Document Detail


Pregnancy outcomes of First Nations women in relation to pregravid weight and pregnancy weight gain.
MedLine Citation:
PMID:  16411008     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the effect of pregravid weight and pregnancy weight gain on pregnancy outcomes in Cree women. METHODS: We reviewed maternal and infant outcomes of the first pregnancy in Cree women living in James Bay, Quebec, from 1994 to 2000. We examined data from women who had a full-term singleton birth and a maternal pregravid body mass index (BMI) > or = 18.5 kg/m2 and whose weight had been recorded in the first trimester and within one month prior to delivery. Weight in the first trimester was used to estimate pregravid BMI. RESULTS: Data were available for 603 women. At the beginning of pregnancy, 23.1% of the women had normal weight (BMI 18.5-24.9 kg/m2), 27.9% were overweight (BMI 25-29.9 kg/m2), and 49.1% were obese (BMI > or = 30 kg/m2). Nearly one-half of the women gained excessive weight in pregnancy. Adverse outcomes were less common in women with a normal pregravid BMI than in women with a pregravid BMI in the overweight or obese range. Obese women with excessive weight gain had a higher prevalence of preeclampsia (14.9%) than obese women with low (3.7%) or acceptable (6.3%) weight gain; however, obese women with excessive weight gain had a lower prevalence of gestational diabetes mellitus. CONCLUSION: Interventions must be developed to prevent pregravid obesity and excessive weight gain in pregnancy in Cree women to improve maternal and fetal outcomes.
Authors:
Erin A Brennand; David Dannenbaum; Noreen D Willows
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstétrique et gynécologie du Canada : JOGC     Volume:  27     ISSN:  1701-2163     ISO Abbreviation:  J Obstet Gynaecol Can     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2006-01-13     Completed Date:  2006-05-09     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  101126664     Medline TA:  J Obstet Gynaecol Can     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  936-44     Citation Subset:  IM    
Affiliation:
Department of Agricultural, Food and Nutritional Science, University of Alberta, Edmonton AB.
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MeSH Terms
Descriptor/Qualifier:
Adult
Body Mass Index
Body Weight / ethnology,  physiology*
Diabetes, Gestational / epidemiology,  ethnology
Female
Humans
Indians, North American*
Obesity / ethnology,  physiopathology*
Pre-Eclampsia / epidemiology,  ethnology
Pregnancy
Pregnancy Complications / epidemiology*,  ethnology
Pregnancy Outcome / ethnology*
Quebec / epidemiology
Risk Factors
Weight Gain / ethnology,  physiology

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


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