Relationship of the Maternal Body Mass Index and Gestational Weight Gain with Outcomes of Pregnancy

Document Type : Original Article (s)

Authors

1 Instructor, Department of Midwifery, Hazrat Fatemeh School of Nursing and Midwifery , Shiraz University of Medical Sciences, Shiraz, Iran

2 Student of Medicine, Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran

Abstract

Background: Gestational weight gain and body mass index (BMI) play important role in the outcomes of pregnancy. Weight gain during pregnancy, based on maternal pre-pregnancy body mass index, is determined. In this study, was evaluated the relationship of body mass index and weight gain of pregnancy with maternal-fetal outcomes.Methods: 476 healthy pregnant women with singleton fetus were divided based on body mass index and weight gain of pregnancy. Information on maternal age, socio-demographic status, parity, early pregnancy weight, gestational weight gain, maternal height, previous history of preterm delivery, nausea, and vomiting were collected by a medical-midwifery questionnaire. Phases of labor (delivery), gestational age, mode of delivery, neonatal characteristics and postpartum bleeding were recorded in the delivery information form.Findings: Pregnancy outcomes were better in women with normal weight gain. Women with low weight and low weight gain during pregnancy had more low-birth-weight newborns. Also, women with overweight and gestational weight gain were exposed to higher rates of cesarean delivery and postpartum hemorrhage. Significant differences were found between maternal body mass index with induction of labor, fetal malposition, mode of delivery, birth weight, nausea, vomiting, and weight gain during pregnancy. Women with adequate weight gain had appropriate outcomes in relation to weight, length, head and chest circumference of newborns and methods of delivery and postpartum hemorrhage.Conclusion: Our findings indicate that women with abnormal body mass index in early pregnancy or inappropriate weight gain during pregnancy should get special care to prevent complications of pregnancy and childbirth and to protect the health of mother and child.

