A Systematic Review of Outcomes of Maternal Weight Gain according to the Institute of Medicine Recommendations: Birthweight, Fetal Growth, and Postpartum Weight Retention

Siega-Riz, Anna Maria; Viswanathan, Meera; Moos, Merry-K.; Deierlein, Andrea L; Mumford, Sunni L.; Knaack, Julie; Thieda, Patricia; Lux, Linda J.; & Lohr, Kathleen N. (2009). A Systematic Review of Outcomes of Maternal Weight Gain according to the Institute of Medicine Recommendations: Birthweight, Fetal Growth, and Postpartum Weight Retention. American Journal of Obstetrics and Gynecology, 201(4), 339.e1-14.

Reference Type:
Journal Article

Secondary Title:

Series Title:

Author(s):
Siega-Riz, Anna Maria
Viswanathan, Meera
Moos, Merry-K.
Deierlein, Andrea L
Mumford, Sunni L.
Knaack, Julie
Thieda, Patricia
Lux, Linda J.
Lohr, Kathleen N.

Editor(s):

Series Author(s):

Year Published:
2009

Date Published:

Journal Name:
American Journal of Obstetrics and Gynecology

Volume Number:
201

Issue Number:
4

Start Page Number:
339.e1-14

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Edition:

Series Volume:

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ISSN/ISBN:

DOI:
10.1016/j.ajog.2009.07.002

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Reference ID:
4208

Miscellaneous:

Abstract:

This systematic review focuses on outcomes of gestational weight gain, specifically birthweight, fetal growth, and postpartum weight retention, for singleton pregnancies with respect to the 1990 Institute of Medicine weight gain recommendations. A total of 35 studies met the inclusion criteria and were reviewed. There was strong evidence to support associations between excessive gestational weight gain and increased birthweight and fetal growth (large for gestational age) as well as inadequate gestational weight gain and decreased birthweight and fetal growth (small for gestational age). There was moderate evidence to support the association between excessive gestational weight gain and postpartum weight retention. Clear clinical recommendations based on this review are challenging because of several limitations in the literature. Improvements in future research include the use of consistent definitions of gestational weight gain and outcomes of interest, assessment of confounders, and better collection of weight and weight gain data.

Keyword(s):
Fertility, Families, and Children

URL:

http://dx.doi.org/10.1016/j.ajog.2009.07.002

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Citation:

Siega-Riz, Anna Maria; Viswanathan, Meera; Moos, Merry-K.; Deierlein, Andrea L; Mumford, Sunni L.; Knaack, Julie; Thieda, Patricia; Lux, Linda J.; & Lohr, Kathleen N. (2009). A Systematic Review of Outcomes of Maternal Weight Gain according to the Institute of Medicine Recommendations: Birthweight, Fetal Growth, and Postpartum Weight Retention. American Journal of Obstetrics and Gynecology, 201(4), 339.e1-14.