Excessive Gestational Weight Gain and Pregnancy Outcomes
Abstract
1. Introduction
2. Materials and Methods
Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Variable | N | Mean | SD | Median | Minimum | Maximum |
---|---|---|---|---|---|---|
Age | 10,319 | 29.0 | 5.18 | 29.0 | 14.5 | 51.1 |
Height (cm) | 10,093 | 165.9 | 5.89 | 165.0 | 139.0 | 198.0 |
First gynecological visit (weeks of pregnancy) | 4309 | 6.6 | 3.25 | 6.0 | 1.0 | 40.0 |
Weight before pregnancy | 7259 | 62.7 | 11.62 | 60.0 | 34.9 | 162.0 |
Weight before delivery | 7259 | 77.5 | 12.75 | 75.5 | 43.5 | 180.0 |
Characteristics | Weight Gain During Pregnancy | p-Value | |||||
---|---|---|---|---|---|---|---|
Total | Adequate | Excessive | |||||
N | % | N | % | N | % | ||
BMI before pregnancy (WHO norms) | <0.05 | ||||||
underweight (<18.5 kg/m2) | 647 | 9.0% | 646 | 9.1% | 1 | 1.2% | |
healthy weight range (18.5–24.9 kg/m2) | 4922 | 68.6% | 4917 | 69.4% | 5 | 6.0% | |
Overweight (25.0–29.9 kg/m2) | 1207 | 16.8% | 1178 | 16.6% | 29 | 34.5% | |
Obesity (≥30 kg/m2) | 394 | 5.5% | 345 | 4.9% | 49 | 58.3% | |
BMI before pregnancy (IOM norms) | <0.05 | ||||||
underweight (<19.8 kg/m2) | 1542 | 21.5% | 1541 | 21.8% | 1 | 1.2% | |
healthy weight range (19.8–26.0 kg/m2) | 4461 | 62.2% | 4456 | 62.9% | 5 | 6.0% | |
Overweight (26.1–29.0 kg/m2) | 614 | 8.6% | 612 | 8.6% | 2 | 2.4% | |
Obesity (>29 kg/m2) | 550 | 7.7% | 474 | 6.7% | 76 | 90.5% |
Weight Gain | N | % |
---|---|---|
Adequate | 7086 | 98.8% |
Excessive | 84 | 1.2% |
Total | 7170 | 100.0% |
Weight Gain | N | Mean | SD | Median | Minimum | Maximum | p |
---|---|---|---|---|---|---|---|
Adequate Excessive | 6847 | 3440.6 | 483.90 | 3450.0 | 380.0 | 5660.0 | <0.05 |
83 | 3687.3 | 600.66 | 3670.0 | 2115.0 | 5220.0 |
Variable | Weight Gain during Pregnancy | p-Value | |||
---|---|---|---|---|---|
Adequate | Excessive | ||||
N | % | N | % | ||
Type of labor | <0.05 | ||||
Vaginal | 2971 | 63.5% | 25 | 39.1% | |
Cesarean section | 1657 | 35.4% | 39 | 60.9% | |
Assisted (forceps, vacuum) | 54 | 1.2% | 0 | 0.0% | |
PROM | 0.694 | ||||
No | 3062 | 65.6% | 41 | 63.1% | |
Yes | 1605 | 34.4% | 24 | 36.9% | |
Labor induction | 0.415 | ||||
No | 3311 | 70.4% | 49 | 75.4% | |
Yes | 1391 | 29.6% | 16 | 24.6% | |
PIH | <0.05 | ||||
No | 6593 | 96.5% | 66 | 82.5% | |
Yes | 239 | 3.5% | 14 | 17.5% | |
Hospitalization in pregnancy | <0.05 | ||||
No | 2892 | 62.7% | 30 | 47.6% | |
Yes | 1722 | 37.3% | 33 | 52.4% | |
Apgar score in 1st min. | <0.05 | ||||
8–9 | 6227 | 94.8% | 69 | 87.3% | |
0–7 | 340 | 5.2% | 10 | 12.7% | |
Apgar score in 10th min. | 0.158 | ||||
8–9 | 4622 | 98.8% | 57 | 96.6% | |
0–7 | 55 | 1.2% | 2 | 3.4% |
Variables | Odds Ratio | 95% Confidence Interval | p-Value | |
---|---|---|---|---|
Lower | Upper | |||
Low birthweight (<2500 g) | 0.93 | 0.23 | 3.79 | 0.914 |
Birthweight > 4500 g | 6.92 | 3.10 | 15.42 | <0.05 |
Cesarean section or assisted delivery | 2.71 | 1.63 | 4.49 | <0.05 |
PROM | 1.12 | 0.67 | 1.85 | 0.670 |
Induced labor | 0.78 | 0.44 | 1.37 | 0.384 |
PIH | 5.85 | 3.24 | 10.57 | <0.05 |
Diabetes | 1.69 | 0.68 | 4.22 | 0.258 |
Hospitalization in pregnancy | 1.85 | 1.12 | 3.04 | <0.05 |
Apgar score in 1st min. | 2.65 | 1.36 | 5.20 | <0.05 |
Apgar score in 10th min. | 2.95 | 0.70 | 12.38 | 0.140 |
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Goławski, K.; Giermaziak, W.; Ciebiera, M.; Wojtyła, C. Excessive Gestational Weight Gain and Pregnancy Outcomes. J. Clin. Med. 2023, 12, 3211. https://doi.org/10.3390/jcm12093211
Goławski K, Giermaziak W, Ciebiera M, Wojtyła C. Excessive Gestational Weight Gain and Pregnancy Outcomes. Journal of Clinical Medicine. 2023; 12(9):3211. https://doi.org/10.3390/jcm12093211
Chicago/Turabian StyleGoławski, Ksawery, Wojciech Giermaziak, Michał Ciebiera, and Cezary Wojtyła. 2023. "Excessive Gestational Weight Gain and Pregnancy Outcomes" Journal of Clinical Medicine 12, no. 9: 3211. https://doi.org/10.3390/jcm12093211
APA StyleGoławski, K., Giermaziak, W., Ciebiera, M., & Wojtyła, C. (2023). Excessive Gestational Weight Gain and Pregnancy Outcomes. Journal of Clinical Medicine, 12(9), 3211. https://doi.org/10.3390/jcm12093211