Restricting weight gain during pregnancy in Japan

A controversial factor in reducing perinatal complications

Hiroko Tsukamoto, Hideoki Fukuoka, Kazuko Inoue, Mieko Koyasu, Yasushi Nagai, Hidemi Takimoto

Research output: Contribution to journalArticle

45 Citations (Scopus)

Abstract

Objective: To evaluate the effectiveness of restricting weight gain during pregnancy to reduce perinatal complications. Study design: The study was conducted in the Tokyo metropolitan area, and reviewed 3071 mothers and their infants born from singleton pregnancies retrospectively. To examine the influence of increased maternal weight gain on perinatal complications, we performed five-category stratification for weight gain: less than 8.0, 8.0-10.0, 10.1-12.0, 12.1-14.0 and over 14.0 kg. Results: Total weight gains less than 8.0 kg significantly increased the risk of low birth weight (LBW) and small for gestational age (SGA) infants (OR = 2.19, 95% CI; 1.36-3.52, OR = 1.76, 95% CI; 1.23-2.51) and total weight gain over 14.0 kg significantly increased the risk of large for gestational age (LGA) infants and pregnancy induced hypertension (PIH) (OR = 3.06, 95% CI; 1.88-4.98, OR = 2.87, 95% CI; 1.86-4.42, respectively), compared with women with weight gain of 10.1-12.0 kg. The groups with weight gains of 8.0-10.0 kg and 12.1-14.0 kg did not show adverse perinatal outcomes, including gestational diabetes (GDM), cesarean delivery, postpartum hemorrhage and laceration, significantly different from the 10.1 to 12.0 kg gain group. Conclusion: Strict restriction of weight gain during pregnancy is not effective in reducing perinatal complications.

Original languageEnglish
Pages (from-to)53-59
Number of pages7
JournalEuropean Journal of Obstetrics Gynecology and Reproductive Biology
Volume133
Issue number1
DOIs
Publication statusPublished - 2007 Jul
Externally publishedYes

Fingerprint

Weight Gain
Japan
Pregnancy
Mothers
Small for Gestational Age Infant
Postpartum Hemorrhage
Pregnancy Induced Hypertension
Gestational Diabetes
Tokyo
Lacerations
Low Birth Weight Infant
Gestational Age

Keywords

  • Maternal weight gain
  • Perinatal complications
  • Prepregnancy body mass index (BMI)

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Reproductive Medicine

Cite this

Restricting weight gain during pregnancy in Japan : A controversial factor in reducing perinatal complications. / Tsukamoto, Hiroko; Fukuoka, Hideoki; Inoue, Kazuko; Koyasu, Mieko; Nagai, Yasushi; Takimoto, Hidemi.

In: European Journal of Obstetrics Gynecology and Reproductive Biology, Vol. 133, No. 1, 07.2007, p. 53-59.

Research output: Contribution to journalArticle

Tsukamoto, Hiroko ; Fukuoka, Hideoki ; Inoue, Kazuko ; Koyasu, Mieko ; Nagai, Yasushi ; Takimoto, Hidemi. / Restricting weight gain during pregnancy in Japan : A controversial factor in reducing perinatal complications. In: European Journal of Obstetrics Gynecology and Reproductive Biology. 2007 ; Vol. 133, No. 1. pp. 53-59.
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abstract = "Objective: To evaluate the effectiveness of restricting weight gain during pregnancy to reduce perinatal complications. Study design: The study was conducted in the Tokyo metropolitan area, and reviewed 3071 mothers and their infants born from singleton pregnancies retrospectively. To examine the influence of increased maternal weight gain on perinatal complications, we performed five-category stratification for weight gain: less than 8.0, 8.0-10.0, 10.1-12.0, 12.1-14.0 and over 14.0 kg. Results: Total weight gains less than 8.0 kg significantly increased the risk of low birth weight (LBW) and small for gestational age (SGA) infants (OR = 2.19, 95{\%} CI; 1.36-3.52, OR = 1.76, 95{\%} CI; 1.23-2.51) and total weight gain over 14.0 kg significantly increased the risk of large for gestational age (LGA) infants and pregnancy induced hypertension (PIH) (OR = 3.06, 95{\%} CI; 1.88-4.98, OR = 2.87, 95{\%} CI; 1.86-4.42, respectively), compared with women with weight gain of 10.1-12.0 kg. The groups with weight gains of 8.0-10.0 kg and 12.1-14.0 kg did not show adverse perinatal outcomes, including gestational diabetes (GDM), cesarean delivery, postpartum hemorrhage and laceration, significantly different from the 10.1 to 12.0 kg gain group. Conclusion: Strict restriction of weight gain during pregnancy is not effective in reducing perinatal complications.",
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