IJERPH, Vol. 21, Pages 147: The Impact of Higher Than Recommended Gestational Weight Gain on Fetal Growth and Perinatal Risk Factors & mdash;The IOM Criteria Reconsidered

IJERPH, Vol. 21, Pages 147: The Impact of Higher Than Recommended Gestational Weight Gain on Fetal Growth and Perinatal Risk Factors—The IOM Criteria Reconsidered International Journal of Environmental Research and Public Health doi: 10.3390/ijerph21020147 Authors: Sylvia Kirchengast Josef Fellner Julia Haury Magdalena Kraus Antonia Stadler Teresa Schöllauf Beda Hartmann A too-high gestational weight gain, in combination with steadily increasing obesity rates among women of reproductive age, represents an enormous obstetrical problem, as obesity and high gestational weight gain are associated with enhanced fetal growth, low vital parameters, and increased cesarean section rates. This medical record-based study investigates the association patterns between too-low as well as too-high gestational weight gain, according to the 2009 Institute of Medicine (IOM) guidelines, and fetal growth, as well as birth mode and pregnancy outcome. The data of 11,755 singleton births that had taken place between 2010 and 2020 at the Public Clinic Donaustadt in Vienna, Austria, were analyzed. Birth weight, birth length, head circumference, APGAR scores, and pH values of the arterial umbilical cord blood described fetal growth as well as the vital parameters after birth. Gestational weight gain was classified as too low, recommended, or too high according to the different weight status categories of the IOM guidelines. Birth weight, birth length, and head circumfere...
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Article Source Type: research