Increase in normal placental weights related to increase in maternal body mass index
Abstract
OBJECTIVE: Reference values of normal placental weights are many decades old. Recently, a trend of increasing weights of normal placentas has been noted. We aimed to confirm this observation and to find any associated fetal and maternal factors. METHODS: Information on all live singleton deliveries that met our inclusion criteria was collected for the years 1995 and 2004 at Creighton University Medical Center in Omaha, Nebraska. This information was compared to the standards set forth in the older references. The Student's t-test and correlation-regression statistics were applied. RESULTS: The mean weight of the mature, term (37-42 weeks of gestation) placenta has increased significantly from 1995 to 2004 (499 g to 537 g, p = 0.02), as well as from the older standards (27% increase at 40 weeks of gestation). There has also been a significant increase in the maternal body mass index (BMI) from 1995 to 2004 (25.2 to 26.5, p = 0.02), which correlates with maternal weight gain during pregnancy, and fetal and placental weights. CONCLUSIONS: Normal placental weights have increased over the last decades and this may correlate with increasing maternal obesity. Further studies with larger populations are needed to confirm these findings.
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There are interactions between the current nutritional environment of the mother and her past nutritional history, as indicated by BMI and body composition, in determining placental phenotype.
“There are also interactions between the current nutritional environment of the mother and her past nutritional history, as indicated by her body mass index (BMI) and body composition, in determining placental phenotype (29,521,527,556).”
From Placental Origins of Chronic Disease (2016) · cites this paper as [521]
Cites
Reasons for Increasing Trends in Large for Gestational Age Births
Surkan, P. J., Hsieh, C.-C., Johansson, A. L. V., Dickman, P. W., & Cnattingius, S. (2004) · Obstetrics and Gynecology · doi:10.1097/01.aog.0000141442.59573.cd · Cited by 347 · see citing works
Molteni, R. A., Stys, S. J., & Battaglia, F. C. (1978) · PubMed · Cited by 200 · see citing works
Gestational weight gain among average-weight and overweight women — What is excessive?
Cogswell, M. E., Serdula, M. K., Hungerford, D. W., & Yip, R. (1995) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(95)90598-7 · Cited by 170 · see citing works
Kraus, F. T., Redline, R. W., Gersell, D. J., Nelson, D. M., & Dicke, J. M. (2004) · American Registry of PathologyWashington, DC eBooks · doi:10.55418/1881041891 · Cited by 169 · see citing works
Do placental weights have clinical significance?
Naeye, R. L. (1987) · Human Pathology · doi:10.1016/s0046-8177(87)80170-3 · Cited by 155 · see citing works
Atlas of Nontumor Pathology - Placental Pathology
Scheimberg, I. B., & Al‐Adnani, M. (2006) · The Obstetrician & Gynaecologist · doi:10.1576/toag.8.2.136.27241 · Cited by 52 · see citing works
Lombardi, D. G., Barton, J. R., O’Brien, J., Istwan, N. B., & Sibai, B. M. (2005) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2004.12.072 · Cited by 16 · see citing works
Updating reference values for placental weights in Northern Alberta
Dy, C., Chari, R. S., & Russell, L. (2004) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2004.02.023 · Cited by 14 · see citing works
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Weight Gain During Pregnancy: Reexamining the Guidelines
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Placental Origins of Chronic Disease
Burton, G. J., Fowden, A. L., & Thornburg, K. L. (2016) · Physiological Reviews · doi:10.1152/physrev.00029.2015 · Cited by 717 · see citing works
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Desforges, M., & Sibley, C. P. (2009) · The International Journal of Developmental Biology · doi:10.1387/ijdb.082765md · Cited by 182 · see citing works
Wallace, J. M., Horgan, G. W., & Bhattacharya, S. (2012) · Placenta · doi:10.1016/j.placenta.2012.05.006 · Cited by 163 · see citing works
Zhu, M. J., Ma, Y., Long, N. M., Du, M., & Ford, S. P. (2010) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.00309.2010 · Cited by 137 · see citing works
Higgins, L. E., Greenwood, S. L., Wareing, M., Sibley, C. P., & Mills, T. A. (2010) · Placenta · doi:10.1016/j.placenta.2010.09.019 · Cited by 112 · see citing works
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Farley, D. R., Tejero, M. E., Comuzzie, A. G., Higgins, P. B., Cox, L. A., Werner, S. L., Jenkins, S. L., Li, C., Choi, J., Dick, E. J., et al. (2009) · Placenta · doi:10.1016/j.placenta.2009.06.007 · Cited by 103 · see citing works
Jayabalan, N., Nair, S., Nuzhat, Z., Rice, G. E., Zuñiga, F. A., Sobrevía, L., Leiva, A., Sanhueza, C., Gutiérrez, J., Lappas, M., et al. (2017) · Frontiers in Endocrinology · doi:10.3389/fendo.2017.00239 · Cited by 102 · see citing works
