Document Detail


Association of gestational weight gain and pre-pregnancy body mass index with adverse pregnancy outcome.
MedLine Citation:
PMID:  23146848     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the association between gestation weight gain (GWG) and adverse pregnancy outcome in a Pakistani population.
STUDY DESIGN: Analytical study.
PLACE AND DURATION OF STUDY: The Aga Khan University, Karachi, from February 2003 to 2007.
METHODOLOGY: This study used secondary data of 4,735 women from a large cohort study on fetal growth. Pre-pregnancy BMI was categorized according to the recommendations from the institute of medicine (IOM, 2009) and gestation weight gain (GWG) was noted. Chi-square test was used to find the association of GWG and pre-pregnancy BMI with low birth weight (LBW), preterm delivery, large for gestational age (LGA), and caesarean section. Logistic regression analysis was performed to control for confounders like age, parity, working status and ethnicity.
RESULTS: The prevalence of LBW decreased with increasing BMI. GWG of the population was noted as 8.5 kg. LBW was observed to have an inverse relationship with GWG. Women below the age of 19 were twice more likely to have LBW than above 35 years of age. Weight gain above the recommended range were twice more likely to have large for dates.Overweight women were 1.5 times more likely to deliver preterm whereas obese women were 1.4 times more likely to undergo caesarean section than women with normal BMI.
CONCLUSION: The optimal weight gain was estimated to be 8.5 kg to prevent low birth weight in our population. Obese women are more likely to have LGA, caesarean sections and pre-term deliveries.
Authors:
Shama Munim; Humaira Maheen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the College of Physicians and Surgeons--Pakistan : JCPSP     Volume:  22     ISSN:  1681-7168     ISO Abbreviation:  J Coll Physicians Surg Pak     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-13     Completed Date:  2013-03-19     Revised Date:  2014-07-31    
Medline Journal Info:
Nlm Unique ID:  9606447     Medline TA:  J Coll Physicians Surg Pak     Country:  Pakistan    
Other Details:
Languages:  eng     Pagination:  694-8     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Body Mass Index*
Body Weight
Cohort Studies
Delivery, Obstetric / methods
Female
Humans
Infant, Low Birth Weight
Infant, Newborn
Logistic Models
Maternal Age
Obesity / complications*
Pakistan / epidemiology
Pregnancy
Pregnancy Complications / epidemiology*
Pregnancy Outcome*
Premature Birth
Questionnaires
Risk Factors
Socioeconomic Factors
Weight Gain*
Young Adult

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


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