Optimal gestational weight gain for body mass index categories

被引:182
作者
Cedergren, Marie I. [1 ]
机构
[1] Linkoping Univ, Fac Hlth Sci, Dept Mol & Clin Med, Div Obstet & Gynecol, Linkoping, Sweden
关键词
D O I
10.1097/01.AOG.0000279450.85198.b2
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
OBJECTIVE: To establish optimal gestational weight gain for each maternal body mass index (BMI) category based on significant risk estimates of adverse maternal and fetal outcome. METHODS: The study population consisted of 298,648 singleton pregnancies delivered in Sweden between January 1, 1994, and December 31, 2004. The number of individuals in each weight gain class was compared with the number of individuals in all other weight gain classes in the same BMI group with regard to adverse maternal and fetal outcome. Odds ratios were calculated after suitable adjustments. RESULTS: The optimal gestational weight gain in women by prepregnancy BMI was 9-22 lb (4-10 kg) for BMI less than 20; 5-22 lb (2-10 kg) for BMI 20-24.9; less than 20 lb (less than 9 kg) for BMI 25-29.9; and less than 13 lb (less than 6 kg) for BMI of 30 or more. CONCLUSION: The gestational weight gain limits for BMI categories determined in this large population-based cohort study from Swedish Medical Registers showed that a decreased risk of adverse obstetric and neonatal outcomes was associated with lower gestational weight gain limits than was earlier recommended, especially among obese women.
引用
收藏
页码:759 / 764
页数:6
相关论文
共 22 条
[1]  
Abrams B, 2000, AM J CLIN NUTR, V71, p1233S, DOI 10.1093/ajcn/71.5.1233s
[2]   Obstetric outcome of excessively overgrown fetuses (≥5000 g):: a case-control study [J].
Anoon, SS ;
Rizk, DEE ;
Ezimokhai, M .
JOURNAL OF PERINATAL MEDICINE, 2003, 31 (04) :295-301
[3]   Macrosomic births in the United States: Determinants, outcomes, and proposed grades of risk [J].
Boulet, SL ;
Alexander, GR ;
Salihu, HM ;
Pass, M .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2003, 188 (05) :1372-1378
[4]   The pattern of maternal weight gain in women with good pregnancy outcomes [J].
Carmichael, S ;
Abrams, B ;
Selvin, S .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1997, 87 (12) :1984-1988
[5]   Effects of gestational weight gain and body mass index on obstetric outcome in Sweden [J].
Cedergren, M .
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2006, 93 (03) :269-274
[6]   Maternal morbid obesity and the risk of adverse pregnancy outcome [J].
Cedergren, MI .
OBSTETRICS AND GYNECOLOGY, 2004, 103 (02) :219-224
[7]   A QUALITY STUDY OF A MEDICAL BIRTH REGISTRY [J].
CNATTINGIUS, S ;
ERICSON, A ;
GUNNARSKOG, J ;
KALLEN, B .
SCANDINAVIAN JOURNAL OF SOCIAL MEDICINE, 1990, 18 (02) :143-148
[8]   GESTATIONAL WEIGHT-GAIN AMONG AVERAGE-WEIGHT AND OVERWEIGHT WOMEN - WHAT IS EXCESSIVE [J].
COGSWELL, ME ;
SERDULA, MK ;
HUNGERFORD, DW ;
YIP, R .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1995, 172 (02) :705-712
[9]   Eating for two: are guidelines for weight gain during pregnancy too liberal? [J].
Feig, DS ;
Naylor, CD .
LANCET, 1998, 351 (9108) :1054-1055
[10]   Pregnancy weight gain and risk of neonatal complications - Macrosomia, hypoglycemia, and hyperbilirubinemia [J].
Hedderson, Monique M. ;
Weiss, Noel S. ;
Sacks, David A. ;
Pettitt, David J. ;
Selby, Joe V. ;
Quesenberry, Charles R. ;
Ferrara, Assiamira .
OBSTETRICS AND GYNECOLOGY, 2006, 108 (05) :1153-1161