Pregnancy Outcomes With Weight Gain Above or Below the 2009 Institute of Medicine Guidelines

• DOI: 10.1097/aog.0b013e31828aea03
• Publication Date: 2013-04-06T14:42:30Z
• Authors: 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
• Keywords: 2. Zero hunger; Body Weight; Pregnancy Outcome; Weight Gain; 3. Good health; Young Adult; 03 medical and health sciences; 0302 clinical medicine; Pregnancy; Practice Guidelines as Topic; Humans; Female; Prospective Studies

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