|Gestational weight gain within recommended ranges in consecutive pregnancies: a retrospective cohort study.|
|PMID: 23103319 Owner: NLM Status: MEDLINE|
|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.
|Molly E Waring; Tiffany A Moore Simas; Xun Liao|
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|Type: Journal Article; Research Support, N.I.H., Extramural Date: 2012-10-24|
|Title: Midwifery Volume: 29 ISSN: 1532-3099 ISO Abbreviation: Midwifery Publication Date: 2013 May|
|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|
|Languages: eng Pagination: 550-6 Citation Subset: N|
|Copyright © 2012 Elsevier Ltd. All rights reserved.|
|APA/MLA Format Download EndNote Download BibTex|
Body Mass Index
Massachusetts / epidemiology
Medical Records, Problem-Oriented
Midwifery* / methods, statistics & numerical data
Obesity* / complications, diagnosis, epidemiology
Practice Guidelines as Topic
Pregnancy Complications* / diagnosis, epidemiology, prevention & control
Pregnancy Outcome / epidemiology
Severity of Illness Index
|1U01HL105268-01/HL/NHLBI NIH HHS; U01 HL105268/HL/NHLBI NIH HHS|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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