Document Detail


New gestational weight gain guidelines: an observational study of pregnancy outcomes in obese women.
MedLine Citation:
PMID:  21455124     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In 2009, the Institute of Medicine (IOM) revised their pregnancy weight gain guidelines, recommending gestational weight gain of 11-20 pounds for women with prepregnancy BMI >30 kg/m(2). We investigated the potential influence of the new guidelines on perinatal outcomes using a retrospective analysis (n = 691), comparing obese women who gained weight during pregnancy according to the new guidelines to those who gained weight according to traditional recommendations (25-35 pounds). We found no statistical difference between the two weight gain groups in infant birth weight, cesarean delivery rate, pregnancy-related hypertension, low birth weight infants, macrosomia, neonatal intensive care unit admissions, or total nursery days. Despite showing no evidence of other benefits, our data suggest that obese women who gain weight according to new IOM guidelines are no more likely to have low birth weight infants. In the absence of national consensus on appropriate gestational weight gain guidelines, our data provide useful data for clinicians when providing evidence-based weight gain goals for their obese patients.
Authors:
Brett D Einerson; Josephine K Huffman; Niki B Istwan; Debbie J Rhea; Saju D Joy
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2011-03-31
Journal Detail:
Title:  Obesity (Silver Spring, Md.)     Volume:  19     ISSN:  1930-739X     ISO Abbreviation:  Obesity (Silver Spring)     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-11-23     Completed Date:  2012-05-09     Revised Date:  2012-08-13    
Medline Journal Info:
Nlm Unique ID:  101264860     Medline TA:  Obesity (Silver Spring)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2361-4     Citation Subset:  IM    
Affiliation:
Wake Forest University School of Medicine, Department of Obstetrics and Gynecology, Winston-Salem, North Carolina, USA. beinerso@wfubmc.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Birth Weight*
Body Mass Index
Cesarean Section / statistics & numerical data
Female
Fetal Macrosomia / etiology
Goals
Humans
Hypertension / etiology
Infant, Low Birth Weight*
Infant, Newborn
Intensive Care Units, Neonatal
Obesity / physiopathology*
Practice Guidelines as Topic*
Pregnancy
Pregnancy Complications / physiopathology*
Pregnancy Outcome*
Retrospective Studies
Weight Gain*

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


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