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Gestational weight gain within recommended ranges in consecutive pregnancies: A retrospective cohort study.
MedLine Citation:
PMID:  23103319     Owner:  NLM     Status:  Publisher    
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     Date:  2012-10-23
Journal Detail:
Title:  Midwifery     Volume:  -     ISSN:  1532-3099     ISO Abbreviation:  Midwifery     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8510930     Medline TA:  Midwifery     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Elsevier Ltd. All rights reserved.
Affiliation:
Division of Epidemiology of Chronic Diseases and Vulnerable Populations, Department of Quantitative Health Sciences, University of Massachusetts Medical School, 55 Lake Avenue North, ACCES7, Worcester, MA 01655, USA. Electronic address: molly.waring@umassmed.edu.
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