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The Journal of Obstetrics and Gynecology of India
Published in: The Journal of Obstetrics and Gynecology of India 4/2018

01-08-2018 | Original Article

Impact of Gestational Weight Gain on Cesarean Delivery Risk, Perinatal Birth Weight and Gestational Age in Women with Normal Pre-pregnancy BMI

Authors: Reza Omani-Samani, Mahdi Sepidarkish, Saeid Safiri, Arezoo Esmailzadeh, Samira Vesali, Farahnaz Farzaneh, Amir Almasi-Hashiani

Published in: The Journal of Obstetrics and Gynecology of India | Issue 4/2018

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Abstract

Background

Gestational weight gain (GWG) proportional to body mass index before pregnancy is one of the factors on maternal and neonatal outcomes. The aim of the current study was to assess association between GWG, and cesarean section, birth weight and gestational age at birth in women with normal BMI prior to pregnancy.

Methods

This was a cross-sectional study carried out in 103 hospitals in Tehran, the capital of Iran, from July 6 to 21, 2015. The data were extracted by 103 trained midwives. Finally, 2394 pregnant women with normal BMI before pregnancy and singleton birth were examined. GWG was categorized based on Institute of Medicine (IOM) recommendations.

Results

Prevalence of low birth weight (LBW) was 5.41% and prevalence of macrosomia was 2.18%. The prevalence of LBW in women with GWG less than the weight gain recommended by IOM was 2.13 times [95% confidence interval (CI) 1.13–4.02, P = 0.019] more than in women with GWG equal to the weight gain recommended by IOM. There was no statistically significant difference in the prevalence of LBW between women with GWG more than recommended weight gain by IOM and women with GWG equal to the weight gain recommended by IOM (OR = 1.21, 95% CI 0.61–2.38, P = 0.580).

