Effect Of Maternal Weight Gain Research Articles

The Effect of Maternal Weight Gain During Pregnancy on Uterine Contraction and Fetal Weight

The duration of labour is influenced by 3 main factors, namely power, passage, passanger. Control of these factors is thought to be able to influence the duration of labor so as to minimize the incidence of complications caused by prolonged labour. Maternal nutritional status, one of which is the weight gain during pregnancy, allegedly affects power and passanger as factors that play an important role in labour. This study aims to determine the effect of maternal weight gain during pregnancy on uterine contractions and fetal weight at Srikandi IBI Public Hospital, Jember, East Java. This research is an observational analytic study, a cross-sectional approach with sample size of 92 mothers giving birth at Srikandi General Hospital in Jember. Collected data was analyzed by inferential analysis using path analysis. It was found that the maternal weight gain during pregnancy had a significant effect on the fetal weight (t-value 3.77 with an estimated value of 0.37), but did not affect uterine contractions either in frequency (t-value 1.62) or duration (t -value 0.69). So it can be concluded that the greater maternal weight gain during pregnancy, the greater the fetal weight. Based on the results of this study, it is hoped that health workers will provide assistance so that pregnant women pay attention to increasing body weight during pregnancy based on BMI, so that there are no labor complications due to passanger factors.

Hypertensive Disorders of Pregnancy in a Military Hospital Birth Cohort.

Background:Hypertensive disorders of pregnancy (HDP) are risk factors for maternal and fetal complications with long-term sequelae for mother and children. HDP are not clearly understood; however, there appears to be a relationship with maternal weight gain. The effects of maternal weight gain and pregnancy outcomes, including HDP, are understudied. Few studies have assessed maternal weight gain in service-connected women and its effects on HDP. This study aimed to evaluate the relationship between blood pressure and birth outcomes in women who delivered their infants at a military hospital.Methods:This birth cohort study included all patients admitted to a military hospital for delivery over a 12-month period. Data were analyzed for hypertensive disorders, maternal weight gain, delivery type, infant maturity, and infant weight at delivery.Results:Of the 1,018 participants, 186 were diagnosed with HDP with no statistical difference observed for maternal age. The hypertensive group had higher mean weight gain. More patients in the hypertension group delivered at term with lower mean birth weight. The rate of small-for-gestational age infants was higher in the HDP group (p < 0.001).Discussion:The rate of HDP in this cohort of military members and dependents was 18.3%, which was similar to the 19% rate reported for a southern US hospital, but higher than in other regions of the United States. This evidence indicates that HDP are increasing, and maternal/infant morbidity was affected by hypertension in this study.

Effect of maternal weight gain during pregnancy and gestational hypertension on birth weight of the baby

Background: Birth weight is not only an indicator of child growth and development but also valuable indicator of maternal health, nutrition and quality of life. Many maternal factors have been postulated to determine the birth weight of the baby like maternal age, weight, height, education, parity, antenatal care, maternal habits like smoking, sex of the baby and maternal comorbidities like hypertension.Methods: This study was conducted in Kempegowda institute of medical sciences Bangalore during the period of December 2019 to June 2021.All babies born with weight &lt;2.5 kg weight were included in the study irrespective of gestational age. Mothers were divided into 3 categories based on weight gained during pregnancy into less than 10 kg, 10 to 15 kg and more than 15 kg weight gain. Low birth weight babies included in the study were categorized based on weight gain of the mother and presence of various maternal comorbidities like hypertension, diabetes, anemia, hypothyroidism.Results: Analysis showed that among 150 low birth weight babies 110 babies were born to mothers with weight gain less than 10 kg (73.3%), 37 (24.7%) babies were born to mothers with weight gain 10-15 kg and 3 (2%) babies were born to mothers with weight gain more than 15 kg. We also found that among all mothers of low-birth-weight babies 33.7% mothers did not have any comorbidities and gestational hypertension was found in 20.7% of mothers showing it as important risk factor for low-birth-weight babies.Conclusions: Our study shows adequate maternal weight gain during pregnancy independently influences birth weight of the baby. Thus, mother’s nutritional care should be appropriate to maintain adequate weight gain. Among all maternal comorbidities gestational hypertension is a major risk factor for low-birth-weight babies.

