Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Feb 15;8(2):2881-6.
eCollection 2015.

Inadequate gestational weight gain and adverse pregnancy outcomes among normal weight women in China

Tingyuan Wen  1 , Yanwei Lv  2
Affiliations

Inadequate gestational weight gain and adverse pregnancy outcomes among normal weight women in China

Tingyuan Wen et al. Int J Clin Exp Med. .

Abstract

Objective: The objective of the paper is to find the association between inadequate gestational weight gain and pregnancy outcomes in normal weight women in China.

Method: A retrospective study was conducted among 13,776 normal weight pregnant women who received antenatal care and delivered singleton infants at the participating hospital during August, 2009 to July, 2013. Adverse pregnancy outcomes like low birth weight (LBW), preterm birth, birth asphyxia, neonatal intensive care unit (NICU) admission and length of hospital stay were compared and analyzed between two groups with inadequate and adequate gestational weight gain.

Results: According to the IOM recommendations, inadequate gestational weight gain was found to be 14.7% in this study. Women with inadequate gestational weight gain (GWG) were found to be at a higher risk for LBW (aOR = 2.13, 95% CI: 1.75, 2.86) and preterm birth (aOR = 1.44, 95% CI: 1.21, 1.67) than those in the adequate gestational weight gain group, after adjusting for monthly family income, maternal education, occupation, and whether they received any advice regarding benefits of gestational weight gain and residential area. However, inadequate GWG was not associated with longer hospital stay (aOR = 1.13, 95% CI: 0.91-1.43) in adjusted model. In addition, the rate of birth asphyxia and NICU admission were similar in both groups (P > 0.05).

Conclusions: Normal weight pregnant women with GWG below the recommended AIOM 2009 guidelines were found to be at an increased risk of low birth weight and preterm birth.

Keywords: Gestational weight gain; low birth weight; pregnancy outcomes; preterm birth.

PubMed Disclaimer

References

    1. Ensenauer R, Chmitorz A, Riedel C, Fenske N, Hauner H, Nennstiel-Ratzel U, von Kries R. Effects of suboptimal or excessive gestational weight gain on childhood overweight and abdominal adiposity: results from a retrospective cohort study. Int J Obes (Lond) 2013;37:505–12. - PubMed
    1. Chung JG, Taylor RS, Thompson JM, Anderson NH, Dekker GA, Kenny LC, McCowan LM SCOPE Consortium. Gestational weight gain and adverse pregnancy outcomes in a nulliparous cohort. Eur J Obstet Gynecol Reprod Biol. 2013;167:149–53. - PubMed
    1. Einerson BD, Huffman JK, Istwan NB, Rhea DJ, Joy SD. New gestational weight gain guidelines: an observational study of pregnancy outcomes in obese women. Obesity (Silver Spring) 2011;19:2361–4. - PubMed
    1. Lan-Pidhainy X, Nohr EA, Rasmussen KM. Comparison of gestational weight gain-related pregnancy outcomes in American primiparous and multiparous women. Am J Clin Nutr. 2013;97:1100–6. - PubMed
    1. Park JE, Park S, Daily JW, Kim SH. Low gestational weight gain improves infant and maternal pregnancy outcomes in overweight and obese Korean women with gestational diabetes mellitus. Gynecol Endocrinol. 2011;27:775–81. - PubMed

LinkOut - more resources