Pregnancy outcomes with weight gain above or below the 2009 institute of medicine guidelines

Julie Johnson*, Rebecca G. Clifton, James M. Roberts, Leslie Myatt, John C. Hauth, Catherine Y. Spong, Michael W. Varner, Ronald J. Wapner, John M. Thorp, Brian M. Mercer, Alan M. Peaceman, Susan M. Ramin, Philip Samuels, Anthony Sciscione, Margaret Harper, Jorge E. Tolosa, George Saade, Yoram Sorokin

*Corresponding author for this work

Research output: Contribution to journalArticle

121 Citations (Scopus)

Abstract

OBJECTIVE: To evaluate pregnancy outcomes according to 2009 Institute of Medicine (IOM) gestational weight gain guidelines. METHODS: This study is a secondary analysis of a pre-eclampsia prevention trial among nulliparas carrying singletons. Odds ratios and 95% confidence intervals (adjusted for maternal age, race, smoking, and treatment group) were calculated based on total weight gain below or above the IOM guidelines stratified by prepregnancy body mass index (BMI). The referent group was weight gain within the guidelines. RESULTS: Of 8,293 pregnancies, 9.5% had weight gain below, 17.5% within, and 73% above IOM guidelines. With excess weight gain, all BMI categories had an increased risk of hypertensive disorders; normal weight and overweight women also had increased risk of cesarean delivery and neonatal birth weight at or above the 90th centile but a decreased risk of weight below the 10th centile. There were no consistent associations with insufficient weight gain and adverse outcomes. CONCLUSION: Excess weight gain was prevalent and associated with an increased risk of hypertensive disorders, cesarean delivery, and large-for-gestational-age neonates.

Original languageEnglish (US)
Pages (from-to)969-975
Number of pages7
JournalObstetrics and gynecology
Volume121
Issue number5
DOIs
StatePublished - May 1 2013

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National Academies of Science, Engineering, and Medicine (U.S.) Health and Medicine Division
Pregnancy Outcome
Weight Gain
Guidelines
Body Mass Index
Weights and Measures
Maternal Age
Pre-Eclampsia
Birth Weight
Gestational Age
Smoking
Odds Ratio
Newborn Infant
Confidence Intervals
Pregnancy

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Johnson, J., Clifton, R. G., Roberts, J. M., Myatt, L., Hauth, J. C., Spong, C. Y., ... Sorokin, Y. (2013). Pregnancy outcomes with weight gain above or below the 2009 institute of medicine guidelines. Obstetrics and gynecology, 121(5), 969-975. https://doi.org/10.1097/AOG.0b013e31828aea03
Johnson, Julie ; Clifton, Rebecca G. ; Roberts, James M. ; Myatt, Leslie ; Hauth, John C. ; Spong, Catherine Y. ; Varner, Michael W. ; Wapner, Ronald J. ; Thorp, John M. ; Mercer, Brian M. ; Peaceman, Alan M. ; Ramin, Susan M. ; Samuels, Philip ; Sciscione, Anthony ; Harper, Margaret ; Tolosa, Jorge E. ; Saade, George ; Sorokin, Yoram. / Pregnancy outcomes with weight gain above or below the 2009 institute of medicine guidelines. In: Obstetrics and gynecology. 2013 ; Vol. 121, No. 5. pp. 969-975.
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abstract = "OBJECTIVE: To evaluate pregnancy outcomes according to 2009 Institute of Medicine (IOM) gestational weight gain guidelines. METHODS: This study is a secondary analysis of a pre-eclampsia prevention trial among nulliparas carrying singletons. Odds ratios and 95{\%} confidence intervals (adjusted for maternal age, race, smoking, and treatment group) were calculated based on total weight gain below or above the IOM guidelines stratified by prepregnancy body mass index (BMI). The referent group was weight gain within the guidelines. RESULTS: Of 8,293 pregnancies, 9.5{\%} had weight gain below, 17.5{\%} within, and 73{\%} above IOM guidelines. With excess weight gain, all BMI categories had an increased risk of hypertensive disorders; normal weight and overweight women also had increased risk of cesarean delivery and neonatal birth weight at or above the 90th centile but a decreased risk of weight below the 10th centile. There were no consistent associations with insufficient weight gain and adverse outcomes. CONCLUSION: Excess weight gain was prevalent and associated with an increased risk of hypertensive disorders, cesarean delivery, and large-for-gestational-age neonates.",
author = "Julie Johnson and Clifton, {Rebecca G.} and Roberts, {James M.} and Leslie Myatt and Hauth, {John C.} and Spong, {Catherine Y.} and Varner, {Michael W.} and Wapner, {Ronald J.} and Thorp, {John M.} and Mercer, {Brian M.} and Peaceman, {Alan M.} and Ramin, {Susan M.} and Philip Samuels and Anthony Sciscione and Margaret Harper and Tolosa, {Jorge E.} and George Saade and Yoram Sorokin",
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Johnson, J, Clifton, RG, Roberts, JM, Myatt, L, Hauth, JC, Spong, CY, Varner, MW, Wapner, RJ, Thorp, JM, Mercer, BM, Peaceman, AM, Ramin, SM, Samuels, P, Sciscione, A, Harper, M, Tolosa, JE, Saade, G & Sorokin, Y 2013, 'Pregnancy outcomes with weight gain above or below the 2009 institute of medicine guidelines', Obstetrics and gynecology, vol. 121, no. 5, pp. 969-975. https://doi.org/10.1097/AOG.0b013e31828aea03

