Gestational Weight Gain and Pregnancy Outcomes in Obese Women: How Much Is Enough?
Abstract
OBJECTIVE: To examine the effect of gestational weight change on pregnancy outcomes in obese women. METHODS: A population-based cohort study of 120,251 pregnant, obese women delivering full-term, liveborn, singleton infants was examined to assess the risk of four pregnancy outcomes (preeclampsia, cesarean delivery, small for gestational age births, and large for gestational age births) by obesity class and total gestational weight gain. RESULTS: Gestational weight gain incidence for overweight or obese pregnant women, less than the currently recommended 15 lb, was associated with a significantly lower risk of preeclampsia, cesarean delivery, and large for gestational age birth and higher risk of small for gestational age birth. These results were similar for each National Institutes of Health obesity class (30-34.9, 35-35.9, and 40.0 kg/m(2)), but at different amounts of gestational weight gain. CONCLUSION: Limited or no weight gain in obese pregnant women has favorable pregnancy outcomes.
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A weight gain of over 18 kg is associated with a twice higher risk of macrosomia.
“A weight gain of over 18 kg is associated with a twice higher risk of macrosomia [84,85].”
From Gestational Diabetes Mellitus—Recent Literature Review (2022) · cites this paper as [84]
Teen pregnancy has been demonstrated to be associated with low BMI and under-nutrition in a larger cohort in this same population.
“has been demonstrated to be associated with low BMI and under-nutrition in a larger cohort in this same population (63)”
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- Authors
- Kiel, D. W., Dodson, E. A., Artal, R., Boehmer, T. K., & Leet, T. L.
- Affiliations
- Saint Louis University (US)
- ORCID
- Boehmer, Tegan K.
- Venue
- Obstetrics & Gynecology
- Published
- 2007-10
- Volume
- 110
- Issue
- 4
- Pages
- 752-758
- ISSN
- 0029-7844 (ISSN-L)
- OpenAlex
- W2328935173
- Cited by
- 498
- References
- 15
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 7 · 2023: 6 · 2022: 18 · 2021: 13 · 2020: 13 · 2019: 23 · 2018: 24 · 2017: 78 · 2016: 26 · 2015: 30 · 2014: 28 · 2013: 45 · 2012: 32
- FWCI
- 38.94
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- gestational weight gain, maternal obesity, pregnancy outcomes, preeclampsia, cesarean section, small for gestational age, large for gestational age, overweight in pregnancy, obesity class
- MeSH terms
- Adolescent, Adult, Birth Weight, Cesarean Section, Female, Humans, Infant, Newborn, Infant, Small for Gestational Age, Missouri, Obesity, Pre-Eclampsia, Pregnancy, Pregnancy Complications, Pregnancy Outcome, Cohort Studies, Weight Gain
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