HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Submit a response View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Carmichael, S Articles by Selvin, S Search for Related Content PubMed PubMed Citation Articles by Carmichael, S Articles by Selvin, S

The pattern of maternal weight gain in women with good pregnancy outcomes.

S Carmichael, B Abrams and S Selvin

Division of Public Health Biology and Epidemiology, University of California, Berkeley, USA.

OBJECTIVES: This study describes the pattern of maternal weight gain in women with good pregnancy outcomes and provides data to fill in the provisional weight-gain charts published by the Institute of Medicine (IOM) in 1990. METHODS: We selected 7002 women with good outcomes (defined by factors related to maternal and infant health) from the University of California, San Francisco, Perinatal Database. For each body mass index category, we compared percentiles of weight gain by trimester in women who achieved the IOM recommendations for total gain and those who did not. RESULTS: Trimester rates of gain varied by body mass index category and exceeded IOM guidelines in all groups. Forty percent of these women with good outcomes had total gains within the guidelines and provided data to complete the IOM weight-gain charts. CONCLUSIONS: Most women in this good-outcome sample would have been suspected of being at increased risk for poor outcome on the basis of their weight gain. This confirms the IOM recommendation that evaluation of the underlying causes of excessively high or low weight gain during pregnancy is necessary before appropriate interventions can be applied.

This article has been cited by other articles:

				A. Beyerlein and R. von Kries Reply to SA Lederman Am. J. Clinical Nutrition, March 1, 2010; 91(3): 821 - 822. [Full Text] [PDF]

				S. M. Nelson, P. Matthews, and L. Poston Maternal metabolism and obesity: modifiable determinants of pregnancy outcome Hum. Reprod. Update, December 4, 2009; (2009) dmp050v1. [Abstract] [Full Text] [PDF]

				A. Beyerlein, B. Schiessl, N. Lack, and R. von Kries Optimal gestational weight gain ranges for the avoidance of adverse birth weight outcomes: a novel approach Am. J. Clinical Nutrition, December 1, 2009; 90(6): 1552 - 1558. [Abstract] [Full Text] [PDF]

				A. L Deierlein, A. M. Siega-Riz, and A. Herring Dietary energy density but not glycemic load is associated with gestational weight gain Am. J. Clinical Nutrition, September 1, 2008; 88(3): 693 - 699. [Abstract] [Full Text] [PDF]

				J. A. Maloni, S. P. Margevicius, and E. G. Damato Multiple gestation: side effects of antepartum bed rest. Biol Res Nurs, October 1, 2006; 8(2): 115 - 128. [Abstract] [PDF]

				J. A. Maloni, G. R. Alexander, M. D. Schluchter, D. M. Shah, and S. Park Antepartum Bed Rest: Maternal Weight Change and Infant Birth Weight Biol Res Nurs, January 1, 2004; 5(3): 177 - 186. [Abstract] [PDF]

				B. Abrams, S. L Altman, and K. E Pickett Pregnancy weight gain: still controversial Am. J. Clinical Nutrition, May 1, 2000; 71(5): 1233S - 1241. [Abstract] [Full Text] [PDF]

				C. A Hickey Sociocultural and behavioral influences on weight gain during pregnancy Am. J. Clinical Nutrition, May 1, 2000; 71(5): 1364S - 1370. [Abstract] [Full Text] [PDF]

				R. S. Strauss and W. H. Dietz Low Maternal Weight Gain in the Second or Third Trimester Increases the Risk for Intrauterine Growth Retardation J. Nutr., May 1, 1999; 129(5): 988 - 993. [Abstract] [Full Text]