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01-12-2022 | Obesity | Research

Association between pre-pregnancy body mass index and gestational weight gain on pregnancy outcomes: a cohort study in Indonesian pregnant women

Authors: Arif Sabta Aji, Nur Indrawaty Lipoeto, Yusrawati Yusrawati, Safarina G. Malik, Nur Aini Kusmayanti, Isman Susanto, Nur Mukhlishoh Majidah, Siti Nurunniyah, Ratih Devi Alfiana, Wahyuningsih Wahyuningsih, Karani S. Vimaleswaran

Published in: BMC Pregnancy and Childbirth | Issue 1/2022

Abstract

Background

Pre-pregnancy BMI (PP BMI) and gestational weight gain (GWG) are prominent anthropometric indicators for maternal nutritional status and are related to an increased risk of adverse pregnancy outcomes. This study aimed to determine the factors affecting total GWG, PP BMI and pregnancy outcomes among pregnant women in West Sumatra, Indonesia.

Methods

This observational analysis was conducted among healthy women in the Vitamin D Pregnant Mother (VDPM) cohort study. A total of 195 pregnant women and their newborn babies were enrolled, and information regarding their socio-demographic characteristics, obstetric history, dietary intake and anthropometric data were assessed through direct interviews. Furthermore, the Institute of Medicine (IOM) 2009 guidelines were used to obtain the total GWG.

Results

PP BMI was used to categorise the 195 pregnant women as overweight/obese (43.1%), normal (46.7%) and underweight (10.2%). There were 53.3%, 34.4% and 12.3% of women who had inadequate, adequate and excessive GWG, respectively. The multinomial logistic regression model indicated that overweight or obese women at the pre-pregnancy stage were 4.09 times more likely to have an excessive rate of GWG (AOR = 4.09, 95% CI: 1.38–12.12, p = 0.011) than those whose weight was normal. Furthermore, women with excessive GWG were 27.11 times more likely to have a baby with macrosomia (AOR = 27.11, 95% CI: 2.99–245.14) (p = 0.001) and those with inadequate GWG were 9.6 times more likely to give birth to a baby with low birth weight (LBW) (AOR = 9.60, 95% CI; 0.88–105.2) (p = 0.002).

Conclusions

This study demonstrates that the malnutrition status prior to pregnancy and inadequate or excessive GWG status during pregnancy as significant risk factors for developing adverse pregnancy outcomes. These findings highlight the importance of providing information, preconception counselling and health education on weight management for healthy pregnancies.

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Title: Association between pre-pregnancy body mass index and gestational weight gain on pregnancy outcomes: a cohort study in Indonesian pregnant women
Authors: Arif Sabta Aji
Nur Indrawaty Lipoeto
Yusrawati Yusrawati
Safarina G. Malik
Nur Aini Kusmayanti
Isman Susanto
Nur Mukhlishoh Majidah
Siti Nurunniyah
Ratih Devi Alfiana
Wahyuningsih Wahyuningsih
Karani S. Vimaleswaran
Publication date: 01-12-2022
Publisher: BioMed Central
Keywords: Obesity
Obesity
Overweight
Published in: BMC Pregnancy and Childbirth / Issue 1/2022
Electronic ISSN: 1471-2393
DOI: https://doi.org/10.1186/s12884-022-04815-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Association between pre-pregnancy body mass index and gestational weight gain on pregnancy outcomes: a cohort study in Indonesian pregnant women

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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