Association between maternal and fetal weight gain: cohort study
Bárbara Miranda Ferreira Costa1, Régis Resende Paulinelli, Maria Alves Barbosa
1Department of Nutrition, Universidade Paulista, Goiânia, Brazil. babinut@hotmail.com
Insights
Excessive gestational weight gain significantly increases fetal birth weight and the risk of macrosomia. This finding highlights the importance of monitoring maternal weight during pregnancy to prevent complications.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Public Health
Background:
- Excessive gestational weight gain is a known risk factor for adverse maternal and fetal outcomes.
- Macrosomia, a condition of excessive fetal growth, is associated with numerous complications, including intrauterine death and childhood obesity.
Purpose of the Study:
- To investigate the association between maternal gestational weight gain and fetal birth weight.
- To determine the incidence of macrosomia in relation to maternal weight gain patterns.
Main Methods:
- A cohort study was conducted with 200 healthy pregnant women in two public maternity hospitals.
- Participants were divided into groups based on normal versus excessive gestational weight gain.
- Fetal birth weight and macrosomia incidence were compared between the groups.
Main Results:
- Women with excessive gestational weight gain had significantly higher fetal birth weights (3,388.83 g ± 514.44 g) compared to those with normal weight gain (3,175.86 g ± 413.70 g).
- The incidence of macrosomia was 13.0% in the excessive weight gain group, versus 0.0% in the normal weight gain group.
- Overall macrosomia incidence in the study population was 6.5%.
Conclusions:
- Excessive maternal weight gain during pregnancy is strongly associated with increased fetal birth weight.
- Maternal weight gain patterns directly impact the incidence of macrosomia, underscoring the need for management strategies.
Context And Objective:
Excessive gestational weight gain is related to many complications (both maternal and fetal), such as macrosomia. The most common complications in macrosomic fetuses include: increased risk of intrauterine death, need for intensive care, fractures, neonatal hyperbilirubinemia, paralysis of the brachial plexus and obesity in childhood and adulthood. The aim of this study was to evaluate the association between gestational and fetal weight gain and the incidence of macrosomia in two maternity hospitals.
Design And Setting:
Cohort study in two public maternity hospitals in Goiânia, Brazil.
Methods:
This was a cohort study on 200 healthy pregnant women with normal body mass index, divided into two groups: one with normal weight gain and the other with excessive weight gain during pregnancy.
Results:
The cohorts were similar regarding maternal age, per capita income, schooling level and reproductive behavior. The fetal weight was greater in the cohort with excessive maternal weight gain (3,388.83 g ± 514.44 g) than in the cohort with normal weight (3,175.86 g ± 413.70 g) (P < 0.01). The general incidence of macrosomia was 6.5%: 13.0% (13 cases) in the cohort with excessive maternal weight gain and 0.0% (0 cases) in the cohort with adequate weight gain.
Conclusion:
Excessive maternal weight gain was associated with increased fetal birth weight and incidence of macrosomia.
Related Concept Videos
Diabetes Mellitus: Type 2 and Gestational
Regression Toward the Mean
Longitudinal Studies
Fetal Circulation
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
Pathophysiology of Diabetes
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility, suggesting a...
Development of the Oral Microbiota

