Document Detail


Gestational weight gain within recommended ranges in consecutive pregnancies: a retrospective cohort study.
MedLine Citation:
PMID:  23103319     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: to examine whether, among parous women, adherence to gestational weight gain (GWG) recommendations in the most recent previous pregnancy is associated with adherence to GWG recommendations in the current pregnancy.
DESIGN: retrospective cohort study.
SETTING: review of labour and delivery records from a Massachusetts tertiary-care centre.
PARTICIPANTS: 1,325 women who delivered two consecutive singletons from April 2006 to March 2010.
MEASUREMENTS: pre-pregnancy weight status and adherence to GWG recommendations were categorised using 1990 Institute of Medicine (IOM) guidelines. Analyses were stratified by weight status before the second pregnancy.
FINDINGS: 56% and 46% of women gained more than 1990 IOM recommendations during the first and second of consecutive pregnancies; 57% gained within the same adherence category in both pregnancies. Excessive GWG during the first pregnancy was strongly associated with excessive gain during the second pregnancy (adjusted odds ratio [AOR]=5.4 [95% CI: 1.7-16.4] for underweight, 3.7 [95% CI: 2.4-5.5] for normal weight, 3.0 [95% CI: 1.2-7.6] for overweight, and 5.3 [95% CI: 2.4-11.7] for obese women). Inadequate gain in the first of consecutive pregnancies was strongly associated with subsequent inadequate GWG for underweight women (AOR=13.7; 95% CI: 3.9-48.0), normal weight women (AOR=2.9; 95% CI: 1.7-5.1), and obese women (AOR=3.6; 95% CI: 1.4-9.3). Results were similar in sensitivity analyses using IOM 2009 guidelines.
KEY CONCLUSIONS: adherence to GWG recommendations in consecutive pregnancies is highly concordant.
IMPLICATIONS FOR PRACTICE: consideration of GWG during previous pregnancies may facilitate discussions about GWG during prenatal care.
Authors:
Molly E Waring; Tiffany A Moore Simas; Xun Liao
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2012-10-24
Journal Detail:
Title:  Midwifery     Volume:  29     ISSN:  1532-3099     ISO Abbreviation:  Midwifery     Publication Date:  2013 May 
Date Detail:
Created Date:  2013-04-23     Completed Date:  2014-01-17     Revised Date:  2014-05-08    
Medline Journal Info:
Nlm Unique ID:  8510930     Medline TA:  Midwifery     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  550-6     Citation Subset:  N    
Copyright Information:
Copyright © 2012 Elsevier Ltd. All rights reserved.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Body Mass Index
Demography
Female
Humans
Massachusetts / epidemiology
Medical Records, Problem-Oriented
Midwifery* / methods,  statistics & numerical data
Obesity* / complications,  diagnosis,  epidemiology
Patient Compliance*
Practice Guidelines as Topic
Pregnancy
Pregnancy Complications* / diagnosis,  epidemiology,  prevention & control
Pregnancy Outcome / epidemiology
Prevalence
Retrospective Studies
Severity of Illness Index
Socioeconomic Factors
Weight Gain*
Grant Support
ID/Acronym/Agency:
1U01HL105268-01/HL/NHLBI NIH HHS; U01 HL105268/HL/NHLBI NIH HHS
Comments/Corrections

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