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Published in: Maternal and Child Health Journal 7/2011

01-10-2011

Preconception Predictors of Birth Outcomes: Prospective Findings from the Central Pennsylvania Women’s Health Study

Authors: Carol S. Weisman, Dawn P. Misra, Marianne M. Hillemeier, Danielle Symons Downs, Cynthia H. Chuang, Fabian T. Camacho, Anne-Marie Dyer

Published in: Maternal and Child Health Journal | Issue 7/2011

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Abstract

Objective

To examine maternal pre-pregnancy (preconception) predictors of birthweight and fetal growth for singleton live births occurring over a 2-year period in a prospective study.

Methods

Data are from a population-based cohort study of 1,420 women who were interviewed at baseline and 2-years later; self-report data and birth records were obtained for incident live births during the followup period. The analytic sample includes 116 singleton births. Baseline preconception maternal health status and health-related behaviors were examined as predictors of birthweight and fetal growth, controlling for prenatal and sociodemographic variables, using multiple regression analysis.

Results

Preconception BMI (overweight or obese) and vegetable consumption (at least one serving per day) had statistically significant independent and positive effects on birthweight and fetal growth. Maternal weight gain during pregnancy, a prenatal variable, was an additional independent predictor of birthweight and fetal growth. Sociodemographic variables were not significant predictors after controlling for preconception and prenatal maternal characteristics.

Conclusions

Findings confirm that preconception maternal health status and health-related behaviors can affect birthweight and fetal growth independent of prenatal and socioeconomic variables. Implications for preconception care are discussed.
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Metadata
Title
Preconception Predictors of Birth Outcomes: Prospective Findings from the Central Pennsylvania Women’s Health Study
Authors
Carol S. Weisman
Dawn P. Misra
Marianne M. Hillemeier
Danielle Symons Downs
Cynthia H. Chuang
Fabian T. Camacho
Anne-Marie Dyer
Publication date
01-10-2011
Publisher
Springer US
Published in
Maternal and Child Health Journal / Issue 7/2011
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-009-0473-2

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