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Acosta, O., Ramirez, V. I., Lager, S., Gaccioli, F., Dudley, D. J., Powell, T. L., & Jansson, T. (2015) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2014.08.009 · Cited by 102 · see citing works
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Badon, S. E., Dyer, A. R., & Josefson, J. L. (2014) · Obesity · doi:10.1002/oby.20742 · Cited by 60 · see citing works
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L’Abée, C., Vrieze, I., Kluck, T., Erwich, J. J., Stolk, R. P., & Sauer, P. J. J. (2010) · Journal of Perinatal Medicine · doi:10.1515/jpm.2010.119 · Cited by 48 · see citing works
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Liu, Y., Wang, Y., Wang, C., Shi, R., Zhou, X., Li, Z., Sun, W., Zhao, L., & Yuan, L. (2021) · Placenta · doi:10.1016/j.placenta.2021.01.020 · Cited by 22 · see citing works
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Placental weight and neurologic outcome in the infant: a review
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Lamberto, F., Peral-Sanchez, I., Muenthaisong, S., Zana, M., Willaime‐Morawek, S., & Dinnyés, A. (2021) · Genes · doi:10.3390/genes12101564 · Cited by 24 · see citing works
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Placental size at gestational week 36: Comparisons between ongoing pregnancies and deliveries
Peterson, H. F., Eskild, A., Sommerfelt, S., & Hillestad, V. (2023) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.1111/aogs.14700 · Cited by 4 · see citing works
Position statement of Italian Society of Obesity (SIO): Gestational Obesity
Barrea, L., Camastra, S., Garelli, S., Guglielmi, V., Manco, M., Velluzzi, F., Barazzoni, R., Verde, L., & Muscogiuri, G. (2024) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-024-01688-y · Cited by 4 · see citing works
Christensen, S. H., Rom, A. L., Greve, T., Lewis, J. I., Frøkiær, H., Allen, L. H., Mølgaard, C., Renault, K. M., & Michaelsen, K. F. (2023) · Frontiers in Nutrition · doi:10.3389/fnut.2023.1223753 · Cited by 3 · see citing works
Clemente, O., Sandoval, C., López-González, Á. J., & González, L. (2013) · Cited by 3 · see citing works
The placental roots of cardiovascular disease
Thornburg, K. L. R., O'Tierney, P. F., Morgan, T. K., & Louey, S. (2010) · Cambridge University Press eBooks · doi:10.1017/cbo9780511933806.017 · Cited by 2 · see citing works
Impact of Obesity on Uteroplacental Immunology and Placental Pathology
Morgan, T. K. (2016) · NeoReviews · doi:10.1542/neo.17-2-e70 · Cited by 2 · see citing works
Current awareness in prenatal diagnosis
John Wiley & Sons, L. (2008) · Prenatal Diagnosis · doi:10.1002/pd.1859 · Cited by 1 · see citing works
Jensen, I. K. B., Kummer, D., Roland, C. B., Siwetz, M., Knudsen, S. D. P., Jessen, A. D., Bendix, J. M., Mølsted, S., Desoyé, G., Stallknecht, B. M., et al. (2026) · Placenta · doi:10.1016/j.placenta.2026.03.018 · Cited by 1 · see citing works
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Morgan, T. K., Frias, A. E., O’Tierney-Ginn, P., & Thornburg, K. L. R. (2014) · Elsevier eBooks · doi:10.1016/b978-0-12-386456-7.05010-3 · Cited by 1 · see citing works
Alyafei, F., Soliman, A. T., Sanctis, V. D., Qubasi, M. A., Olukade, T. O., Alaaraj, N., Hamed, N., Ahmed, S., Soliman, N. A., & Yassin, D. K. (2023) · PubMed Central · doi:10.23750/abm.v94i4.14434 · Cited by 1 · see citing works
Obesity, insulin resistance, and placental dysfunction—fetal growth
Beloushi, M. A., Doshani, A., & Konje, J. (2020) · Obesity and Obstetrics · doi:10.1016/b978-0-12-817921-5.00020-5 · Cited by 1 · see citing works
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Doshani, A., & Konje, J. (2013) · Elsevier eBooks · doi:10.1016/b978-0-12-416045-3.00019-4
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Vandermeulen, J. (2009) · QSpace (Queen's University Library)
Kumar, S., Rana, P., & Razdan, S. K. (2021) · Indian Journal of Clinical Anatomy and Physiology · doi:10.18231/j.ijcap.2021.029
- Authors
- Swanson, L. D., Bewtra, C., Swanson, L. D., & Bewtra, C.
- Venue
- The Journal of Maternal-Fetal & Neonatal Medicine
- Publisher
- Informa UK Limited
- Published
- 2008-01
- Volume
- 21
- Issue
- 2
- Pages
- 111-113
- ISSN
- 1476-4954 (ISSN-L)
- 1476-7058
- OpenAlex
- W2015675287
- Cited by
- 52
- References
- 8
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 4 · 2022: 1 · 2021: 3 · 2020: 1 · 2019: 2 · 2018: 2 · 2017: 1 · 2016: 5 · 2015: 2 · 2014: 5 · 2013: 3 · 2012: 6
- FWCI
- 5.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Maternal-Fetal & Neonatal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Keywords
- placental weight, maternal body mass index, maternal obesity, gestational weight gain, fetal weight, term singleton pregnancy, reference values
- MeSH terms
- Female, Gestational Age, Humans, Organ Size, Placenta, Pregnancy, Weight Gain, Body Mass Index, Fetal Weight
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