scholarly journals Inadequate gestational weight gain increases risk of small-for-gestational-age term birth in girls in Japan: A population-based cohort study

2016 ◽  
Vol 28 (5) ◽  
pp. 714-720 ◽  
Author(s):  
Melissa K. Melby ◽  
Goro Yamada ◽  
Pamela J. Surkan
Author(s):  
Annie M. Dude ◽  
William Grobman ◽  
David Haas ◽  
Brian M. Mercer ◽  
Samuel Parry ◽  
...  

Abstract Objective To determine the association between total gestational weight gain and perinatal outcomes. Study Design Data from the Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-To-Be (NuMoM2b) study were used. Total gestational weight gain was categorized as inadequate, adequate, or excessive based on the 2009 Institute of Medicine guidelines. Outcomes examined included hypertensive disorders of pregnancy, mode of delivery, shoulder dystocia, large for gestational age or small for-gestational age birth weight, and neonatal intensive care unit admission. Results Among 8,628 women, 1,666 (19.3%) had inadequate, 2,945 (34.1%) had adequate, and 4,017 (46.6%) had excessive gestational weight gain. Excessive gestational weight gain was associated with higher odds of hypertensive disorders (adjusted odds ratio [aOR] = 2.05, 95% confidence interval [CI]: 1.78–2.36) Cesarean delivery (aOR = 1.24, 95% CI: 1.09–1.41), and large for gestational age birth weight (aOR = 1.49, 95% CI: 1.23–1.80), but lower odds of small for gestational age birth weight (aOR = 0.59, 95% CI: 0.50–0.71). Conversely, inadequate gestational weight gain was associated with lower odds of hypertensive disorders (aOR = 0.75, 95% CI: 0.62–0.92), Cesarean delivery (aOR = 0.77, 95% CI: 0.65–0.92), and a large for gestational age birth weight (aOR = 0.72, 95% CI: 0.55–0.94), but higher odds of having a small for gestational age birth weight (aOR = 1.64, 95% CI: 1.37–1.96). Conclusion Both excessive and inadequate gestational weight gain are associated with adverse maternal and neonatal outcomes.


2012 ◽  
Vol 119 (12) ◽  
pp. 1493-1502 ◽  
Author(s):  
N Micali ◽  
B De Stavola ◽  
I dos-Santos-Silva ◽  
J Steenweg-de Graaff ◽  
PW Jansen ◽  
...  

Author(s):  
Huiling Xu ◽  
Elizabeth V. Arkema ◽  
Sven Cnattingius ◽  
Olof Stephansson ◽  
Kari Johansson

2017 ◽  
Vol 27 (10) ◽  
pp. 638-644.e1 ◽  
Author(s):  
Ruofan Yao ◽  
Bo Y. Park ◽  
Sarah E. Foster ◽  
Aaron B. Caughey

2015 ◽  
Vol 212 (1) ◽  
pp. S157
Author(s):  
Bahram Salmanian ◽  
Kathleen Antony ◽  
Diana Racusin ◽  
Kjersti Aagaard ◽  
Amirhoushang Shamshirsaz ◽  
...  

Author(s):  
Samrawit F Yisahak ◽  
Stefanie N Hinkle ◽  
Sunni L Mumford ◽  
Mengying Li ◽  
Victoria C Andriessen ◽  
...  

Abstract Background Vegetarian diets are becoming increasingly popular in the USA. Limited research has examined the health consequences of vegetarian diets during pregnancy. We comprehensively examined associations of vegetarianism during pregnancy with maternal and neonatal outcomes. Methods We used data from the Eunice Kennedy Shriver National Institute of Child Health and Human Development’s Fetal Growth Studies–Singletons, a prospective multi-site cohort of 1948 low-risk pregnant women of four races/ethnicities (White, Black, Hispanic, Asian/Pacific Islander) in the USA (2009–2013). Vegetarianism was self-reported and also defined based on dietary patterns measured using a self-administered first-trimester food-frequency questionnaire (full [lacto-ovo and vegan], pesco-, semi- and non-vegetarians). Neonatal outcomes included birthweight and neonatal anthropometric measures, small for gestational age, small for gestational age with neonatal morbidity and preterm delivery. Maternal outcomes included gestational weight gain, gestational diabetes, hypertensive disorders of pregnancy and gestational anaemia. Results Ninety-nine (6.2%) women self-reported being vegetarian. The diet-based definition identified 32 (2.0%) full vegetarians, 7 (0.6%) pesco-vegetarians and 301 (17.6%) semi-vegetarians. Neonates of diet-based full vegetarians had higher odds of being small for gestational age [adjusted odds ratio (ORadj) = 2.51, 95% confidence interval: 1.01, 6.21], but not of being small for gestational age with a postnatal morbidity. Full vegetarians had marginally increased the odds of inadequate second-trimester gestational weight gain (ORadj = 2.24, 95% confidence interval: 0.95, 5.27). Conclusion Vegetarian diets during pregnancy were associated with constitutionally smaller neonatal size, potentially via the mothers’ reduced gestational weight gain. Notably, vegetarianism was not associated with small-for-gestational-age-related morbidities or other adverse maternal outcomes.


2016 ◽  
Vol 20 (7) ◽  
pp. 1485-1496 ◽  
Author(s):  
Tarja I. Kinnunen ◽  
Christin W. Waage ◽  
Christine Sommer ◽  
Line Sletner ◽  
Jani Raitanen ◽  
...  

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