| Pregnancy outcomes of First Nations women in relation to pregravid weight and pregnancy weight gain. | |
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MedLine Citation:
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PMID: 16411008 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Erin A Brennand; David Dannenbaum; Noreen D Willows |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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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:
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Created Date: 2006-01-13 Completed Date: 2006-05-09 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 101126664 Medline TA: J Obstet Gynaecol Can Country: Canada |
Other Details:
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Languages: eng Pagination: 936-44 Citation Subset: IM |
Affiliation:
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Department of Agricultural, Food and Nutritional Science, University of Alberta, Edmonton AB. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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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