Pre-pregnancy and pregnancy-related factors and the risk of excessive or inadequate gestational weight gain

被引:152
作者
Brawarsky, P
Stotland, NE
Jackson, RA
Fuentes-Afflick, E
Escobar, GJ
Rubashkin, N
Haas, JS
机构
[1] Brigham & Womens Hosp, Dept Med, Div Gen Med & Primary Care, Boston, MA 02120 USA
[2] Univ Calif San Francisco, Dept Obstet Gynecol & Reprod Sci, San Francisco, CA 94143 USA
[3] Univ Calif San Francisco, Dept Epidemiol & Biostat, San Francisco, CA 94143 USA
[4] Univ Calif San Francisco, Dept Pediat, San Francisco, CA 94143 USA
[5] Kaiser Permanente Med Care Program, Perinatal Res Unit, Div Res, Oakland, CA USA
[6] Univ Calif San Francisco, Dept Obstet Gynecol & Reprod Sci, San Francisco, CA 94143 USA
[7] Brigham & Womens Hosp, Dept Med, Div Gen Med & Primary Care, Boston, MA USA
[8] Harvard Univ, Sch Med, Boston, MA USA
关键词
pregnancy; gestational weight gain;
D O I
10.1016/j.ijgo.2005.08.008
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: Gestational weight gain consistent with the Institute of Medicine Is recommendations is associated with better maternal and infant outcomes. The objective was to quantify the effect of pre-pregnancy factors, pregnancy-related health conditions, and modifiable pregnancy factors on the risks of inadequate and excessive gestational weight gain. Method: A longitudinal cohort of pregnant women (N = 1100) who completed questions about diet and weight gain during pregnancy and delivered a singleton, full-term infant. Results: Gestational weight gain was inadequate for 14% and excessive for 53%. Pre-pregnancy factors contributed 74% to excessive gain, substantially more than pregnancy-related health conditions (15%) and modifiable pregnancy factors (11%). Pre-pregnancy factors, pregnancy-related health conditions, and modifiable pregnancy factors contributed fairly equally to the risk of inadequate gain. Conclusion: Interventions to prevent excessive gestational gain may need to start before pregnancy. Women at risk for inadequate gain would also benefit from interventions directed toward modifiable factors during pregnancy. (c) 2005 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:125 / 131
页数:7
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