RT Journal Article
SR Electronic
T1 Factors affecting pregnancy weight gain and relationships with maternal/fetal outcomes in Turkey
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 503
OP 508
DO 10.15537/smj.2017.5.19378
VO 38
IS 5
A1 Akgun, Nilufer
A1 Keskin, Huseyin L.
A1 Ustuner, Isık
A1 Pekcan, Gulden
A1 Avsar, Ayse F.
YR 2017
UL http://smj.org.sa/content/38/5/503.abstract
AB Objectives: To determine the effects of pre-pregnancy body mass index (BMI) and gestational weight gain on maternal and fetal complications, and to examine whether Turkish women achieve the recommended gestational weight gain. We also investigated the relationship between pregnancy weight gain and mode of delivery, with an examination of maternal anthropometry.Methods: A retrospective cross-sectional study was conducted on a population of 986 pregnant women between November 2011 and November 2015 at Atatürk Education and Research Hospital, Ankara, Turkey. Maternal age, BMI, monthly weight gain during pregnancy, infant birth weight, gender, and maternal and fetal adverse outcomes were evaluated.Results: The frequency of maternal complications was positively associated with elevated pre-pregnancy BMI (p<0.05), and weight gain during pregnancy was associated with parity and increased infant birth weight (p<0.05). However, no correlations were observed between mean pregnancy weight gain and maternal complications (p>0.05). The percentage of women who gained the Institute of Medicine (IOM)-recommended amount of weight was the highest in the underweight BMI group (54.1%) and the lowest in the obese BMI group (24.3%). Pregnancy weight gain exceeded IOM recommendations in the overweight (56.3%) and obese (52.5%) groups.Conclusions: While maternal weight gain during pregnancy affects neonatal body weight, higher pre-pregnancy BMI has an adverse effect on recommended weight gain during pregnancy, with increased maternal complications.