科研之友
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摘要
BACKGROUND: Pre-pregnancy weight and gestational weight gain (GWG) are important factors in both maternal and infant outcomes. Little information is available in relation to different levels of pre-pregnancy body mass index (BMI) and body weight gain on obstetric outcomes in Taiwan. This study investigated the associations between pregnancy complications with pre-pregnant BMI and GWG, in Taiwanese women. METHODS: Data were extracted from a delivery room information bank on all women delivering singleton babies in a medical center. Eight hundred and sixty pregnant women were included. The collected variables included basic information, GWG, and pregnancy and neonatal outcomes. Pregnant women were categorized according to their pre-pregnant BMI and GWG to evaluate the impacts of pre-pregnant BMI and maternal weight gain on the risk of pregnancy complications. Univariate and multivariable logistic regression analyses were performed, and odds ratios were calculated. RESULTS: Pre-pregnancy BMI %26gt;= 24 kg/m(2) increased the risks of gestational diabetes mellitus, pre-eclampsia, and preterm labor. Preeclampsia and Cesarean delivery were positively associated with high weight gains (%26gt;18 kg), whereas a low birth weight and preterm labor were strongly associated with low weight gains (%26lt;10 kg). A higher birth weight was found with a GWG of %26gt;14 kg in women who were underweight and normal weight before pregnancy. CONCLUSION: An appropriate maternal BMI (18.5-24 kg/m(2)) at conception followed by a suitable gestational weight gain (10-14 kg) has substantial impact on the overall health of pregnant women and would lead to better obstetric management for Taiwanese women.