Effects of Maternal Weight Gain and Macronutrients Intakes During the Third Trimester of Pregnancy on Birth Weight: A Prospective Cohort Study in Pregnant Women in Sleman, Indonesia

Effects of Maternal Weight Gain and Macronutrients Intakes During the Third Trimester of Pregnancy on Birth Weight: A Prospective Cohort Study in Pregnant Women in Sleman, Indonesia

Effect of maternal weight gain according to the Institute of Medicine recommendations on pregnancy outcomes in a Chinese population.

ObjectiveThis study aimed to analyze the effects of maternal weight on adverse pregnancy outcomes.MethodsData were retrospectively collected from a hospital in Wuhan, China. A total of 1593 pregnant women with singletons were included. Adverse outcomes during pregnancy, such as small for gestational age (SGA), large for gestational age (LGA), and hypertensive disorders in pregnancy (HDP) were analyzed.ResultsThe risks of low birth weight, SGA, and preterm birth were significantly higher in the inadequate gestational weight gain (GWG) group compared with the adequate GWG group. GWG over the guidelines was related to a higher risk of macrosomia, LGA, cesarean section, and HDP than GWG within the guidelines. The risks of low birth weight (OR = 5.082), SGA (OR = 3.959), preterm birth (OR = 3.422), and gestational diabetes mellitus (OR = 1.784) were significantly higher in women with a normal pre-pregnancy body mass index (BMI) and inadequate GWG compared with women with a normal pre-pregnancy BMI and adequate GWG. The risks of macrosomia (OR = 3.654) and HDP (OR = 1.992) were increased in women with normal pre-pregnancy BMI and excessive GWG.ConclusionWomen with an abnormal BMI and inappropriate GWG have an increased risk of adverse maternal and infant outcomes. Weight management during the perinatal period is required.

Excess pregnancy weight gain leads to early indications of metabolic syndrome in a swine model of fetal programming

Few data exist on the impact of maternal weight gain on offspring despite evidence demonstrating that early-life environment precipitates risks for metabolic syndrome. We hypothesized that excessive weight gain during pregnancy results in programming that predisposes offspring to obesity and metabolic syndrome. We further hypothesized that early postweaning nutrition alters the effects of maternal weight gain on indications of metabolic syndrome in offspring. Pregnant sows and their offspring were used for these experiments due to similarities with human digestive physiology, metabolism, and neonatal development. First parity sows fed a high-energy (maternal nutrition high energy [MatHE]) diet gained 12.4 kg (42%) more weight during pregnancy than sows fed a normal energy (maternal nutrition normal energy) diet. Birth weight and litter characteristics did not differ, but offspring MatHE gilts weighed more (P < .05) at age of 3 weeks (4.35 vs 5.24 ± 0.35 kg). At age of 12 weeks, offspring from MatHE mothers that were weaned onto a high-energy diet had elevated (P < .05) blood glucose (102 vs 64 mg/dL, confidence interval [CI]: 67-91), insulin (0.21 vs 0.10 ng/mL, CI: 0.011-0.019), and lower nonesterified fatty acid (0.31 vs 0.62 mmol/L, CI: 0.34-0.56) than offspring from the same MatHE sows weaned to the normal energy diet. These effects were not observed for offspring from sows fed a normal energy diet during pregnancy. These data indicate that excessive gestational weight gain during pregnancy in a pig model promotes early indications of metabolic syndrome in offspring that are further promoted by a high-energy postweaning diet.

The effect of maternal weight gain during pregnancy on prenatal prognosis

The effect of maternal weight gain during pregnancy on prenatal prognosis

Neonatal Body Composition According to the Revised Institute of Medicine Recommendations for Maternal Weight Gain

