Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-28T05:52:21.812Z Has data issue: false hasContentIssue false
  • English
  • Français

Rate and pattern of weight gain in Indian women from the upper income group during pregnancy and its effect on pregnancy outcome

Published online by Cambridge University Press:  14 May 2012

L. Raje  and
P. Ghugre
L. Raje*
Affiliation:
Smt PN Doshi Women's College, Jagdhir Boda Vidya Sankul, Cama Lane Ghatkopar, (West)Mumbai, India
P. Ghugre
Affiliation:
Professor, PG Department, SNDT Womens University, Santacruz, Mumbai, India
*
*Address for correspondence: L. Raje, Smt PN Doshi Women's College, Jagdhir Boda Vidya Sankul, Cama Lane Ghatkopar, (West)Mumbai 400086, India. Email [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Maternal weight gain and pattern of weight gain during pregnancy influence the ultimate outcome of pregnancy. Pregravid body mass index (BMI), maternal dietary intake, maternal height and age all determine the weight gain during pregnancy. The study was taken up with an objective to observe maternal weight gain and its pattern in pregnancy in women from an upper income group and to find out their association with pregnancy outcome. 180 normal primiparous pregnant Indian women (20–35 years) from an upper income group were recruited between the 10th and 14th weeks of pregnancy and were followed up throughout their pregnancy to record total and trimester-wise weight gain. Neonatal birth weights were recorded. The results showed that mothers with high pregravid BMI gained more weight during pregnancy than the recommended weight gain; in addition, weight gain in the first trimester was significantly correlated with birth weight of the neonates (P = 0.019). Significant correlation was found between weight gain in the third trimester and birth weight of the neonate irrespective of maternal BMI. The rate of weight gain was significantly correlated with neonatal birth weights irrespective of maternal pregravid BMI (P = 0.022) and as per its categories (P = 0.027). Thus, overall it can be concluded that adequate maternal nutrition before and during pregnancy is important for adequate weight gain by the mother and can result in better outcome of pregnancy. The rate of weight gain is also an important contributing factor.

Keywords

maternal weight gainneonatal birth weightpregnancy outcomepregravid BMIrate of weight gain
Type
Original Article
Information
Journal of Developmental Origins of Health and Disease , Volume 3 , Issue 5 , October 2012 , pp. 387 - 392
Copyright
Copyright © Cambridge University Press and the International Society for Developmental Origins of Health and Disease 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Srihareni, D, Laxmi, VK. Effect of supplementation of Cynodon dactylon (Arugampul) Juice/powder on anaemic pregnant women. Ind J Nutr Diet. 2001; 38, 326–337.Google Scholar
2. Pinheiro, A, David, A, Joseph, B. Pregnancy weight gain and its correlation to birth weight. Ind J Sci. 2001; 55, 265–270.Google ScholarPubMed
3. Institute of Medicine (IOM). Report of Subcommittee on Nutritional Status and Weight Gain during Pregnancy. Nutrition during Pregnancy, 1990. National Academy of Sciences, Washington, DC.Google Scholar
4. Scholl, TO, Hediger, ML, Schall, JI, et al. . Gestational weight gain, pregnancy outcome, and postpartum weight retention. J Obstet Gynaecol. 1995; 86, 423–427.Google ScholarPubMed
5. Abrams, B, Selvin, S, Gunderson, EP. Pregnancy weight gain: still controversial. Am J Clin Nutr. 2000; 71, 1233S–1241S.CrossRefGoogle ScholarPubMed
6. Shapiro, C, Sutija, VG, Bush, J. Effect of maternal weight gain on infant birth weight. J Perinat Med. 2000; 28, 428–431.CrossRefGoogle ScholarPubMed
7. Neufeld, LM, Pelletier, DL, Haas, JD. The timing of maternal weight gain during pregnancy and fetal growth. Am J Hum Biol. 1999; 11, 627–637.3.0.CO;2-X>CrossRefGoogle ScholarPubMed
8. Winkvist, A, Stenlund, H, Hakimi, M, et al. . Weight gain patterns from pre pregnancy until delivery among women in Central Java, Indonesia. Am J Clin Nutr. 2000; 75, 1072–1077.CrossRefGoogle Scholar
9. Neufeld, LM, Haas, JD, Grajeda, R, Martorell, R. Changes in maternal weight from the first to second trimester of pregnancy are associated with fetal growth and infant length at birth. Am J Clin Nutr. 2000; 79, 646–652.CrossRefGoogle Scholar
10. Strauss, RS, Dietz, WH. Low maternal weight gain in the second or third trimester increases the risk for intrauterine growth retardation. J Nutr. 1999; 129, 988–993.CrossRefGoogle ScholarPubMed
11. Gopalan, C. Maternal health fertility, control and child nutrition, basic issues and practical approaches. Bulletin of Nutrition Foundation of India 2000; Special Publication Series, Vol. 3, p. 292.Google Scholar
12. Clausson, BS, Cnattinguis, S, Axelsson, O. Preterm and term births of small gestational age infants: a population based study of risk factors among nulliparous women. Br J Obstet Gynaecol. 1998; 105, 1011–1017.CrossRefGoogle ScholarPubMed
13. Kac, G, Benício, MH, Velásquez-Meléndez, G, Valente, JG, Struchiner, CJ. Breastfeeding and postpartum weight retention in a cohort of Brazilian women. Am J Clin Nutr. 2004; 80, 1342–1352.Google Scholar
14. Brown, JE, Murtaugh, MA, Jacobs, DR, et al. . Variation in newborn size according to pregnancy weight change by trimester. Am J Clin Nutr. 2002; 76, 205–209.CrossRefGoogle ScholarPubMed
15. Dawes, MG, Grudzinskas, JG. Patterns of maternal weight gain in pregnancy. Br J Obstet Gynaecol. 1991; 98, 1055–1057.CrossRefGoogle ScholarPubMed
16. Shobeiri, F, Nazari, M. Patterns of weight gain and birth weight amongst Indian women. Iran J Med Sci. 2006; 31, 94–97.Google Scholar