Document Detail


Effects of gestational weight gain and body mass index on obstetric outcome in Sweden.
MedLine Citation:
PMID:  16626716     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The objective of this study was to estimate the effects of low and high gestational weight gain, in different maternal Body Mass Index (BMI) classes, on obstetric and neonatal outcomes. METHOD: A prospective population-based cohort study of 245,526 singleton term pregnancies. Women were grouped in five categories of BMI and in three gestational weight gain categories; < 8 kg (low weight gain), 8-16 kg and >16 kg (high weight gain). Obstetric and neonatal outcomes were evaluated after adjustments for maternal age, parity, smoking, year of birth. RESULT: Obese women with low gestational weight gain had a decreased risk for the following outcomes (adjusted odds ratio; 95% confidence interval): preeclampsia (0.52; 0.42-0.62), cesarean section (0.81; 0.73-0.90), instrumental delivery (0.75; 0.63-0.88), and LGA births (0.66; 0.59-0.75). There was a 2-fold increased risk for preeclampsia and LGA infants among average and overweight women with excessive weight gain. High gestational weight gain increased the risk for cesarean delivery in all maternal BMI classes. CONCLUSION: The effects of high or low gestational weight gain differ depending on maternal BMI and the outcome variable studied. Obese women may benefit from a low weight gain during pregnancy.
Authors:
M Cedergren
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2006-04-12
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  93     ISSN:  0020-7292     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-06-05     Completed Date:  2006-11-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  269-74     Citation Subset:  IM    
Affiliation:
Division of Obstetrics and Gynecology, Department of Molecular and Clinical Medicine, Faculty of Health Sciences, Linköping University, Linköping, Sweden. marie.cedergren@lio.se
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MeSH Terms
Descriptor/Qualifier:
Apgar Score
Body Height
Body Mass Index*
Body Weight
Cesarean Section / statistics & numerical data
Cohort Studies
Delivery, Obstetric / statistics & numerical data
Female
Fetal Distress / physiopathology
Fetal Macrosomia / etiology*
Gestational Age*
Humans
Infant, Newborn
Maternal Age
Obesity / complications,  epidemiology
Obesity, Morbid / complications,  epidemiology
Parity
Pre-Eclampsia / physiopathology
Pregnancy
Pregnancy Outcome*
Prevalence
Prospective Studies
Registries
Risk Factors
Sweden / epidemiology
Weight Gain*

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


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