Family Med Medical News about Gestational Age Weight Gain Pregnancy

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Pregnancy outcomes related to gestational weight gain in women defined by their body mass index, parity, height, and smoking status
American Journal of Clinical Nutrition, 09/17/09

Nohr EA et al. – The risk of SGA decreased with increasing GWG in both parity groups, but SGA risk <10% was reached at 2–3 GWG categories lower in multiparae than in primiparae. An excess risk of LGA was present only in obese primiparae and multiparae, but the PPWR risk increased with increasing GWG irrespective of BMI and parity. Young primiparae had better outcomes than other primiparae. Short women had a higher risk of emergency cesarean delivery that varied minimally with GWG. Smokers had a higher SGA risk and had a PPWR risk similar to that of nonsmokers. The tradeoff in risk between mother and infant is reached at lower gestational weight gain (GWG) in multiparae than in primiparae; therefore, a lower GWG may be needed among multiparae. Differential guidelines seem unnecessary for short or young women or smokers.

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