Korean J Obstet Gynecol.  2012 Oct;55(10):693-698.

Association between maternal weight gain rate of each trimester and neonatal birth weight

Affiliations
  • 1Department of Obstetrics and Gynecology, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine, Seoul, Korea. obdrmhk@naver.com

Abstract


OBJECTIVE
To evaluate the association between gestational maternal weight gain during each trimester and neonatal birth weight.
METHODS
A retrospective cohort study was conducted. Data were obtained from medical records of women who received her first antenatal care before 10 weeks' of gestation and delivered term singleton neonates at Cheil General Hospital. Correlation between rate of maternal weight gain at each trimester (kg/wk) and neonatal birth weight was analyzed according to parity after adjustment for maternal age, pre-pregnancy body mass index, total weight gain, and gestational age at delivery.
RESULTS
A total of 2,105 pregnant women were included. Of them, 1,266 women were nullipara and 839 women were multipara. In correlation analysis, maternal weight gain at the second trimester was more associated with neonatal birth weight than those of other trimesters, regardless of parity.
CONCLUSION
We suggest that obstetricians should be more concerned about maternal weight gain at the second trimester for appropriate neonatal birth weight.

Keyword

Weight gain; Pregnancy trimesters; Birth weight

MeSH Terms

Birth Weight
Body Mass Index
Cohort Studies
Female
Gestational Age
Hospitals, General
Humans
Infant, Newborn
Maternal Age
Medical Records
Parity
Parturition
Pregnancy
Pregnancy Trimester, Second
Pregnancy Trimesters
Pregnant Women
Retrospective Studies
Weight Gain

Reference

1. Hedley AA, Ogden CL, Johnson CL, Carroll MD, Curtin LR, Flegal KM. Prevalence of overweight and obesity among US children, adolescents, and adults, 1999-2002. JAMA. 2004. 291:2847–2850.
2. Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM. Prevalence of overweight and obesity in the United States, 1999-2004. JAMA. 2006. 295:1549–1555.
3. Kramer MS, Morin I, Yang H, Platt RW, Usher R, McNamara H, et al. Why are babies getting bigger? Temporal trends in fetal growth and its determinants. J Pediatr. 2002. 141:538–542.
4. Martin JA, Hamilton BE, Sutton PD, Ventura SJ, Mathews TJ, Kirmeyer S, et al. Births: final data for 2007. Natl Vital Stat Rep. 2010. 58:1–85.
5. Yoon HJ, Hoh JK, Cho SH, Kim KT, Moon H. The relationship of maternal physical characteristic change and neonatal weights: the comparison between 1989 and 1999. Korean J Obstet Gynecol. 2004. 47:146–152.
6. Hedderson MM, Williams MA, Holt VL, Weiss NS, Ferrara A. Body mass index and weight gain prior to pregnancy and risk of gestational diabetes mellitus. Am J Obstet Gynecol. 2008. 198:409.e1–409.e7.
7. Nohr EA, Vaeth M, Baker JL, Sorensen T, Olsen J, Rasmussen KM. Combined associations of prepregnancy body mass index and gestational weight gain with the outcome of pregnancy. Am J Clin Nutr. 2008. 87:1750–1759.
8. Rhodes JC, Schoendorf KC, Parker JD. Contribution of excess weight gain during pregnancy and macrosomia to the cesarean delivery rate, 1990-2000. Pediatrics. 2003. 111:1181–1185.
9. Thorsdottir I, Torfadottir JE, Birgisdottir BE, Geirsson RT. Weight gain in women of normal weight before pregnancy: complications in pregnancy or delivery and birth outcome. Obstet Gynecol. 2002. 99:799–806.
10. Abrams B, Selvin S. Maternal weight gain pattern and birth weight. Obstet Gynecol. 1995. 86:163–169.
11. Jiang H, Cai YQ, Qian QY, Xun PC, Wang QW. Analysis on the risk factors of maternal weight for fetal macrosomia. Zhonghua Liu Xing Bing Xue Za Zhi. 2008. 29:982–984.
12. Kim HY, Kim YJ, Choi EK. The influence of maternal weight gain to birth weight. Korean J Obstet Gynecol. 2005. 48:2307–2312.
13. Institute of Medicine (US) and National Research Council (US) Committee to Reexamine IOM Pregnancy Weight Guidelines. Rasmussen KM, Yaktine AL. Weight gain during pregnancy: reexamining the guidelines. 2009. Washington, DC: National Academies Press.
14. Godfrey KM. Maternal regulation of fetal development and health in adult life. Eur J Obstet Gynecol Reprod Biol. 1998. 78:141–150.
15. Li R, Haas JD, Habicht JP. Timing of the influence of maternal nutritional status during pregnancy on fetal growth. Am J Hum Biol. 1998. 10:529–539.
16. Neufeld L, Pelletier DL, Haas JD. The timing of maternal weight gain during pregnancy and fetal growth. Am J Hum Biol. 1999. 11:627–637.
17. Institute of Medicine (US). Subcommittee on Nutritional Status and Weight Gain during Pregnancy. Nutrition during pregnancy. 1990. Washington, DC: National Academy Press.
18. Hediger ML, Scholl TO, Schall JI, Healey MF, Fischer RL. Changes in maternal upper arm fat stores are predictors of variation in infant birth weight. J Nutr. 1994. 124:24–30.
19. Rush D, Sloan NL, Leighton J, Alvir JM, Horvitz DG, Seaver WB, et al. The National WIC Evaluation: evaluation of the Special Supplemental Food Program for Women, Infants, and Children. V. Longitudinal study of pregnant women. Am J Clin Nutr. 1988. 48:439–483.
20. Rosso P. Rosso P, editor. Maternal-fetal exchange and fetal growth during under-nutrition. Nutrition and metabolism in pregnancy: mother and fetus. 1990. New York: Oxford University Press;193–199.
21. Hickey CA, Cliver SP, McNeal SF, Hoffman HJ, Goldenberg RL. Prenatal weight gain patterns and birth weight among nonobese black and white women. Obstet Gynecol. 1996. 88:490–496.
Full Text Links
  • KJOG
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr