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Influence of gestational weight gain on baby's birth weight in Addis Ababa, Central Ethiopia: a follow-up study

Fekede Asefa1,2,3, Allison Cummins2, Yadeta Dessie4

  • 1School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Oromia, Ethiopia sinboona@gmail.com.

BMJ Open
|June 14, 2022
PubMed

Insights

Gestational weight gain and maternal factors significantly impact birth weight in Ethiopia. Inadequate weight gain and conditions like gestational hypertension are linked to lower birth weights, emphasizing the need for prenatal counseling.

Area of Science:

  • Maternal and Child Health
  • Obstetrics
  • Public Health

Background:

  • Gestational weight gain (GWG) is crucial for fetal well-being, but its impact on birth weight is understudied in Ethiopia.
  • Inadequate or excessive GWG can lead to adverse birth outcomes.

Purpose of the Study:

  • To investigate the influence of GWG and maternal factors on birth weight in Addis Ababa, Ethiopia.
  • To provide data for improving maternal and infant health strategies in the region.

Main Methods:

  • A cohort study followed pregnant women receiving early antenatal care in Addis Ababa.
  • Data were collected via questionnaires and medical records.
  • Multivariable linear regression analyzed the association between GWG and birth weight.

Main Results:

  • Mean birth weight was 3130g; 7.5% of infants had low birth weight.
  • Mothers with inadequate GWG had infants 248g lighter (p<0.001).
  • Maternal history of abortion/miscarriage and gestational hypertension were associated with lower birth weights.

Conclusions:

  • Pre-pregnancy weight, GWG, prior pregnancy complications, and gestational hypertension independently affect birth weight.
  • Promoting weight management through antenatal counseling is recommended.
Abstract

Keywords:
nutrition & dieteticsobstetricspaediatricspublic health

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