Inadequate weight gain among pregnant adolescents

Risk factors and relationship to infant birth weight

Abbey Berenson, C. M. Wiemann, T. F. Rowe, V. I. Rickert, J. C. King, J. T. Van Winter, C. S. Stika, S. M. Mou, S. J. Fortunato, L. R. Matthews, L. Ogden, C. W. Schauberger

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

OBJECTIVE: Our purpose was to identify behavioral markers for inadequate weight gain (<20 pounds) during pregnancy among adolescents <18 years old. STUDY DESIGN: A total of 337 adolescents who were delivered of a term infant at our institution between March 10, 1992, and November 28, 1994 participated in this study. A comprehensive structured interview conducted at the first prenatal visit elicited demographic information and behavioral risk factors. Maternal weights, reproductive history, evidence of sexually transmitted disease, and infant birth weight were extracted from medical records. Logistic regression and χ2 analyses compared characteristics and infant birth weights between those who gained <20 pounds with those who gained ≤20 pounds. RESULTS: A total of 11.6% (39/337) of the total sample gained <20 pounds during the pregnancy. Adolescents who gained <20 pounds compared with ≤20 pounds were delivered of significantly lighter (2942 gm vs 3392 gm) infants and were more likely to be delivered of infants weighing <2500 gm (13% vs <1%). Stepwise logistic regression revealed that adolescents who were battered (odds ratio 5.3) or had a sexually transmitted disease (odds ratio 2.3) or an unplanned pregnancy (odds ratio 8.1) were at increased risk for insufficient weight gain during pregnancy. CONCLUSION: Our data suggest that behavioral risk factors are important in the identification of adolescents at greatest risk for inadequate weight gain. Early identification during pregnancy is essential to modify nutritional practices and thus minimize poor obstetric outcomes.

Original languageEnglish (US)
Pages (from-to)1220-1227
Number of pages8
JournalAmerican Journal of Obstetrics and Gynecology
Volume176
Issue number6
DOIs
StatePublished - 1997

Fingerprint

Birth Weight
Weight Gain
Odds Ratio
Sexually Transmitted Diseases
Pregnancy
Logistic Models
Unplanned Pregnancy
Pregnancy in Adolescence
Reproductive History
Obstetrics
Medical Records
Regression Analysis
Mothers
Demography
Interviews
Weights and Measures

Keywords

  • Adolescent pregnancy
  • Physical assault
  • Weight gain

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

Cite this

Inadequate weight gain among pregnant adolescents : Risk factors and relationship to infant birth weight. / Berenson, Abbey; Wiemann, C. M.; Rowe, T. F.; Rickert, V. I.; King, J. C.; Van Winter, J. T.; Stika, C. S.; Mou, S. M.; Fortunato, S. J.; Matthews, L. R.; Ogden, L.; Schauberger, C. W.

In: American Journal of Obstetrics and Gynecology, Vol. 176, No. 6, 1997, p. 1220-1227.

Research output: Contribution to journalArticle

Berenson, A, Wiemann, CM, Rowe, TF, Rickert, VI, King, JC, Van Winter, JT, Stika, CS, Mou, SM, Fortunato, SJ, Matthews, LR, Ogden, L & Schauberger, CW 1997, 'Inadequate weight gain among pregnant adolescents: Risk factors and relationship to infant birth weight', American Journal of Obstetrics and Gynecology, vol. 176, no. 6, pp. 1220-1227. https://doi.org/10.1016/S0002-9378(97)70338-7
Berenson, Abbey ; Wiemann, C. M. ; Rowe, T. F. ; Rickert, V. I. ; King, J. C. ; Van Winter, J. T. ; Stika, C. S. ; Mou, S. M. ; Fortunato, S. J. ; Matthews, L. R. ; Ogden, L. ; Schauberger, C. W. / Inadequate weight gain among pregnant adolescents : Risk factors and relationship to infant birth weight. In: American Journal of Obstetrics and Gynecology. 1997 ; Vol. 176, No. 6. pp. 1220-1227.
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AU - Stika, C. S.

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