Abstract
OBJECTIVE: To evaluate pregnancy outcomes according to 2009 Institute of Medicine (IOM) gestational weight gain guidelines. METHODS: This study is a secondary analysis of a pre-eclampsia prevention trial among nulliparas carrying singletons. Odds ratios and 95% confidence intervals (adjusted for maternal age, race, smoking, and treatment group) were calculated based on total weight gain below or above the IOM guidelines stratified by prepregnancy body mass index (BMI). The referent group was weight gain within the guidelines. RESULTS: Of 8,293 pregnancies, 9.5% had weight gain below, 17.5% within, and 73% above IOM guidelines. With excess weight gain, all BMI categories had an increased risk of hypertensive disorders; normal weight and overweight women also had increased risk of cesarean delivery and neonatal birth weight at or above the 90th centile but a decreased risk of weight below the 10th centile. There were no consistent associations with insufficient weight gain and adverse outcomes. CONCLUSION: Excess weight gain was prevalent and associated with an increased risk of hypertensive disorders, cesarean delivery, and large-for-gestational-age neonates.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 969-975 |
| Number of pages | 7 |
| Journal | Obstetrics and Gynecology |
| Volume | 121 |
| Issue number | 5 |
| DOIs | |
| State | Published - May 2013 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Obstetrics and Gynecology
Cite this
Pregnancy outcomes with weight gain above or below the 2009 institute of medicine guidelines. / Johnson, Julie; Clifton, Rebecca G.; Roberts, James M.; Myatt, Leslie; Hauth, John C.; Spong, Catherine Y.; Varner, Michael W.; Wapner, Ronald J.; Thorp, John M.; Mercer, Brian M.; Peaceman, Alan M.; Ramin, Susan M.; Samuels, Philip; Sciscione, Anthony; Harper, Margaret; Tolosa, Jorge E.; Saade, George; Sorokin, Yoram.
In: Obstetrics and Gynecology, Vol. 121, No. 5, 05.2013, p. 969-975.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Pregnancy outcomes with weight gain above or below the 2009 institute of medicine guidelines
AU - Johnson, Julie
AU - Clifton, Rebecca G.
AU - Roberts, James M.
AU - Myatt, Leslie
AU - Hauth, John C.
AU - Spong, Catherine Y.
AU - Varner, Michael W.
AU - Wapner, Ronald J.
AU - Thorp, John M.
AU - Mercer, Brian M.
AU - Peaceman, Alan M.
AU - Ramin, Susan M.
AU - Samuels, Philip
AU - Sciscione, Anthony
AU - Harper, Margaret
AU - Tolosa, Jorge E.
AU - Saade, George
AU - Sorokin, Yoram
PY - 2013/5
Y1 - 2013/5
N2 - OBJECTIVE: To evaluate pregnancy outcomes according to 2009 Institute of Medicine (IOM) gestational weight gain guidelines. METHODS: This study is a secondary analysis of a pre-eclampsia prevention trial among nulliparas carrying singletons. Odds ratios and 95% confidence intervals (adjusted for maternal age, race, smoking, and treatment group) were calculated based on total weight gain below or above the IOM guidelines stratified by prepregnancy body mass index (BMI). The referent group was weight gain within the guidelines. RESULTS: Of 8,293 pregnancies, 9.5% had weight gain below, 17.5% within, and 73% above IOM guidelines. With excess weight gain, all BMI categories had an increased risk of hypertensive disorders; normal weight and overweight women also had increased risk of cesarean delivery and neonatal birth weight at or above the 90th centile but a decreased risk of weight below the 10th centile. There were no consistent associations with insufficient weight gain and adverse outcomes. CONCLUSION: Excess weight gain was prevalent and associated with an increased risk of hypertensive disorders, cesarean delivery, and large-for-gestational-age neonates.
AB - OBJECTIVE: To evaluate pregnancy outcomes according to 2009 Institute of Medicine (IOM) gestational weight gain guidelines. METHODS: This study is a secondary analysis of a pre-eclampsia prevention trial among nulliparas carrying singletons. Odds ratios and 95% confidence intervals (adjusted for maternal age, race, smoking, and treatment group) were calculated based on total weight gain below or above the IOM guidelines stratified by prepregnancy body mass index (BMI). The referent group was weight gain within the guidelines. RESULTS: Of 8,293 pregnancies, 9.5% had weight gain below, 17.5% within, and 73% above IOM guidelines. With excess weight gain, all BMI categories had an increased risk of hypertensive disorders; normal weight and overweight women also had increased risk of cesarean delivery and neonatal birth weight at or above the 90th centile but a decreased risk of weight below the 10th centile. There were no consistent associations with insufficient weight gain and adverse outcomes. CONCLUSION: Excess weight gain was prevalent and associated with an increased risk of hypertensive disorders, cesarean delivery, and large-for-gestational-age neonates.
UR - http://www.scopus.com/inward/record.url?scp=84879093004&partnerID=8YFLogxK
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U2 - 10.1097/AOG.0b013e31828aea03
DO - 10.1097/AOG.0b013e31828aea03
M3 - Article
VL - 121
SP - 969
EP - 975
JO - Obstetrics and Gynecology
JF - Obstetrics and Gynecology
SN - 0029-7844
IS - 5
ER -