In 2009, the Institute of Medicine (IOM) released revised pregnancy weight gain guidelines. There are limited data regarding the effect of maternal weight gain on newborn adiposity. The aim of this study was to estimate neonatal fat mass, lean body mass, and percentage body fat according to current Institute of Medicine (IOM) pregnancy weight gain guidelines. This is a secondary analysis of a prospective observational cohort study of neonates delivered at least 36 wk gestation and evaluated for fat mass, lean body mass, and percentage body fat. Women with abnormal glucose tolerance testing and other known medical disorders or pregnancies with known fetal anomalies were excluded. Pregravid body mass index (BMI) was categorized as normal weight (<25 kg/m2), overweight (25-30 kg/m2), or obese (>30 kg/m2). Maternal weight gain was quantified as less than, equal to, or greater than current IOM guidelines. Newborn body composition measurements were compared according to weight gain and BMI categories. A total of 439 maternal-newborn pairs were evaluated; 19.8% (n=87) of women gained less than IOM guidelines; 31.9% (n=140), equal to IOM guidelines; and 48.3% (n=212), greater than IOM guidelines. Significant differences for each component of body composition were found when evaluated by IOM weight gain categories (all ANOVA, P<0.001). When controlling for pregravid BMI, only weight gain for women who were of normal weight before pregnancy remained significant. Maternal weight gain during pregnancy is a significant contributor to newborn body composition, particularly for women who are of normal weight before pregnancy.

Periconceptional nutrition and the relationship between maternal body weight changes in the periconceptional period and feto‐placental growth in the sheep

Recent studies in the sheep have shown that maternal undernutrition during the periconceptional period, when the nutrient demands of the embryo are minimal, can alter the subsequent development of the metabolic, endocrine and cardiovascular systems and that these effects may, in part, depend on embryo number. We have tested the hypotheses that there are relationships between maternal weight or body condition at the time of conception and feto-placental growth during the first 55 days of pregnancy, and that periconceptional undernutrition has a differential effect on these relationships in singleton and twin pregnancies. We have investigated the effect of periconceptional undernutrition in the ewe (control n= 24, restricted at 70% of control feed allowance, PCUN n= 21) from 45 days prior to mating until 7 days after mating on placental and fetal weight and on placental histology in singleton and twin pregnancies at 53-56 days' gestation, i.e. during the period of maximal placental growth. In control, but not PCUN ewes carrying singleton pregnancies, there were direct relationships between maternal weight gain during the periconceptional period and uteroplacental weights at 53-56 days' gestation. There were direct relationships, however, between placental and fetal weights in both control and PCUN singleton pregnancies. In contrast to the singletons, in control twin pregnancies, there was no effect of maternal weight gain in the periconceptional period on any measure of uteroplacental growth, and there was also no relationship between placental and fetal weight. This lack of a relationship may be related to the increased uteroplacental weight and mean placentome weight in the twin pregnancies (control singletons: 2.45 +/- 0.18 g; control twins: 4.10 +/- 0.62 g). In the PCUN group, however, a greater weight loss between the start of the feeding regime and post mortem at approximately day 55, was associated with a larger placenta and fetus, and the direct relationship between placental and fetal mass was restored. In summary, the present study has demonstrated that there are important relationships between maternal weight gain during the periconceptional period and feto-placental growth during the first 56 days of pregnancy, and that periconceptional undernutrition has a differential effect on these relationships in singleton and twin pregnancies. In singleton pregnancies, periconceptional undernutrition disrupts the relationship between maternal weight gain during the periconceptional period and uteroplacental growth, and in twin pregnancies periconceptional undernutrition results in the emergence of an inverse relationship between maternal weight gain during early pregnancy and uteroplacental growth and a dependence of fetal growth on placental growth. These changes highlight the importance of the periconceptional environment in setting the placental and fetal growth trajectories, and have implications for the programmed development of the metabolic, cardiovascular and endocrine systems of the fetus and adult.

Effect of maternal weight gain on infant birth weight.

To ascertain whether increased weight gain during pregnancy resulted in higher birth weight infants. A database was constructed from valid data of a sample of 159 healthy women between 19 to 37 years of age. The inclusion criteria were: maternal age of 19-37 years, term gestations (37-42 weeks), a baseline weight obtained at 0-15 weeks gestation, and a final weight obtained within 2 weeks of delivery. Weight gain was calculated by subtracting baseline weight from the final weight. A documented height enabled calculation of BMI. A negative screen for gestational diabetes was required. Women with lower first trimester BMI (< 25) had infants of lower birth weight than women of higher BMI (> 25). Women with lower gain (< 35 lbs) delivered smaller infants than women with higher gain (> 35 lbs). Women of higher BMI and higher gain delivered the largest infants (F = 5.37; p = 0.0015). Underweight women (BMI < 19) gained less weight than women of normal weight (BMI 19-25), who gained the most weight. Obese women (BMI > 29) gained the least weight (F = 6.26; p = 0.0005). The results confirmed that excessive maternal weight gain in pregnancy (> 35 lbs), does result in higher birth weight infants.

