Adverse perinatal events and maternal interpregnancy weight change: A population-based observational study.
Int J Gynaecol Obstet
; 165(2): 792-800, 2024 May.
Article
em En
| MEDLINE
| ID: mdl-38100266
ABSTRACT
OBJECTIVE:
Mothers whose newborn experiences adversity may neglect their own health to care for their affected infant or following a perinatal death. Weight gain after pregnancy is one measure of maternal self-care. We measured interpregnancy weight gain among women whose child had an adverse perinatal event.METHODS:
This population-based observational study included 192 154 primigravid women with two consecutive singleton births in Ontario, Canada. Outcomes included net weight gain, and adjusted odds ratios (aOR) of moving to a higher body mass index (BMI) category between pregnancies, comparing women whose child did versus did not experience either a perinatal death, prematurity, severe neonatal morbidity, major congenital anomaly, or severe neurologic impairment.RESULTS:
Perinatal death was associated with a +3.5 kg (95% confidence interval [CI] 2.1-4.9) net higher maternal weight gain in the subsequent pregnancy. Relative to term births, preterm birth <32 weeks (+3.2 kg, 95% CI 1.9-4.6), 32-33 weeks (+1.8 kg, 95% CI 0.7-2.8) and 34-36 weeks (+0.9 kg, 95% CI 0.6-1.3) were associated with higher net weight gain. Having an infant with severe neonatal morbidity was associated with a +1.2 kg (95% CI 0.3-2.1) weight gain. Likewise, the aOR of moving to a higher BMI category was 1.27 (95% CI, 1.14-1.42) following a perinatal death, 1.21 (95% CI 1.04-1.41) after a preterm birth <32 weeks, and 1.11 (95% CI 1.02-1.22) with severe neonatal morbidity.CONCLUSION:
Greater interpregnancy weight gain, and movement to a higher BMI category, are each more likely in a woman whose first-born was affected by certain major adverse perinatal events.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações na Gravidez
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Nascimento Prematuro
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Morte Perinatal
Limite:
Female
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Humans
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Newborn
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Pregnancy
Idioma:
En
Revista:
Int J Gynaecol Obstet
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Canadá