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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BackgroundInfluential
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“[31] also confirm that limited or no weight gain in obese pregnant women has favourable pregnancy outcomes.”
Background
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The Impact of Maternal Obesity and Excessive Gestational Weight Gain on Maternal and Infant Outcomes in Maine: Analysis of Pregnancy Risk Assessment Monitoring System Results from 2000 to 2010
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“In a study of 120,251 obese women using the Missouri-linked birth certifi cate registry, a GWG of 15 lb (6.8 kg) was associated with a lower risk of pre-eclampsia, caesarean section and large for gestational age, but with a higher risk of small-for-gestational age births (Kiel et al. 2007).”
BackgroundInfluential
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BackgroundResult
Significant Correlation Between Maternal Body Mass Index at Delivery and in the Second Trimester, and Second Trimester Circulating Total Cell-free DNA Levels
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“Furthermore, different studies showed that a reduced weight gain in obese women has, on the whole, a protective effect for gestational age births and caesarean delivery.(10) This large-scale analysis of circulating cff DNA concentrations in pregnancies from the second trimester using 2 Y chromosome-specific real-time…”
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Should Obese Women Gain Less Weight in Pregnancy Than Recommended?
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“Comparable to our study, previous studies have also shown an increased risk of SGA with inadequate weight gain among obesity class I women, but not class II/III women (15,25).”
BackgroundResultInfluential
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Hypertension in Pregnancy
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“Previous North American studies showed that only 30–44% of pregnant women gained weight within the recommended ranges of the 1990 IOM guidelines, 20–34% gained less weight and 36–44% had excessive weight gain (Caulfield et al.,1996; Hickey et al., 1997; Schieve et al., 1998; DeVader et al., 2007; Kiel et al., 2007).”
Background
The Effect of Obesity on Pregnancy and its Outcome in the Population of Oman, Seeb Province
Al-Hakmani, F., Al-Fadhil, F. A., Al-Balushi, L. H., Al-Harthy, N. A., Al-Bahri, Z. A., Al-Rawahi, N. A., Al-Dhanki, M. S., Masoud, I., Afifi, N., Al-Alawi, A., et al. (2016) · Oman Medical Journal · doi:10.5001/omj.2016.03 · Cited by 29
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Feghali, M. N., Catov, J. M., Zantow, E. W., Mission, J. F., Caritis, S. N., & Scifres, C. (2019) · Obstetrics and Gynecology · doi:10.1097/aog.0000000000003234 · Cited by 29
Epigenetic Programming and Risk: The Birthplace of Cardiovascular Disease?
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Background
Gestational weight gain and rate of late-onset preeclampsia: a retrospective analysis on 57 000 singleton pregnancies in Reunion Island
Robillard, P., Dekker, G., Boukerrou, M., Boumahni, B., Hulsey, T. C., & Scioscia, M. (2020) · BMJ Open · doi:10.1136/bmjopen-2019-036549 · Cited by 29
An evaluation of whether a gestational weight gain of 5 to 9 kg for obese women optimizes maternal and neonatal health risks
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A Behavioral Intervention to Reduce Excessive Gestational Weight Gain
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Weight control program for obese pregnant women
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“In another such study from the USA, limited or no weight gain in obese pregnant women was associated with favorable pregnancy outcomes (7).”
Background
Maternal Weight Gain and Correlation with Birth Weight Infants
Lumbanraja, S. N., Lutan, D., & Usman, I. K. B. (2013) · Procedia - Social and Behavioral Sciences · doi:10.1016/j.sbspro.2013.10.383 · Cited by 30

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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