Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/79463
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dc.contributor.authorChung, J.en
dc.contributor.authorTaylor, R.en
dc.contributor.authorThompson, J.en
dc.contributor.authorAnderson, N.en
dc.contributor.authorDekker, G.en
dc.contributor.authorKenny, L.en
dc.contributor.authorMcCowan, L.en
dc.date.issued2013en
dc.identifier.citationEuropean Journal of Obstetrics Gynecology and Reproductive Biology, 2013; 167(2):149-153en
dc.identifier.issn0301-2115en
dc.identifier.issn1872-7654en
dc.identifier.urihttp://hdl.handle.net/2440/79463-
dc.description.abstractOBJECTIVE: Excessive gestational weight gain (GWG) is an important contributing factor to the obesity epidemic in women and is associated with pregnancy complications. We investigated the relationship between GWG and caesarean delivery in labour, large for gestational age (LGA), small for gestational age (SGA) infants and pregnancy-induced hypertension by maternal pre-pregnancy body mass index (BMI) in a contemporary nulliparous cohort. STUDY DESIGN: Using 2009 Institute of Medicine guidelines, participants in the SCOPE study (from Cork, Ireland, Auckland, New Zealand and Adelaide, Australia) were classified into GWG categories (low, normal and high) according to pre-pregnancy BMI. Maternal characteristics and pregnancy outcomes were compared between weight gain categories. SGA and LGA were defined as <10th and >90th customised birthweight centile. Multivariable analysis adjusted for confounding factors that impact on GWG including BMI. RESULTS: Of 1950 participants, 17.2% (n=335) achieved the recommended GWG, 8.6% (n=167) had low and 74.3% (n=1448) had high GWG. Women with high GWG had increased rates of LGA infants [adjusted OR 4.45 (95% CI 2.49-7.99)] and caesarean delivery in labour [aOR 1.46 (1.03-2.07)]. SGA was increased in women with low GWG [aOR 1.79 (1.06-3.00)]. CONCLUSION: Three quarters of participants had high GWG, which was associated with an independent risk of LGA infants and caesarean in labour. Low GWG was associated with SGA infants. These adverse outcomes are potentially modifiable by achievement of normal GWG, which should be an important focus of antenatal care.en
dc.language.isoenen
dc.publisherElsevier Sci Ireland Ltden
dc.rights© 2013 Elsevier Inc. All rights reserved.en
dc.subjectSCOPE Consortium; Humans; Pregnancy Complications; Obesity; Birth Weight; Weight Gain; Thinness; Body Mass Index; Pregnancy Outcome; Cesarean Section; Risk; Cohort Studies; Pregnancy; Adult; Infant, Newborn; Infant, Small for Gestational Age; South Australia; Ireland; New Zealand; Female; Overweight; Prenatal Nutritional Physiological Phenomena; Young Adulten
dc.titleGestational weight gain and adverse pregnancy outcomes in a nulliparous cohorten
dc.typeJournal articleen
dc.identifier.rmid0020126559en
dc.identifier.doi10.1016/j.ejogrb.2012.11.020en
dc.identifier.pubid20612-
pubs.library.collectionObstetrics and Gynaecology publicationsen
pubs.verification-statusVerifieden
pubs.publication-statusPublisheden
dc.identifier.orcidDekker, G. [0000-0002-7362-6683]en
Appears in Collections:Obstetrics and Gynaecology publications

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