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Cross‐sectional study of gestational weight gain and perinatal outcomes in pregnant women at a tertiary care center in southern I ndia
Author(s) -
Radhakrishnan Usha,
Kolar Geeta,
Nirmalan Praveen K.
Publication year - 2014
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.12115
Subject(s) - medicine , weight gain , obstetrics , odds ratio , pregnancy , confidence interval , cross sectional study , gestational age , body mass index , population , gestation , mass index , small for gestational age , pediatrics , body weight , environmental health , genetics , pathology , biology
Aim The aim of this study was to determine maternal and neonatal outcomes of less than recommended or excess gestational weight gain ( GWG ) based on the recommended I nstitute of M edicine ( IOM ) guidelines. Material and Methods Using a cross‐sectional study design, GWG was assessed for 1462 pregnant women presenting to a tertiary care perinatal institute in I ndia. Body mass index at baseline, co‐existing morbidities, fetal growth, details of delivery, and maternal and fetal outcomes were determined and documented. Appropriate GWG for each woman was determined based on the revised IOM guidelines. Outcome measures included the proportion of pregnant women compliant with IOM guidelines for GWG and associations of less than recommended or excess GWG with maternal and neonatal outcomes. Results A total of 547 (37.41%, 95% confidence interval [ CI ]: 34.96–39.92) pregnant women gained less than recommended and 313 (21.41%, 95%CI: 19.36–23.57) pregnant women gained more than the recommended weight. Preterm deliveries were associated with less than optimal weight gain (adjusted odds ratio 3.58, 95%CI: 1.75–7.32) after adjusting for gestational age at delivery. GWG was not associated with neonatal outcomes in this population. Conclusions The lack of associations with perinatal outcomes indicates that the IOM guidelines may not be the appropriate standard for monitoring GWG in this population.