Prepregnancy Body Mass Index and Gestational Weight Gain and Their Association with Some Pregnancy Outcomes
نویسندگان
1 Hazrat fatemeh School of Nursing and Midwifery
2 Hazrat fatemeh School of Nursing and Midwifery
3 Department of Obstetrics and Gynecology, School ofMedicine, Shiraz University ofMedical Sciences, Shiraz, Iran
doi
چکیده
Background: Weight gain during pregnancy for women with normal Body Mass Index (BMI) before pregnancyhas been reported to be 11.5–16.0 Kg/m2 by IOM and supported by several authors. This study was carried outto determine the relationship between pre-pregnancy BMI and gestational weight gain and pregnancy outcome.Methods: In 476 pregnant women, BMI was categorized and weight gain was divided into less than normal andhigher than normal groups based on Institute of Medicine (IOM) recommendations.Results: Women with normal weight gain had better pregnancy outcomes. The incidence of low birth weight washigher among underweight women and those with low gestational weight gain. Overweight women and thosewith high gestational weight gain had a higher rate of cesarean delivery and postpartum hemorrhage. There wasalso a significant difference between the BMI early postpartum hemorrhage, method of delivery, neonatal weight,nausea, vomiting and weight gain during pregnancy. Women gained weight according to recommendations hadgood pregnancy outcome in relation to weight, lengths and head chest circumferences of the neonate and methodsof delivery and post partum hemorrhage.Conclusion: The findings presented here indicate that prenatal care providers should consider women withabnormal prepregnancy BMI and gestational weight gain at an increased risk unconditionally and that they needspecial care to avoid the pregnancy-associated complications forthwith.