A population-based comparison between actual maternal weight gain and the Institute of Medicine weight gain recommendations in singleton pregnancies.
J Perinat Med
; 44(4): 389-92, 2016 May 01.
Article
en En
| MEDLINE
| ID: mdl-25879309
ABSTRACT
OBJECTIVE:
To compare the actual maternal weight gain to that recommended by the Institute of Medicine (IOM) in term singleton gestations.METHODS:
We used data from the Slovenian National Perinatal Information System to select singleton pregnancies born at ≥38 weeks during the period from 2003 to 2012. We calculated the frequencies of mothers who gained less than, more than, and as recommended by the IOM according to their pregravid body mass index (BMI). We also compared the fetal size parameters in under- and over-gainer to those who gained weight as recommended by the IOM.RESULTS:
We selected 173,715 patients who delivered at ≥38 weeks. Of these patients, the recommended weight gain was achieved by 56,868 (32.7%, 95% CI 32.5, 32.9) only, 82,617 (47.6%, 95% CI 47.3, 47.8) were over-gainers, and 34,230 (19.7%, 95% CI 19.5, 19.8) gained less than recommended. Neither undergaining nor overgaining were always synonymous with adverse fetal outcomes.CONCLUSIONS:
Roughly two-thirds of singleton mothers did not gain weight during pregnancy according to the IOM recommendations. Inappropriate maternal weight gain, however, was not always associated with adverse fetal outcomes and this implies that a tailored approach rather than strict adherence to the IOM recommendations may be more practical.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Complicaciones del Embarazo
/
Aumento de Peso
Tipo de estudio:
Guideline
/
Observational_studies
/
Risk_factors_studies
Límite:
Adult
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Female
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Humans
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Pregnancy
País como asunto:
America do norte
/
Europa
Idioma:
En
Año:
2016
Tipo del documento:
Article