NDLI: Associations between the pre-pregnancy body mass index and gestational weight gain with pregnancy outcomes in Japanese women.

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Associations between the pre-pregnancy body mass index and gestational weight gain with pregnancy outcomes in Japanese women.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Tanaka, Tomohito Ashihara, Keisuke Nakamura, Michihiko Kanda, Takayoshi Fujita, Daisuke Yamashita, Yoshiki Terai, Yoshito Kamegai, Hideki Ohmichi, Masahide
Description	Country affiliation: Japan Author Affiliation: Tanaka T ( Department of Obstetrics and Gynecology, National Hospital Organization Osaka Minami Medical Center, Kawachinagano, Japan)
Abstract	AIM: To examine the associations between the pre-pregnancy body mass index (BMI) and gestational weight gain (GWG) with pregnancy outcomes in Japanese women. METHODS: The medical records of 1883 Japanese women who delivered singleton infants from January 2010 to January 2013 at Osaka-Minami Medical Center were retrospectively reviewed. We use the BMI classification which the World Health Organization defined for Asian populations and the GWG classified based on the current 2009 Institute of Medicine (IOM) recommendations. The odds ratio (OR) of each of the groups for the different pregnancy outcomes were compared to the recommended group using a logistic regression analysis adjusted by age, gestational weeks, parity, weight gain, mode of delivery, pregnancy induced hypertension (PIH) and gestational diabetes mellitus. RESULTS: Women who were obese (BMI, ≥25 kg/m(2) ) and overweight (BMI, 23-24.9 kg/m(2) ) had a higher rate of developing PIH (adjusted OR, 6.68 and 3.21 [95% confidence interval [CI], 3.31-13.3 and 1.29-7.24]). In contrast, GWG exhibited a correlation with the weight of the infant. The inadequate GWG group had a higher rate of small-for-gestational age (SGA) infants (adjusted OR, 1.72 [95% CI, 1.22-2.46]). The rate of emergency cesarean section was not significantly different between the groups. CONCLUSION: A pre-pregnancy BMI less than 23 kg/m(2) is desirable to prevent Japanese women from developing PIH. GWG within the IOM recommendations also reduced the risk of PIH and SGA.
File Format	HTM / HTML
ISSN	13418076
Issue Number	5
Volume Number	40
e-ISSN	14470756
Journal	Journal of Obstetrics and Gynaecology Research
Language	English
Publisher	Wiley
Publisher Date	2014-05-01
Publisher Place	Australia
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Obstetrics Discipline Gynecology Body Mass Index Weight Gain Adult Birth Weight Diabetes, Gestational Etiology Female Humans Hypertension, Pregnancy-induced Infant, Newborn Logistic Models Pregnancy Pregnancy Outcome Retrospective Studies Journal Article
Content Type	Text
Resource Type	Article
Subject	Obstetrics and Gynecology

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