Pregnancy outcomes with weight gain above or below the 2009 institute of medicine guidelines. / Johnson, Julie; Clifton, Rebecca G.; Roberts, James M.; Myatt, Leslie; Hauth, John C.; Spong, Catherine Y.; Varner, Michael W.; Wapner, Ronald J.; Thorp, John M.; Mercer, Brian M.; Peaceman, Alan M.; Ramin, Susan M.; Samuels, Philip; Sciscione, Anthony; Harper, Margaret; Tolosa, Jorge E.; Saade, George; Sorokin, Yoram.

In: Obstetrics and gynecology, Vol. 121, No. 5, 01.05.2013, p. 969-975.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Pregnancy outcomes with weight gain above or below the 2009 institute of medicine guidelines

AU - Johnson, Julie

AU - Clifton, Rebecca G.

AU - Roberts, James M.

AU - Myatt, Leslie

AU - Hauth, John C.

AU - Spong, Catherine Y.

AU - Varner, Michael W.

AU - Wapner, Ronald J.

AU - Thorp, John M.

AU - Mercer, Brian M.

AU - Peaceman, Alan M.

AU - Ramin, Susan M.

AU - Samuels, Philip

AU - Sciscione, Anthony

AU - Harper, Margaret

AU - Tolosa, Jorge E.

AU - Saade, George

AU - Sorokin, Yoram

PY - 2013/5/1

Y1 - 2013/5/1

N2 - OBJECTIVE: To evaluate pregnancy outcomes according to 2009 Institute of Medicine (IOM) gestational weight gain guidelines. METHODS: This study is a secondary analysis of a pre-eclampsia prevention trial among nulliparas carrying singletons. Odds ratios and 95% confidence intervals (adjusted for maternal age, race, smoking, and treatment group) were calculated based on total weight gain below or above the IOM guidelines stratified by prepregnancy body mass index (BMI). The referent group was weight gain within the guidelines. RESULTS: Of 8,293 pregnancies, 9.5% had weight gain below, 17.5% within, and 73% above IOM guidelines. With excess weight gain, all BMI categories had an increased risk of hypertensive disorders; normal weight and overweight women also had increased risk of cesarean delivery and neonatal birth weight at or above the 90th centile but a decreased risk of weight below the 10th centile. There were no consistent associations with insufficient weight gain and adverse outcomes. CONCLUSION: Excess weight gain was prevalent and associated with an increased risk of hypertensive disorders, cesarean delivery, and large-for-gestational-age neonates.

AB - OBJECTIVE: To evaluate pregnancy outcomes according to 2009 Institute of Medicine (IOM) gestational weight gain guidelines. METHODS: This study is a secondary analysis of a pre-eclampsia prevention trial among nulliparas carrying singletons. Odds ratios and 95% confidence intervals (adjusted for maternal age, race, smoking, and treatment group) were calculated based on total weight gain below or above the IOM guidelines stratified by prepregnancy body mass index (BMI). The referent group was weight gain within the guidelines. RESULTS: Of 8,293 pregnancies, 9.5% had weight gain below, 17.5% within, and 73% above IOM guidelines. With excess weight gain, all BMI categories had an increased risk of hypertensive disorders; normal weight and overweight women also had increased risk of cesarean delivery and neonatal birth weight at or above the 90th centile but a decreased risk of weight below the 10th centile. There were no consistent associations with insufficient weight gain and adverse outcomes. CONCLUSION: Excess weight gain was prevalent and associated with an increased risk of hypertensive disorders, cesarean delivery, and large-for-gestational-age neonates.

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U2 - 10.1097/AOG.0b013e31828aea03

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