Year-end Sale % OFF 
Abstract
BackgroundStudies on the relative impact of body mass index in women in childbearing age and gestational weight gain on neonatal outcomes are scarce in the Middle East.ObjectivesThe primary objective of this research was to assess the impact of maternal body mass index (BMI) and gestational weight gain (GWG) on neonatal outcomes. The effect of maternal age and folic acid supplementation before and during pregnancy was also examined.Subjects and methodsThis is a retrospective cross sectional observational study of 1000 full term deliveries of women enrolled thru the National Collaborative Perinatal Neonatal Network, in Lebanon. Maternal characteristics such as age, BMI and GWG and neonatal outcomes such as weight, height, head circumference and Apgar score were the primary studied variables in this study. Total maternal weight gain were compared to the guidelines depicted by the Institute of Medicine (IOM).ResultsThe negative outcomes of newborns such as lean body weight and macrosomia were significantly present in women who gained respectively below or above the IOM’s cut-off points. Pregestational body mass index influenced significantly the infants’ birth weight, in both the underweight and obese categories. Birth height, head circumference and Apgar score were not influenced by pregestational body mass index or gestational weight gain. No significant associations were found between maternal age and pregestational body mass index and gestational weight gain.ConclusionStudies evaluating the impact of weight before and during pregnancy on neonatal outcomes and anthropometrics measurements are lacking in the Middle East. Our results highlight the importance of nutritional counseling in order to shed the extra weights before conceiving and monitor weight gain to avoid the negative impact on feto-maternal health.
Highlights
Health features have changed across women in child bearing age and are affecting both maternal and neonatal outcomes
The negative outcomes of newborns such as lean body weight and macrosomia were significantly present in women who gained respectively below or above the Institute of Medicine (IOM)’s cut-off points
Head circumference and Apgar score were not influenced by pregestational body mass index or gestational weight gain
Summary
Health features have changed across women in child bearing age and are affecting both maternal and neonatal outcomes. Two national cross-sectional surveys conducted in Lebanon in 1997 and 2009 depicted an increase of 1.36 kg/m2 in the BMI of women aged between 20 and 39 years old [3]. This upward shift of the BMI in this subgroup of Lebanese women in childbearing age surpasses the reported estimate of 0.5 kg/m2 in the BMI per decade in woman worldwide [4].
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
