Abstract

In reflection of the ongoing discussion this retrospective study was conducted to analyze the longitudinal development of maternal BMI and maternal weight gain during pregnancy in nulliparous and multiparous women during a time period from 2004 to 2014. Furthermore, the association of low, normal, and high BMI and maternal weight gain during pregnancy on maternal, neonatal and delivery outcome were investigated.

Highlights

  • The aim of this study was to describe the influence of maternal pregnancy body mass index (BMI) and maternal weight gain during pregnancy on perinatal and neonatal outcomes

  • The results show a significant relation between maternal Body Mass Index (BMI) and the birth mode (k* = 0.052, p = 0.0003) and between BMI and fetal macrosomia (r = 0.009, p = 0.03)

  • Optimal weight gain during pregnancy in relation to maternal pre-pregnancy BMI remains a controversial issue in perinatology and pregnancy management

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Summary

Introduction

The aim of this study was to describe the influence of maternal pregnancy body mass index (BMI) and maternal weight gain during pregnancy on perinatal and neonatal outcomes. For the last two decades, obesity rates have increased in both developed and developing countries and, in particular, the number of obese women has roughly doubled during this period [1]. Pregnant women have a physiological weight gain which consists of 30% of fetus, 50% of tissue liquid, increased blood volume, breast tissue and fat depot and 20% of amniotic fluid and placenta [7]. This study demonstrated an average increase of maternal weight gain during pregnancy from 13 to 15 kg over the years [8]

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