Document Detail


Effect of revised IOM weight gain guidelines on perinatal outcomes.
MedLine Citation:
PMID:  20593973     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: We sought to examine perinatal outcomes in women with a body mass index (BMI) of 25 kg/m(2) comparing those whose weight gain met 2009 IOM guidelines to women meeting 1990 IOM guidelines.
METHODS: This is a retrospective cohort study utilizing birth records linked to hospital discharge data for all term, singleton infants born to overweight, Missouri residents (2000-2006) with a BMI of 25 kg/m(2). We excluded congenital anomalies, mothers with diabetes, hypertension, or previous cesarean delivery.
RESULTS: Fourteen thousand nine hundred fifty-five women gained 25-35 lbs (1990 guidelines); 1.6% delivered low birth weight (LBW) infants and 1.1% delivered macrosomic infants. Eight thousand three hundred fifty women gained 15-25 lbs (2009 guidelines); 3.4% delivered LBW infants and 0.6% delivered macrosomic infants. Women who gained 15-25 lbs were 1.99 (95% CI 1.67, 2.38) times more likely to have a LBW infant and 0.59 (95% CI 0.40, 0.76) times less likely to deliver a macrosomic infant.
CONCLUSION: Limiting weight gain in women with a BMI of 25 kg/m(2), per the 2009 guidelines, increases the risk of LBW deliveries and decreases the risk of macrosomia but does not reduce associated adverse perinatal outcomes. Further studies should explore the optimal weight gain to reduce these outcomes.
Authors:
Donna R Halloran; Terry C Wall; Camelia Guild; Aaron B Caughey
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2010-07-01
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  24     ISSN:  1476-4954     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-04     Completed Date:  2011-06-21     Revised Date:  2013-09-17    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  397-401     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Saint Louis University, St. Louis, Missouri 63104, USA. dhallor2@slu.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Body Mass Index
Cohort Studies
Evaluation Studies as Topic*
Female
Guidelines as Topic* / standards
Humans
Ideal Body Weight / physiology
Infant, Newborn
Obesity / complications,  epidemiology
Overweight / epidemiology
Perinatology / legislation & jurisprudence
Pregnancy* / physiology,  statistics & numerical data
Pregnancy Outcome* / epidemiology
Retrospective Studies
Societies, Medical / legislation & jurisprudence*
Weight Gain / physiology*
Young Adult
Grant Support
ID/Acronym/Agency:
K08 HD061484/HD/NICHD NIH HHS; KL2 RR024994/RR/NCRR NIH HHS; KL2RR024994/RR/NCRR NIH HHS
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