Excessive Gestational Weight Gain and Pregnancy Outcomes

Overview

Journal J Clin Med

Specialty General Medicine

Date 2023 May 13

PMID 37176651

Authors

Ksawery Golawski

Wojciech Giermaziak

Michal Ciebiera

Cezary Wojtyla

Affiliations

Soon will be listed here.

Abstract

Adequate weight gain during pregnancy is one of the factors for its proper course. Excessive weight gain during this period of a woman's life is associated with adverse pregnancy outcomes. In this study, we determine the impact of excessive gestational weight gain on pregnancy outcomes. The study is based on the results of a Polish national survey performed between 2011 and 2017 on a group of 10,319 women and 6930 children. Excessive weight gain during pregnancy was associated with higher birthweight and higher prevalence and risk of birthweight over 4500 g (OR 6.92; 95% CI 3.10-15.42), cesarean section/assisted delivery (OR 2.71; 95% CI 1.63-4.49), pregnancy induced hypertension (OR 5.85; 95% CI 3.24-10.57), hospitalization during pregnancy (OR 1.85; 95% CI 1.12-3.04), and the Apgar score in the first minute of neonate's life in the range of 0-7 (OR 2.65; 95% CI 1.36-5.2). We did not observe the significant difference in premature rupture of membranes and labor inductions. Our study indicates that excessive gestational weight gain is associated with higher risk for adverse pregnancy outcomes.

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References

Wojtyla C, Ciebiera M, Wojtyla-Buciora P, Janaszczyk A, Brzecka P, Wojtyla A . Physical activity patterns in third trimester of pregnancy - use of pregnancy physical activity questionnaire in Poland. Ann Agric Environ Med. 2020; 27(3):388-393. DOI: 10.26444/aaem/110480. View

Dude A, Grobman W, Haas D, Mercer B, Parry S, Silver R . Gestational Weight Gain and Pregnancy Outcomes among Nulliparous Women. Am J Perinatol. 2019; 38(2):182-190. PMC: 7071163. DOI: 10.1055/s-0039-1696640. View

Nohr E, Vaeth M, Baker J, Sorensen T, Olsen J, Rasmussen K . Combined associations of prepregnancy body mass index and gestational weight gain with the outcome of pregnancy. Am J Clin Nutr. 2008; 87(6):1750-9. DOI: 10.1093/ajcn/87.6.1750. View

Harvey M, Braun B, Ertel K, Pekow P, Markenson G, Chasan-Taber L . Prepregnancy Body Mass Index, Gestational Weight Gain, and Odds of Cesarean Delivery in Hispanic Women. Obesity (Silver Spring). 2017; 26(1):185-192. PMC: 5739939. DOI: 10.1002/oby.22048. View

Cogswell M, Serdula M, Hungerford D, Yip R . Gestational weight gain among average-weight and overweight women--what is excessive?. Am J Obstet Gynecol. 1995; 172(2 Pt 1):705-12. DOI: 10.1016/0002-9378(95)90598-7. View

Ferraro Z, Contador F, Tawfiq A, Adamo K, Gaudet L . Gestational weight gain and medical outcomes of pregnancy. Obstet Med. 2016; 8(3):133-7. PMC: 4935025. DOI: 10.1177/1753495X15591320. View

Oken E, Taveras E, Kleinman K, Rich-Edwards J, Gillman M . Gestational weight gain and child adiposity at age 3 years. Am J Obstet Gynecol. 2007; 196(4):322.e1-8. PMC: 1899090. DOI: 10.1016/j.ajog.2006.11.027. View

Wojtyla C, Gluszek L, Bilinski P, Paprzycki P, Warzocha K . Smoking during pregnancy--hematological observations in pregnant women and their newborns after delivery. Ann Agric Environ Med. 2013; 19(4):836-41. View

Masho S, Urban P, Cha S, Ramus R . Body Mass Index, Weight Gain, and Hypertensive Disorders in Pregnancy. Am J Hypertens. 2015; 29(6):763-71. DOI: 10.1093/ajh/hpv184. View

10.

Wojtyla C, Bilinski P, Paprzycki P, Warzocha K . Haematological parameters in postpartum women and their babies in Poland - comparison of urban and rural areas. Ann Agric Environ Med. 2012; 18(2):380-5. View

11.

Wojtyla C, Stanirowski P, Gutaj P, Ciebiera M, Wojtyla A . Perinatal Outcomes in a Population of Diabetic and Obese Pregnant Women-The Results of the Polish National Survey. Int J Environ Res Public Health. 2021; 18(2). PMC: 7827210. DOI: 10.3390/ijerph18020560. View

12.

Vesco K, Sharma A, Dietz P, Rizzo J, Callaghan W, England L . Newborn size among obese women with weight gain outside the 2009 Institute of Medicine recommendation. Obstet Gynecol. 2011; 117(4):812-818. DOI: 10.1097/AOG.0b013e3182113ae4. View

13.

Safaei M, A Sundararajan E, Driss M, Boulila W, Shapii A . A systematic literature review on obesity: Understanding the causes & consequences of obesity and reviewing various machine learning approaches used to predict obesity. Comput Biol Med. 2021; 136:104754. DOI: 10.1016/j.compbiomed.2021.104754. View

14.

Wojtyla C, Wojtyla-Buciora P, Ciebiera M, Orzechowski S, Wojtyla A . The effect of active and passive maternal smoking before and during pregnancy on neonatal weight at birth. Arch Med Sci. 2021; 17(2):352-360. PMC: 7959047. DOI: 10.5114/aoms.2018.79629. View

15.

Wojtyla C, Zielinska K, Wojtyla-Buciora P, Panek G . Prenatal Fine Particulate Matter (PM) Exposure and Pregnancy Outcomes-Analysis of Term Pregnancies in Poland. Int J Environ Res Public Health. 2020; 17(16). PMC: 7459454. DOI: 10.3390/ijerph17165820. View

16.

Hedderson M, Weiss N, Sacks D, Pettitt D, Selby J, Quesenberry C . Pregnancy weight gain and risk of neonatal complications: macrosomia, hypoglycemia, and hyperbilirubinemia. Obstet Gynecol. 2006; 108(5):1153-61. DOI: 10.1097/01.AOG.0000242568.75785.68. View

17.

Macdonald-Wallis C, Tilling K, Fraser A, Nelson S, Lawlor D . Gestational weight gain as a risk factor for hypertensive disorders of pregnancy. Am J Obstet Gynecol. 2013; 209(4):327.e1-17. PMC: 3807791. DOI: 10.1016/j.ajog.2013.05.042. View

18.

Goldstein R, Abell S, Ranasinha S, Misso M, Boyle J, Black M . Association of Gestational Weight Gain With Maternal and Infant Outcomes: A Systematic Review and Meta-analysis. JAMA. 2017; 317(21):2207-2225. PMC: 5815056. DOI: 10.1001/jama.2017.3635. View

19.

Adamo K, Ferraro Z, Brett K . Can we modify the intrauterine environment to halt the intergenerational cycle of obesity?. Int J Environ Res Public Health. 2012; 9(4):1263-307. PMC: 3366611. DOI: 10.3390/ijerph9041263. View

20.

El-Chaar D, Finkelstein S, Tu X, Fell D, Gaudet L, Sylvain J . The impact of increasing obesity class on obstetrical outcomes. J Obstet Gynaecol Can. 2013; 35(3):224-233. DOI: 10.1016/S1701-2163(15)30994-4. View