Document Detail


Adolescent pregnancy. Gestational weight gain and maternal and infant outcomes.
MedLine Citation:
PMID:  1415078     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To clarify the advantages and disadvantages of large gestational weight gain among pregnant adolescents. DESIGN: Prospective, longitudinal survey. SETTING: Adolescent-oriented maternity program in Rochester, NY. PARTICIPANTS: One hundred forty-one poor, black, pregnant 12- through 19-year-olds grouped according to rate of gestational weight gain. Slow weight gain was defined as weight gain of less than 0.23 kg per week; average, 0.23 to 0.4 kg per week; and rapid, more than 0.4 kg per week. INTERVENTIONS: None. MEASUREMENTS/MAIN RESULTS: Infants of rapid weight-gainers were significantly larger than infants of slower weight-gainers but did not experience fewer perinatal complications than other infants. Infants of slow weight-gainers were significantly smaller than infants of average and rapid weight-gainers and experienced more perinatal complications than other infants. Adolescents who gained weight rapidly retained more weight and, therefore, were more often obese after pregnancy. CONCLUSIONS: The advantages of large weight gains for pregnant adolescents and their infants are well-documented; this study demonstrates the importance of balancing the long-term potential morbidity of maternal obesity against the benefits of enhanced fetal growth in formulating weight-gain recommendations for pregnant adolescents.
Authors:
C Stevens-Simon; E R McAnarney
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  American journal of diseases of children (1960)     Volume:  146     ISSN:  0002-922X     ISO Abbreviation:  Am. J. Dis. Child.     Publication Date:  1992 Nov 
Date Detail:
Created Date:  1992-11-16     Completed Date:  1992-11-16     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  0370471     Medline TA:  Am J Dis Child     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1359-64     Citation Subset:  AIM; IM    
Affiliation:
Division of Adolescent Medicine, University of Colorado Health Science Center, Denver.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Data Collection
Female
Humans
Pregnancy
Pregnancy Outcome
Pregnancy in Adolescence / physiology*
Prospective Studies
Weight Gain*
Weight Loss
Grant Support
ID/Acronym/Agency:
MCJ-360534//PHS HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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