Trimester-Specific and Total Gestational Weight Gain in Two Consecutive Pregnancies
| Autor: | Anne-Sophie Plante, S. John Weisnagel, Anne-Sophie Morisset, Charlie Cloutier-Langevin, Claudia Savard, Félix Camirand Lemyre, Julie Robitaille, Audrée Lebrun |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Weight Gain Body Mass Index 03 medical and health sciences 0302 clinical medicine Pregnancy medicine Humans 030212 general & internal medicine Retrospective Studies 030219 obstetrics & reproductive medicine Obstetrics business.industry Weight change First pregnancy Infant Obstetrics and Gynecology Retrospective cohort study medicine.disease Gestational Weight Gain Second pregnancy Gestation Female Pregnancy Trimesters Pregnant Women medicine.symptom business Body mass index Weight gain |
| Zdroj: | Journal of Obstetrics and Gynaecology Canada. 43:483-489.e3 |
| ISSN: | 1701-2163 |
| DOI: | 10.1016/j.jogc.2020.12.009 |
| Popis: | This retrospective study aimed to characterize trimester-specific and total gestational weight gain (GWG) over the course of two consecutive pregnancies, as well as maternal determinants associated with interpregnancy weight change (IPWC) and excessive GWG in the second pregnancy.We analyzed the electronic medical records of women who delivered their first two consecutive infants at term between 2001 and 2017.Weight gain trajectories differed between the first and second pregnancy for the 1497 women included in this study, with lower second- and third-trimester weight gain in the second pregnancy. Respectively, 53% and 41% of women had excessive GWG in the first and second pregnancies, with a higher proportion of excessive GWG found in women with a higher body mass index (BMI). Most women (55%) experienced interpregnancy weight gain. Maternal determinants of IPWC were BMI before first pregnancy, first-trimester and total GWG in the first pregnancy, and interpregnancy interval (P0.0001). Maternal risk factors associated with excessive GWG in the second pregnancy were excessive total GWG in the first pregnancy (OR 6.23; 95% CI 4.67-8.32), interpregnancy weight gain (OR 1.58; 95% CI 1.19-2.09), and interpregnancy interval (OR 1.18; 95% CI 1.07-1.29) as well as BMI before the second pregnancy (OR 1.04, 95% CI 1.02-1.07).Weight gain trajectories differ between consecutive pregnancies. GWG in the first pregnancy is a key determinant for IPWC and GWG in the second pregnancy. |
| Databáze: | OpenAIRE |
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