Incidence of excessive gestational weight gain among overweight and obese women.

IF 2 Q2 OBSTETRICS & GYNECOLOGY

Obstetrics and Gynecology Science Pub Date : 2024-09-01 Epub Date: 2024-08-21 DOI:10.5468/ogs.24122

Suphisara Maimaen, Kusol Russameecharoen, Dittakarn Boriboonhirunsarn

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Abstract

Objective: To determine the incidence of excessive gestational weight gain (GWG) among overweight and obese pregnant women, its associated factors, and pregnancy outcomes.

Methods: A total of 355 overweight or obese singleton pregnant women who were included. Obstetric characteristics, weight gain, and pregnancy outcomes, were extracted from medical records. GWG was categorized according to the Institute of Medicine recommendation. Comparisons were made between individuals with inadequate, normal, and excessive GWG. Logistic regression analysis was performed to determine independent associated factors for excessive GWG.

Results: Majority of the women were overweight (68.7%), 38.9% were nulliparous, and mean pre-pregnancy body mass index was 28.9 kg/m2. Excessive GWG was observed in 53% of the women. Women with excessive GWG had significantly higher weight gain in every trimester. Risk of excessive GWG increased in women ≤30 years, while gestational diabetes (GDM) significantly decreased the risk. Women with excessive GWG had a significantly higher primary cesarean section rate. Both women with normal and excessive GWG showed higher rate of having large for gestational age (LGA) infants (P=0.003). Maternal age of ≤30 years significantly increased the risk of excessive GWG (adjusted odds ratio [aOR], 1.91; 95% confidence interval [CI], 1.11-3.27) and GDM significantly decreased this risk (aOR, 0.40; 95% CI, 0.24-0.67).

Conclusion: The incidence of excessive GWG among overweight and obese women was 53%. Maternal age of ≤30 years significantly increased this risk while women with GDM were significantly decreased risk. Primary cesarean section and fetal LGA significantly increased in women with excessive GWG.

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超重和肥胖妇女妊娠体重增加过多的发生率。

目的确定超重和肥胖孕妇妊娠体重增加过多（GWG）的发生率、相关因素和妊娠结局：方法：共纳入 355 名超重或肥胖的单胎孕妇，这些孕妇在 Siriraj 医院接受产前护理并分娩。产科特征、体重增加和妊娠结局等数据均来自医疗记录。GWG根据医学研究所的建议进行分类。对 GWG 不足、正常和过高的个体进行比较。进行了逻辑回归分析，以确定 GWG 过高的独立相关因素：结果：大多数妇女超重（68.7%），38.9%为无子宫，孕前平均体重指数为 28.9 kg/m2。53%的妇女体重超标。体重增长过快的妇女在每个孕期的体重增长都明显较高。妊娠体重超标的风险在年龄小于 30 岁的女性中有所增加，而妊娠糖尿病（GDM）则明显降低了这一风险。GWG过高的妇女的初次剖宫产率明显较高。GWG正常和GWG过高的妇女都有较高的胎龄儿巨大儿（LGA）率（P=0.003）。产妇年龄小于 30 岁会显著增加 GWG 超标的风险（调整后的几率比 [OR]，1.91；95% 置信区间 [95%CI]，1.11-3.27），而 GDM 会显著降低这一风险（调整后的几率比，0.40；95% CI，0.24-0.67）：结论：超重和肥胖妇女的 GWG 过高发生率为 53%。结论：超重和肥胖妇女的 GWG 过高发生率为 53%，产妇年龄≤30 岁会显著增加这一风险，而患有 GDM 的妇女的风险则显著降低。初次剖宫产率和胎儿 LGA 率在 GWG 过高的妇女中明显增加。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Obstetrics and Gynecology Science Medicine-Obstetrics and Gynecology

CiteScore

3.80

自引率

15.80%

发文量

审稿时长

16 weeks

期刊介绍： Obstetrics & Gynecology Science (NLM title: Obstet Gynecol Sci) is an international peer-review journal that published basic, translational, clinical research, and clinical practice guideline to promote women’s health and prevent obstetric and gynecologic disorders. The journal has an international editorial board and is published in English on the 15th day of every other month. Submitted manuscripts should not contain previously published material and should not be under consideration for publication elsewhere. The journal has been publishing articles since 1958. The aim of the journal is to publish original articles, reviews, case reports, short communications, letters to the editor, and video articles that have the potential to change the practices in women''s health care. The journal’s main focus is the diagnosis, treatment, prediction, and prevention of obstetric and gynecologic disorders. Because the life expectancy of Korean and Asian women is increasing, the journal''s editors are particularly interested in the health of elderly women in these population groups. The journal also publishes articles about reproductive biology, stem cell research, and artificial intelligence research for women; additionally, it provides insights into the physiology and mechanisms of obstetric and gynecologic diseases.