Alcohol and drugs.

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The Relation of Maternal Weight to the Blood Pressures of Gambian Children

The objective of the study was to relate blood pressure levels in children to their mother's weight in pregnancy. The blood pressures of 675 children aged from one to nine years in three villages in rural Gambia were measured. They were matched to antenatal clinic data which had been collected from all pregnant women in the three villages since 1980. Among children under eight years of age those born in the dry season had the highest blood pressures and were heavier. Their blood pressures were positively related to body weight and to mothers' weight at six months of pregnancy. These relationships were independent of mothers' age and parity, birthweight, gestational age, and placental weight. Among older children, aged eight and nine years, those born in the rainy season had the highest blood pressures. Their blood pressures were not related to their mothers' weight at six months of pregnancy. Rather they were inversely related to mothers' weight gain in the last trimester. An interpretation of these findings is that among young children differences in blood pressure are largely determined by rates of maturation. However, the long-term effects of adverse intra-uterine influences which elevate blood pressure become apparent in older children.

Effect of maternal weight gain during pregnancy on exercise performance

We examined the effect of maternal weight gain during pregnancy on exercise performance. Ten women performed submaximal cycle (up to 60 W) and treadmill (4 km/h, up to 10% grade) exercise tests at 34 +/- 1.5 (SD) wk gestation and 7.6 +/- 1.7 wk postpartum. Postpartum subjects wearing weighted belts designed to equal their body weight during the antepartum tests performed two additional treadmill tests. Absolute O2 uptake (VO2) at the same work load was higher during pregnancy than postpartum during cycle (1.04 +/- 0.08 vs. 0.95 +/- 0.09 l/min, P = 0.014), treadmill (1.45 +/- 0.19 vs. 1.27 +/- 0.20 l/min, P = 0.0002), and weighted treadmill (1.45 +/ 0.19 vs. 1.36 +/- 0.20 l/min, P = 0.04) exercise. None of these differences remained, however, when VO2 was expressed per kilogram of body weight. Maximal VO2 (VO2max) estimated from the individual heart rate-VO2 curves was the same during and after pregnancy during cycling (1.96 +/- 0.37 to 1.98 +/- 0.39 l/min), whereas estimated VO2max increased postpartum during treadmill (2.04 +/- 0.38 to 2.21 +/- 0.36 l/min, P = 0.03) and weighted treadmill (2.04 +/- 0.38 to 2.19 +/- 0.38 l/min, P = 0.03) exercise. We conclude that increased body weight during pregnancy compared with the postpartum period accounts for 75% of the increased VO2 during submaximal weight-bearing exertion in pregnancy and contributes to reduced exercise capacity. The postpartum increase in estimated VO2max during weight-bearing exercise is the result of consistently higher antepartum heart rates during all submaximal work loads.

Prepregnancy weight, weight gain, and birth weight

The effect of maternal weight gain on birth weight in 2946 live births with delivery after 37 weeks' gestation was studied at Moffitt Hospital, University of California (San Francisco), between September, 1980, and December, 1983. The sample was stratified into four categories according to prepregnancy weight for height with use of a body mass index. To study the effect of maternal weight gain on infant birth weight, multiple regression analysis, controlled for selected covariables, was carried out on the entire sample and on each prepregnancy weight group. For the entire sample, both pregravid body mass and weight gain significantly influenced birth weight. For the underweight, ideal weight, and moderately overweight women, each kilogram of maternal weight gain significantly increased birth weight. This study supports recent evidence for the association between maternal weight gain and birth weight, but only for women whose prepregnancy weights are 135% of ideal or less. These results suggest that recommendations for a minimum weight gain for obese women are unnecessary.