Keywords

References

  1. Lederman SA. Pregnancy weight gain and postpartum loss: avoiding obesity while optimizing the growth and development of the fetus. J Am Med Womens Assoc 2001; 56(2): 53-8.
  2. Abrams B, Altman SL, Pickett KE. Pregnancy weight gain: still controversial. Am J Clin Nutr 2000; 71(5 Suppl): 1233S-41S.
  3. Winkvist A, Stenlund H, Hakimi M, Nurdiati DS, Dibley MJ. Weight-gain patterns from prepregnancy until delivery among women in Central Java, Indonesia. Am J Clin Nutr 2002; 75(6): 1072-7.
  4. Cunningham F, Leveno K, Bloom S, Hauth J, Rouse D, Spong C. Williams Obstetrics. 23rd ed. New York, NY: McGraw-Hill Professional; 2009.
  5. Callaway LK, Prins JB, Chang AM, McIntyre HD. The prevalence and impact of overweight and obesity in an Australian obstetric population. Med J Aust 2006; 184(2): 56-9.
  6. Parker MG, Ouyang F, Pearson C, Gillman MW, Belfort MB, Hong X, et al. Prepregnancy body mass index and risk of preterm birth: association heterogeneity by preterm subgroups. BMC Pregnancy Childbirth 2014; 14: 153.
  7. Blomberg M. Maternal body mass index and risk of obstetric anal sphincter injury. Biomed Res Int 2014; 2014: 395803.
  8. Hashima JN, Lai Y, Wapner RJ, Sorokin Y, Dudley DJ, Peaceman A, et al. The effect of maternal body mass index on neonatal outcome in women receiving a single course of antenatal corticosteroids. Am J Obstet Gynecol 2010; 202(3): 263-5.
  9. Rudra CB, Frederick IO, Williams MA. Pre-pregnancy body mass index and weight gain during pregnancy in relation to preterm delivery subtypes. Acta Obstet Gynecol Scand 2008; 87(5): 510-7.
  10. Shaw GM, Wise PH, Mayo J, Carmichael SL, Ley C, Lyell DJ, et al. Maternal prepregnancy body mass index and risk of spontaneous preterm birth. Paediatr Perinat Epidemiol 2014; 28(4): 302-11.
  11. Tanprasertkul C, Somprasit C. Effect of high gestational weight gain on birth weight and cesarean section rate in pregnant women with a normal prepregnant body mass index. J Med Assoc Thai 2004; 87)Suppl 3): S24-S28.
  12. Rhodes JC, Schoendorf KC, Parker JD. Contribution of excess weight gain during pregnancy and macrosomia to the cesarean delivery rate, 1990-2000. Pediatrics 2003; 111(5 Pt 2): 1181-5.
  13. Kyvernitakis I, Kohler C, Schmidt S, Misselwitz B, Grossmann J, Hadji P, et al. Impact of maternal body mass index on the cesarean delivery rate in Germany from 1990 to 2012. J Perinat Med 2014. [Epub ahead of print].
  14. Seligman LC, Duncan BB, Branchtein L, Gaio DS, Mengue SS, Schmidt MI. Obesity and gestational weight gain: cesarean delivery and labor complications. Rev Saude Publica 2006; 40(3): 457-65.
  15. Cedergren MI. Maternal morbid obesity and the risk of adverse pregnancy outcome. Obstet Gynecol 2004; 103(2): 219-24.
  16. Ehrenberg HM, Dierker L, Milluzzi C, Mercer BM. Low maternal weight, failure to thrive in pregnancy, and adverse pregnancy outcomes. Am J Obstet Gynecol 2003; 189(6): 1726-30.
  17. Schieve LA, Cogswell ME, Scanlon KS, Perry G, Ferre C, Blackmore-Prince C, et al. Prepregnancy body mass index and pregnancy weight gain: associations with preterm delivery. The NMIHS Collaborative Study Group. Obstet Gynecol 2000; 96(2): 194-200.
  18. Kruger HS. Maternal anthropometry and pregnancy outcomes: a proposal for the monitoring of pregnancy weight gain in outpatient clinics in South Africa. Curationis 2005; 28(4): 40-9.
  19. Yekta Z, Ayatollahi H, Porali R, Farzin A. The effect of pre-pregnancy body mass index and gestational weight gain on pregnancy outcomes in urban care settings in Urmia-Iran. BMC Pregnancy Childbirth 2006; 6: 15.
  20. Goshtasb A, Moghadam L, Alizadeh M, Bakvyy S. The relationship between body mass index before pregnancy and maternal weight gain During pregnancy and birth weight. J Mazandaran Univ Med Sci 2011; 21(84): 81-5. [In Persian].
  21. Jahanian Sh, Ziaee S, Kazemnejad A. The relationship between body mass index and weight gain during pregnancy with intrauterine growth retardation. Sci J Hamadan Nurs Midwifery Fac 2009; 17(1-2): 67-72. [In Persian].
  22. Canavan TP, Deter RL. The effect of maternal body mass index on fetal growth: Use of individualized growth assessment and two-level linear modeling. J Clin Ultrasound 2014.
  23. Nematollahzadeh M, Ziaei S, Kazemnejad A. Relationship between body mass index and preterm delivery before and during pregnancy. Zahedan J Res Med Sci 2010; 12(5): 89-94. [In Persian].
  24. Eliasdottir OJ, Harethardottir H, Thornorkelsson T. The effect of maternal weight on pregnancy outcome. Laeknabladid 2010; 96(11): 691-6. [In Icelandic].
  25. Fadaei B, Movahedi M, Akbari M, Ghasemi M, Jalalvand A. Effect of maternal age on pregnancy outcome. J Isfahan Med Sch 2011; 29(145): 855-60. [In Persian].
  26. Kominiarek MA. A survey of health behaviors in minority women in pregnancy: the influence of body mass index. Womens Health Issues 2014; 24(3): e291-e295.
  27. McGiveron A, Foster S, Pearce J, Taylor MA, McMullen S, Langley-Evans SC. Limiting antenatal weight gain improves maternal health outcomes in severely obese pregnant women: findings of a pragmatic evaluation of a midwife-led intervention. J Hum Nutr Diet 2014. [Epub ahead of print].
  28. Shin D, Chung H, Weatherspoon L, Song WO. Validity of prepregnancy weight status estimated from self-reported height and weight. Matern Child Health J 2014; 18(7): 1667-740.
Journal of Isfahan Medical School
Volume 32, Issue 293 - Serial Number 293
May and June 2014
Pages 1093-1102

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History

  • Receive Date: 23 December 2013
  • Revise Date:
  • Accept Date: 06 April 2022

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