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Maternal pre-pregnancy underweight and fetal growth in relation to institute of medicine recommendations for gestational weight gain (CROSBI ID 618279)

Prilog sa skupa u zborniku | sažetak izlaganja sa skupa | međunarodna recenzija

Jeric, Milka ; Roje, Damir ; Medic, Nina ; Strinic, Tomislav ; Mestrovic, Zoran ; Vulic, Marko Maternal pre-pregnancy underweight and fetal growth in relation to institute of medicine recommendations for gestational weight gain // Journal of Maternal-Fetal and Neonatal Medicine. 2014

Podaci o odgovornosti

Jeric, Milka ; Roje, Damir ; Medic, Nina ; Strinic, Tomislav ; Mestrovic, Zoran ; Vulic, Marko

engleski

Maternal pre-pregnancy underweight and fetal growth in relation to institute of medicine recommendations for gestational weight gain

Maternal nutritional status is one of the most important factors of fetal growth and development. Consequently, the currently increasing prevalence of underweight women worldwide has come in the focus of interest of perinatal medicine. The aim of the study was to assess the effect of low pre- pregnancy body mass index (BMI) on fetal growth. MATERIALS AND METHODS: Data on 4678 pregnant women and their neonates were retrospectively analyzed. Pre- pregnancy BMI of study women was categorized according to the WHO standards. Fetal growth was assessed by birth weight and birth length, birth weight for gestational age, and ponderal index. RESULTS: Study group included 351 (7.6%) women with pregestational BMI<18.5kg/m(2), while all women with pregestational BMI 18.5- 25kg/m(2) (n=3688 ; 78.8%) served as a control group. The mean birth weight and birth length of neonates born to underweight mothers were by 167g and 0.8cm lower in comparison with the neonates born to mothers of normal nutritional status, respectively (P<0.001 both). The prevalence of small for gestational age (SGA) births was twofold that found in the control group of mothers of normal nutritional status (9.7% vs. 4.9% ; P<0.001). The inappropriately low gestational weight gain additionally increased the rate of SGA infants in the group of mothers with low pre-pregnancy BMI (21.4% vs. 10.4% ; P=0.02). Pre-pregnancy BMI category did not influence neonatal growth symmetry. CONCLUSION: Low maternal pregestational BMI is associated with fetal growth assessment. Improvement of the maternal nutritional status before pregnancy can increase the likelihood of perinatal outcome

Body mass index (BMI); Underweight; Fetal growth; Small for gestational age; Ponderal index; Maternal weight gain

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Podaci o prilogu

2014.

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objavljeno

Podaci o matičnoj publikaciji

Journal of Maternal-Fetal and Neonatal Medicine

Podaci o skupu

XXIV European Congress of Perinatal Medicine

predavanje

04.06.2014-07.06.2014

Firenca, Italija

Povezanost rada

Kliničke medicinske znanosti