The relationship between body mass index before pregnancy and the amount of weight that should be gained during pregnancy: A cross-sectional study

Resmiye Özdilek,Yılda Arzu Aba,Bulat Aytek Şık,Yaşam Kemal Akpak,Sena Dilek Aksoy

doi:10.12669/pjms.35.5.133

Resmiye Özdilek, Yılda Arzu Aba + Show 3 more

Open Access

https://doi.org/10.12669/pjms.35.5.133

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Abstract

Objective:To investigate the adaptation of pregnant women to the recommended weight gain range according to body mass index (BMI) and to determine the factors affecting them.Methods:This cross-sectional study was performed in a university hospital’s obstetrics and gynecology unit (tertiary center) in Turkey. This study was conducted between March 2018 and August 2018 (6 months) in pregnant women. Pregnant women with chronic disease and receiving treatment during antenatal follow-up, with twin pregnancy, with a fetus with a congenital abnormality, and nutritional disturbance were excluded from the study. Eight hundred twelve pregnant women with normal antenatal follow-up and who volunteered to participate were included in the study.Results:The mean age of the participants was 27.66 ± 5.05 years. The mean weight and BMI before pregnancy were near standard in all participants. The group with the highest rate of recommended weight gain according to BMI before pregnancy was the group with low weight pregnant women. The ideal weight gain rate in all groups was 32%.Conclusions:The groups with overweight and obese pregnant women according to BMI before pregnancy had the highest rates of weight gain, above the recommended limits. BMI before pregnancy directly affects weight gain during pregnancy and the importance of pre-pregnancy counseling and weight loss is emphasized once again.

Highlights

The nutritional needs of mother candidates increase in line with the physiologic changes that occur during pregnancy and the need for fetalCorrespondence: December 14, 2018 January 9, 2019 June 19, 2019 June 24, 2019 growth
We aimed to investigate the relationship between body mass index (BMI) before pregnancy and gestational weight gain in Turkish women, and to compare their weight gain during pregnancy with the weight gain recommendations of the Institute of Medicine (IOM)
The BMIs of the pregnant women were calculated with height and weight measurements in the initiation of pregnancy obtained from prenatal follow-up cards

Summary

Introduction

The nutritional needs of mother candidates increase in line with the physiologic changes that occur during pregnancy and the need for fetalCorrespondence: December 14, 2018 January 9, 2019 June 19, 2019 June 24, 2019 growth. The nutritional needs of mother candidates increase in line with the physiologic changes that occur during pregnancy and the need for fetal. Excessive weight gain during this period was found to be related with gestational diabetes, hypertension, preeclampsia, vaginal birth assisted with intervention, cesarean section and early birth.[2,3,4] In addition to its maternal effects, excessive weight gain during pregnancy includes many metabolic risks, especially macrosomia, and health problems in childhood and adulthood in the. Pak J Med Sci September - October 2019 Vol 35 No 5 www.pjms.org.pk 1204 newborn.[5] Inadequate weight gain increases the risk of having low-birth-weight infants, premature infants, and neonatal diseases.[6,7]

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