Cited by 498Gestational Diabetes Research and ManagementPregnancy and preeclampsia studiesMaternal and Neonatal Healthcare

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Gestational Weight Gain and Pregnancy Outcomes in Obese Women: How Much Is Enough?

Kiel, Deborah W., Dodson, Elizabeth A., Artal, Raul, Boehmer, Tegan K., Leet, Terry L.·2007·Obstetrics & Gynecology

DOI 10.1097/01.aog.0000278819.17190.87

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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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“The guidelines suggest an optimal weight gain range that is specific to pre-pregnancy BMIs, and this has been validated in various studies [15,19-22].”
Background
Associations of gestational weight loss with birth-related outcome: a retrospective cohort study
Beyerlein, A., Schießl, B., Lack, N., & von Kries, R. (2010) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2010.02761.x · Cited by 95
Newborn Size Among Obese Women With Weight Gain Outside the 2009 Institute of Medicine Recommendation
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Weight Loss in Obese Pregnant Women and Risk for Adverse Perinatal Outcomes
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“weight loss and SGA neonates.(15,16,19,20) The results of our study differ from the retrospective analysis of Catalano et al.”
MethodResult
Obesity in pregnancy: a retrospective prevalence-based study on health service utilisation and costs on the NHS
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“Some evidence, however, suggests that appropriate gestational weight gain for class II and III obese women may be lower than the current recommendation for all obese women [26–28].”
Background
Reliability and Validity of Birth Certificate Prepregnancy Weight and Height Among Women Enrolled in Prenatal WIC Program: Florida, 2005
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The relationship between prenatal exposure to BP-3 and Hirschsprung's disease
Huo, W., Cai, P. C., Chen, M., Li, H., Tang, J., Xu, C., Zhu, D., Tang, W., & Xia, Y. (2015) · Chemosphere · doi:10.1016/j.chemosphere.2015.09.019 · Cited by 82
Optimizing weight gain in pregnancy to prevent obesity in women and children
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Role of nutrition in the risk of preeclampsia
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“Current studies suggest that obese women gaining no or low gestational weight have better health outcomes [8].”
Background
Knowledge, Attitudes, and Beliefs Regarding Weight Gain During Pregnancy Among Hispanic Women
Tovar, A., Chasan‐Taber, L., Bermúdez, O. I., Hyatt, R. R., & Must, A. (2009) · Maternal and Child Health Journal · doi:10.1007/s10995-009-0524-8 · Cited by 77
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Background
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“Improper GWGs have been associated with a range of potentially adverse outcomes including preterm birth, small or large for gestational age infants, increased rates of cesarean delivery, and postpartum weight retention (Kiel et al., 2007; Viswanathan et al., 2008).”
Background
Racial differences in gestational weight gain and pregnancy-related hypertension
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“[12, 14, 19, 20, 24] Studies conducted in US populations have controlled for race,[16, 17, 21] or have been restricted to a specific racial/ethnic group[18, 22] or to only normal weight[16] or obese women.[21] They have not investigated the role of race in pregnancy-related hypertension and how other modifiable risk f…”
BackgroundResultInfluential
Intervention during pregnancy to reduce excessive gestational weight gain—a randomised controlled trial
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Dietary Restraint and Gestational Weight Gain
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Antenatal and postnatal depression in women with obesity: a systematic review
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Excessive Weight Gain among Obese Women and Pregnancy Outcomes
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“The risk of these complications, as well as medical expenses and days in the hospital, have been found to increase with increasing BMI (5,12,13).”
Background
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Fetal and Postnatal Growth and Body Composition at 6 Months of Age
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Background
Impact of Updated Institute of Medicine Guidelines on Prepregnancy Body Mass Index Categorization, Gestational Weight Gain Recommendations, and Needed Counseling
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Are early first trimester weights valid proxies for preconception weight?
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Effects of a Mindfulness-Based Intervention on Distress, Weight Gain, and Glucose Control for Pregnant Low-Income Women: A Quasi-Experimental Trial Using the ORBIT Model
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“The recommended gestational weight gain from IOM (12,13) within each pre-pregnancy BMI category is associated with more favorable birth outcomes (12,21) than if weight gain is above or below the suggested range (12,22).”
Background
Concordance between self-reported pre-pregnancy body mass index (BMI) and BMI measured at the first prenatal study contact
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Background

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
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2007-10
Volume: 110
Issue: 4
Pages: 752-758
ISSN: 0029-7844 (ISSN-L)
DOI: 10.1097/01.aog.0000278819.17190.87
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 › Medicine › Pediatrics, Perinatology and Child Health › 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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Gestational Weight Gain and Pregnancy Outcomes in Obese Women: How Much Is Enough?

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