DETERMINANTS OF INADEQUATE WEIGHT GAIN IN PREGNANCY
Abstract
Aim. The aim of the study was to explore the anthropometric maternal characteristics and prenatal care as determinants of pregnancy weight gain. Material and methods. We conducted a cross-sectional study on a total of 400 pregnant women admitted to Cuza-Vodă Obstetrics and Gynecology Clinical Hospital, Iaşi. Information on demographic characteristics, number of prenatal visits, and education on nutrition and food changes occurring during pregnancy were recorded in a structured questionnaire. Anthropometric parameters analyzed were pregestational BMI (body mass index) and weight gain during pregnancy. Results. Weight gain was associated with pregestational BMI category. An increase in weight more than recommended occured more frequently in overweight (53.1%) and obese women (66.7%) (p<0.001). Weight gain during pregnancy was related to area of residence, age, APCU (adequate prenatal care utilization) index. The multivariate analysis identified the following variables as significant determinants of pregnancy weight gain: inadequate prenatal care, BMI and changes in diet. Conclusions. Pregestational BMI and changes in diet during pregnancy identified as determinants of weight gain suggests that overweight and underweight women must carefully be counseled regarding recommendations for weight gain in pregnancy. Tracking diet changes is important to ensure that a weight gain lies within the guidelines recommendations.
References
2. Abenhaim H, Kinch R, Morin L,et al. Effect of prepregnancy body mass index categories on obstetrical and neonatal outcomes. Arch Gynaecol Obstet 2007;275(1):39-43.
3. Dietz P, Callaghan W, Smith R, et al. Associations of low pregnancy weight gain with three measures of small for gestational age infants. Am J Obstet Gynaecol 2009;201:53.e1-53.e7.
4. Centrul Naţional de Studii pentru Medicina Familiei. Îngrijiri prenatale de rutină în sarcina cu risc scăzut. Ghid de practică pentru medicii de familie, Ed. Infomedica, Iaşi, 2005, 48-59.
5. Kotelchuck M. An evaluation of the Kessner Adequacy of Prenatal Care Index and a proposed Ade-quacy of Prenatal Care Utilization Index. Am J Public Health 1994; 84:1414-1420.
6. Brawarsky P, Stotland NE, Jackson RA, et al. Pre-pregnancy and pregnancy-related factors and the risk of excessive or inadequate gestational weight gain. Int J Gynaecol Obstet 2005;91(2):125-131.
7. World Health Organisation (WHO). WHO Antenatal Care Randomised Trial: Manual for the Imple-mentation of the New model. Geneva, 2002, 12-29.
8. Waldenstrom U, Turnbull D. A systematic review comparing continuity of midwifery care with standard maternity services. Br J Obstet Gynaecol 1998;105(11):1160-1170.
9. Khan-Neelofur D, Gulmezoglu M, Villar J. Who should provide routine antenatal care for low-risk women, and how often? A systematic review of randomised controlled trials. Paediatr Perinatal Epi-demiol 1998;12(Suppl 2):7-26.
10. Institutul pentru Ocrotirea Mamei şi Copilului „Prof. Dr. Alfred Rusescu”, UNICEF – Reprezentanţa în România. Statusul nutriţional al femeii gravide: România – 2005, vol. I, Bucureşti: MarLink, 2006, 31-70.
11. World Health Organisation (WHO) Expert Committee on Physical Status. The use and interpretation of anthropometry physical status: the use and interpretation of anthropometry: report of a WHO expert committee. WHO Techn Rep Ser 854, Geneva, 1995, 37-120.
12. Vilar J. Perinatal data reliability in a large teaching obstetric unit British. J Obstet Gynaecol 1988;95:841-848.
13. Abrams B, Altman S, Picken K. Pregnancy weight gain: still controversial. Am J Clin Nutr 2000;71(suppl):1233S-1241S.
14. Stotland NE, Haas JS, Brawarsky P, et al. Body mass index, provider advice, and target gestational weight gain. Obstet Gynaecol 2005;105(3):633-638.
15. Cogswell ME, Parvanta I, Ickes L, et al. Iron supplementation during pregnancy, anemia, and birth weight: a randomized controlled trial. Am J Clin Nutr 2003;78:773-781.
16. Fazio ES, Nomura RMY, GonçalvesDias MC, et al. Consumo dietético de gestantes e ganho ponderal materno após aconselhamento nutricional. Rev Bras Ginecol Obstet 2011;33(2):87-92.
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