Conclusion

After controlling for confounding variables, the prevalence of cesarean section and preterm birth had no significant difference at various levels of GWG. Accordingly, the prevalence of LBW among women with GWG less than the recommended weight gain by IOM was significantly 2.13 more than that among women with GWG equal to the recommended weight gain by IOM.
Literature
1.
Raje L, Ghugre P. Rate and pattern of weight gain in Indian women from the upper income group during pregnancy and its effect on pregnancy outcome. J Dev Orig Health Dis. 2012;3(05):387–92.CrossRefPubMed
2.
Galjaard S, Pexsters A, Devlieger R, et al. The influence of weight gain patterns in pregnancy on fetal growth using cluster analysis in an obese and nonobese population. Obesity. 2013;21(7):1416–22.CrossRefPubMed
3.
Chmitorz A, von Kries R, Rasmussen KM, et al. Do trimester-specific cutoffs predict whether women ultimately stay within the Institute of Medicine/National Research Council guidelines for gestational weight gain? Findings of a retrospective cohort study. Am J Clin Nutr. 2012;95(6):1432–7.CrossRefPubMed
4.
Amorim AR, Rössner S, Neovius M, et al. Does excess pregnancy weight gain constitute a major risk for increasing long-term BMI? Obesity. 2007;15(5):1278–86.CrossRefPubMed
5.
Savitz DA, Stein CR, Siega-Riz AM et al. Gestational weight gain and birth outcome in relation to prepregnancy body mass index and ethnicity. Ann Epidemiol. 2011;21(2):78–85.CrossRefPubMed
6.
Jolly MC, Sebire NJ, Harris JP, et al. Risk factors for macrosomia and its clinical consequences: a study of 350,311 pregnancies. Eur J Obstet Gynecol Reprod Biol. 2003;111(1):9–14.CrossRefPubMed
7.
Han Z, Mulla S, Beyene J, et al. Maternal underweight and the risk of preterm birth and low birth weight: a systematic review and meta-analyses. Int J Epidemiol. 2011;40(1):65–101.CrossRefPubMed
8.
McDonald SD, Han Z, Mulla S, et al. Overweight and obesity in mothers and risk of preterm birth and low birth weight infants: systematic review and meta-analyses. BMJ. 2010;341:c3428.CrossRefPubMedPubMedCentral
9.
Beyerlein A, Schiessl B, Lack N, et al. Associations of gestational weight loss with birth-related outcome: a retrospective cohort study. BJOG. 2011;118(1):55–61.CrossRefPubMed
10.
Kaur H, Nagpal M. Is current rising trends of cesarean section–justified? Int J Reprod Contracept Obstet Gynecol. 2017;6(3):872–6.CrossRef
11.
Betrán AP, Merialdi M, Lauer JA, et al. Rates of caesarean section: analysis of global, regional and national estimates. Paediatr Perinat Epidemiol. 2007;21(2):98–113.CrossRefPubMed
12.
Stivanello E, Rucci P, Lenzi J, et al. Determinants of cesarean delivery: a classification tree analysis. BMC Pregnancy Childbirth. 2014;14(1):1–8.CrossRef
13.
Briand V, Dumont A, Abrahamowicz M, et al. Individual and institutional determinants of caesarean section in referral hospitals in Senegal and Mali: a cross-sectional epidemiological survey. BMC Pregnancy Childbirth. 2012;12(1):1–8.CrossRef
14.
Gibbons L, Belizan JM, Lauer JA, et al. Inequities in the use of cesarean section deliveries in the world. Am J Clin Exp Obstet Gynecol. 2012;206(4):331. e1–19.
15.
Gante I, Amaral N, Dores J, et al. Impact of gestational weight gain on obstetric and neonatal outcomes in obese diabetic women. BMC Pregnancy Childbirth. 2015;15(1):249.CrossRefPubMedPubMedCentral
16.
Kiel DW, Dodson EA, Artal R, et al. Gestational weight gain and pregnancy outcomes in obese women: How much is enough? Obstet Gynecol. 2007;110(4):752–8.CrossRefPubMed
17.
18.
19.
Mishra S, Joshi M. Low birth weight babies-risk factors and complications: a clinical study. J Contemp Med Res. 2017;4(1):149–50.
20.
Cottrell G, Moussiliou A, Luty AJ, et al. Submicroscopic Plasmodium falciparum infections are associated with maternal anemia, premature births, and low birth weight. Clin Infect Dis. 2015;60(10):1481–8.CrossRefPubMed
21.
Hussain SM, Wang Y, Wluka AE, et al. Association of low birth weight and preterm birth with the incidence of knee and hip arthroplasty for osteoarthritis. Arthritis Care Res. 2015;67(4):502–8.CrossRef
22.
Rasmussen KM, Catalano PM, Yaktine AL. New guidelines for weight gain during pregnancy: what obstetrician/gynecologists should know. Curr Opin Obstet Gynecol. 2009;21(6):521–6.CrossRefPubMedPubMedCentral
23.
Yaktine AL, Rasmussen KM. Weight gain during pregnancy: reexamining the guidelines. Washington: National Academy of Sciences, National Academies Press (US); 2009.
24.
Sepidarkish M, Almasi-Hashiani A, Maroufizadeh S, et al. Association between previous spontaneous abortion and pre-eclampsia during a subsequent pregnancy. Int J Gynecol Obstet. 2017;136(1):83–6.CrossRef
25.
Almasi-Hashiani A, Sepidarkish M, Safiri S, et al. Understanding determinants of unequal distribution of stillbirth in Tehran, Iran: a concentration index decomposition approach. BMJ Open. 2017;7(5):e013644.PubMedPubMedCentral
26.
Rasmussen KM, Yaktine AL. Committee to Reexamine IOM Pregnancy Weight Guidelines. Food and Nutrition Board, Board on Children, Youth and Families, Institute of Medicine, National Research Council: Weight Gain During Pregnancy: Reexamining the Guidelines Washington DC: The National Academies Press. 2009.
27.
Yang S, Peng A, Wei S, et al. Pre-pregnancy body mass index, gestational weight gain, and birth weight: a cohort study in China. PLoS ONE. 2015;10(6):e0130101.CrossRefPubMedPubMedCentral
28.
Esimai OA, Ojofeitimi E. Pattern and determinants of gestational weight gain an important predictor of infant birth weight in a developing country. Global journal of health science. 2014;6(4):148.CrossRefPubMedPubMedCentral
29.
Han Z, Lutsiv O, Mulla S, et al. Low gestational weight gain and the risk of preterm birth and low birthweight: a systematic review and meta-analyses. Acta Obstet Gynecol Scand. 2011;90(9):935–54.CrossRefPubMed
30.
31.
McDonald SD, Han Z, Mulla S, et al. High gestational weight gain and the risk of preterm birth and low birth weight: a systematic review and meta-analysis. Journal of obstetrics and gynaecology Canada. J Obstet Gynaecol Can. 2011;33(12):1223–33.CrossRefPubMed
32.
Drehmer M, Duncan BB, Kac G, et al. Association of second and third trimester weight gain in pregnancy with maternal and fetal outcomes. PLoS ONE. 2013;8:e54704.CrossRefPubMedPubMedCentral
33.
Karachaliou M, Georgiou V, Roumeliotaki T, et al. Association of trimester-specific gestational weight gain with fetal growth, offspring obesity and cardio-metabolic traits in early childhood. Am J Obstet Gynecol. 2015;212(4):502.e1–14.CrossRef
34.
Mamun AA, Kinarivala M, O’Callaghan MJ, et al. Associations of excess weight gain during pregnancy with long-term maternal overweight and obesity: evidence from 21 y postpartum follow-up. Am J Clin Nutr. 2010;91(5):1336–41.CrossRefPubMed
Metadata
Title
Impact of Gestational Weight Gain on Cesarean Delivery Risk, Perinatal Birth Weight and Gestational Age in Women with Normal Pre-pregnancy BMI
Authors
Reza Omani-Samani
Mahdi Sepidarkish
Saeid Safiri
Arezoo Esmailzadeh
Samira Vesali
Farahnaz Farzaneh
Amir Almasi-Hashiani
Publication date
01-08-2018
Publisher
Springer India
Published in
The Journal of Obstetrics and Gynecology of India / Issue 4/2018
Print ISSN: 0971-9202
Electronic ISSN: 0975-6434
DOI
https://doi.org/10.1007/s13224-017-1023-2

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