Gestational weight gain and fetal growth in underweight women

Vincenzo Zanardo, Alessandro Mazza, Matteo Parotto, Giovanni Scambia, Gianluca Straface

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background: Despite the current obesity epidemic, maternal underweight remains a common occurrence with potential adverse perinatal outcomes. Methods: We aimed to investigate the relationship between weight gain during pregnancy, and fetal growth in underweight women with low and late fertility. Women body mass index (BMI), defined according to the World Health Organization's definition, gestational weight gain (GWG), defined by the Institute of Medicine and National Research Council and neonatal birth weight were prospectively collected at maternity ward of Policlinico Abano Terme (Italy) in 793 consecutive at term, uncomplicated deliveries. Results: Among those, 96 (12.1 %) were categorized as underweight (BMI < 18.5 kg/m2), 551 (69.5 %) as normal weight, 107 (13.4 %) as overweight, and 39 (4.9 %) as obese, respectively. In all mother groups, GWG was within the range recommended by IOM 2009 guidelines. However, underweight women gained more weight in pregnancy (12.8 ± 3.9 kg) in comparison to normal weight (12.3 ± 6.7 kg) and overweight (11.0 ± 4.7 kg) women and their GWG was significantly higher (p < 0.001) with respect to obese women 5.8 ± 6.1 kg). In addition, offspring of underweight women were comparable in size at birth to offspring of normal weight women, whereas they were significantly lighter to offspring of both overweight and obese women. Conclusions: Pre-pregnancy underweight does not impact birth weight of healthy, term neonates in presence of normal GWG. Presumably, medical or personal efforts to reach 'optimal' GWG could be a leading choice for many women living in industrialized and in low-income countries.
Original languageEnglish
Pages (from-to)1-6
Number of pages6
JournalTHE ITALIAN JOURNAL OF PEDIATRICS
Volume42
DOIs
Publication statusPublished - 2016

Keywords

  • BMI
  • Fetal growth
  • GWG
  • Gestational weight gain
  • Pediatrics, Perinatology and Child Health
  • Pre-pregnancy body mass index
  • Underweight women

Fingerprint

Dive into the research topics of 'Gestational weight gain and fetal growth in underweight women'. Together they form a unique fingerprint.

Cite this