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Excessive Gestational Weight Gain and Pregnancy Outcomes
Ksawery Goławski1, Wojciech Giermaziak2, Michał Ciebiera3
11st Department of Obstetrics and Gynecology, Medical University of Warsaw, 02-015 Warsaw, Poland.
Journal of Clinical Medicine
|May 13, 2023
Summary
Excessive gestational weight gain in pregnant women is linked to adverse outcomes. This includes higher birth weight, increased risk of cesarean sections, and pregnancy-induced hypertension.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Public Health
Background:
- Adequate weight gain during pregnancy is crucial for a healthy pregnancy.
- Excessive gestational weight gain is a significant concern associated with numerous adverse pregnancy outcomes.
Purpose of the Study:
- To determine the impact of excessive gestational weight gain on various pregnancy outcomes.
- To analyze the association between excessive weight gain and neonatal health indicators.
Main Methods:
- Analysis of data from a Polish national survey conducted between 2011 and 2017.
- Inclusion of 10,319 women and 6,930 children in the study cohort.
- Statistical analysis to identify correlations between gestational weight gain and pregnancy complications.
Main Results:
- Excessive gestational weight gain correlated with higher birth weight, particularly over 4500g (OR 6.92).
- Increased risks observed for cesarean/assisted delivery (OR 2.71), pregnancy-induced hypertension (OR 5.85), and hospitalization during pregnancy (OR 1.85).
- Apgar scores in the 0-7 range in the first minute were also associated with excessive gain (OR 2.65). No significant differences were found for premature rupture of membranes or labor inductions.
Conclusions:
- Excessive gestational weight gain significantly increases the risk of adverse pregnancy outcomes.
- Findings highlight the importance of monitoring and managing weight gain during pregnancy for improved maternal and neonatal health.
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