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MARGERISON ZILKO, CLAIRE E.
REHKOPF, DAVID
ABRAMS, BARBARA
Association of Maternal Gestational Weight Gain with Shortand Long-term Maternal and Child Health Outcomes
American Journal of Obstetrics and Gynecology 202,6 (June 2010):574.e1-574.e8. Also: http://www.ncbi.nlm.nih.gov/pubmed/20132923
Cohort(s): Children of the NLSY79, NLSY79
ID Number: 6325
Publisher: Elsevier

OBJECTIVE: The purpose of this study was to investigate the associations between gestational weight gain (GWG) and small- and large-for-gestational-age (SGA, LGA), cesarean delivery, child overweight, and maternal postpartum weight retention in a diverse sample of women in the Unites States.

STUDY DESIGN: We estimated associations between GWG (continuous and within categories defined by the Institute of Medicine), maternal prepregnancy body mass index, and each outcome in 4496 births in the National Longitudinal Survey of Youth 1979, which was a prospective cohort.

RESULTS: GWG (kilograms) was associated with decreased risk of SGA and increased risk of LGA, cesarean delivery, postpartum weight retention, and child overweight independent of maternal demographic and pregnancy characteristics. Gain above the Institute of Medicine guidelines was associated with decreased risk of SGA and increased risk of all other outcomes.

CONCLUSION: Excessive gain may have long-term consequences for maternal and child body size, but the benefits of lower gain must be balanced against risk of SGA. Copyright © 2010 Mosby, Inc. All rights reserved.


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