IOM guidelines. After adjustments for potential confounding factors, women with above-normal GWG had adverse pregnancy outcomes, including a large fetal head circumference and macrosomia, and women with below-normal GWG were more likely to deliver low-birthweight fetuses preterm than women with normal GWG. Only 16.8% of women reported sexual activity during pregnancy. There were not significant differences in sexual activity and satisfaction, or QoL among the three GWG groups. Child-bearing expenses were higher for women with above-normal GWG than for women with normal GWG. Although the child-bearing expenses were higher for the above-normal GWG, the proportion of women with expenses above the median increased according to pre-pregnancy BMI. CONCLUSION: Our results show that inappropriate GWG is associated with a greater risk of adverse perinatal outcomes and increased medical expenses for delivery. Healthcare providers are advised to counsel women to maintain their GWG following the 2020 IOM recommendations throughout pregnancy.
Authors: Niina Sahrakorpi; Saila B Koivusalo; Beata Stach-Lempinen; Johan G Eriksson; Hannu Kautiainen; Risto P Roine Journal: Acta Obstet Gynecol Scand Date: 2017-01-12 Impact factor: 3.636
Authors: Susan Y Chu; Donald J Bachman; William M Callaghan; Evelyn P Whitlock; Patricia M Dietz; Cynthia J Berg; Maureen O'Keeffe-Rosetti; F Carol Bruce; Mark C Hornbrook Journal: N Engl J Med Date: 2008-04-03 Impact factor: 91.245
Authors: Rebecca F Goldstein; Sally K Abell; Sanjeeva Ranasinha; Marie Misso; Jacqueline A Boyle; Mary Helen Black; Nan Li; Gang Hu; Francesco Corrado; Line Rode; Young Ju Kim; Margaretha Haugen; Won O Song; Min Hyoung Kim; Annick Bogaerts; Roland Devlieger; Judith H Chung; Helena J Teede Journal: JAMA Date: 2017-06-06 Impact factor: 56.272