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Inadequate Weight Gain in Overweight and Obese Pregnant Women: What Is the Effect on Fetal Growth?

Citation

Catalano, Patrick M.; Mele, Lisa; Landon, Mark B.; Ramin, Susan M.; Reddy, Uma M.; Casey, Brian M.; Wapner, Ronald J.; Varner, Michael W.; Rouse, Dwight J.; & Thorp, John M., Jr., et al. (2014). Inadequate Weight Gain in Overweight and Obese Pregnant Women: What Is the Effect on Fetal Growth?. American Journal of Obstetrics & Gynecology, 211(2), 137.e1–7. PMCID: PMC4117705

Abstract

OBJECTIVE: To evaluate inadequate gestational weight gain and fetal growth among overweight and obese women (O/O).
STUDY DESIGN: Analysis of prospective singleton term pregnancies in which 1053 O/O gained greater (14.4+/- 6.2 kg) or 188 who either lost or gained <5 kg (1.1+/- 4.4 kg). Birth weight, fat(FM) and lean mass (LM) were assessed using anthropometry. Small for gestational age (SGA) was defined as < 10th percentile of a standard US population. Univariable and multivariable analysis evaluated the association between weight change and neonatal morphometry.
RESULTS: There was no significant difference in age, race, smoking, parity, or gestational age between groups. Weight loss or gain CONCLUSION: In O/O weight loss or gain < 5 kg is associated with increased risk of SGA and decreased neonatal FM, LM and HC.

URL

http://dx.doi.org/10.1016/j.ajog.2014.02.004

Reference Type

Journal Article

Year Published

2014

Journal Title

American Journal of Obstetrics & Gynecology

Author(s)

Catalano, Patrick M.
Mele, Lisa
Landon, Mark B.
Ramin, Susan M.
Reddy, Uma M.
Casey, Brian M.
Wapner, Ronald J.
Varner, Michael W.
Rouse, Dwight J.
Thorp, John M., Jr.
Saade, George R.
Sorokin, Yoram
Peaceman, Alan M.
Tolosa, Jorge E., for the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Maternal-Fetal Medicine Units (MFMU) Network

PMCID

PMC4117705