ArticleBMC pregnancy and childbirth2015
Gestational weight gain among American Samoan women and its impact on delivery and infant outcomes.
Article in BMC pregnancy and childbirth, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.
- Preterm birth among Pacific Islanders in the United States and the US-affiliated Pacific Islands: A systematic review and meta-analysis.Birth (Berkeley, Calif.) · 2023Pooled it
- A group prenatal care intervention reduces gestational weight gain and gestational diabetes in American Samoan women.Obesity (Silver Spring, Md.) · 2024Trial
- Multilevel factors influencing child overweight and obesity in the Pacific Islands.The Lancet regional health. Western Pacific · 2026Review
- Neonatal mortality among disaggregated Asian American and Native Hawaiian/Pacific Islander populations.Journal of perinatology : official journal of the California Perinatal Association · 2025Article
- Antenatal health and perinatal outcomes of Pacific Islander women in Australia with and without gestational diabetes: A ten-year retrospective cohort study.The Australian & New Zealand journal of obstetrics & gynaecology · 2024Article
- Providers' Perspectives of a Culturally Adapted CenteringPregnancy Intervention for Marshallese Women in Arkansas.Nursing for women's health · 2024Article
- Maternal age-specific risks for adverse birth weights according to gestational weight gain: a prospective cohort in Chinese women older than 30.BMC pregnancy and childbirth · 2024Article
- Associations of primiparous pre-pregnancy body mass index and gestational weight gain with cesarean delivery after induction: a prospective cohort study.Frontiers in medicine · 2024Article
- Exploring the feasibility, acceptability, and preliminary effectiveness of a culturally adapted group prenatal program, CenteringPregnancy, to reduce maternal and infant health disparities among Marshallese Pacific Islanders: A study protocol.Contemporary clinical trials communications · 2023Article
- Global prevalence of preterm birth among Pacific Islanders: A systematic review and meta-analysis.PLOS global public health · 2023Article
- When women win, we all win-Call for a gendered global NCD agenda.FASEB bioAdvances · 2022Review
- Metabolic diversity in human populations and correlation with genetic and ancestral geographic distances.Molecular genetics and metabolism · 2022Article
- Dietary Patterns During Pregnancy and Their Association with Gestational Weight Gain and Anthropometric Measurements at Birth.Maternal and child health journal · 2022Article
- Gestational Diabetes Mellitus Prevalence, Screening, and Treatment Practices in American Samoa, 2016.Hawai'i journal of health & social welfare · 2022Article
- Dietary Practices during Pregnancy in a Marshallese Community: A Mixed Methods Analysis.International journal of environmental research and public health · 2022Article
- When husband migrate: effects of international migration of husbands on fetal outcomes, body mass index and gestational weight of female spouses that stay behind.BMC public health · 2022Article
- Article
- Plasma concentrations of leptin at mid-pregnancy are associated with gestational weight gain among pregnant women in Tanzania: a prospective cohort study.BMC pregnancy and childbirth · 2021Observational
- Using Community Based Research Frameworks to Develop and Implement a Church-Based Program to Prevent Diabetes and Its Complications for Samoan Communities in South Western Sydney.International journal of environmental research and public health · 2021Article
- A mixed-methods longitudinal study of Marshallese infant feeding beliefs and experiences in the United States: a study protocol.International breastfeeding journal · 2021Article
Corrections and comments
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Authors and funding
7 authors at 5 institutions in 3 countries.
Funding
Abstract
backgroundAs obesity has increased worldwide, so have levels of obesity during pregnancy and excess gestational weight gain (GWG). The aim of this paper was to describe GWG among American Samoan women and examine the association between GWG and four adverse pregnancy and infant outcomes: cesarean delivery, small- and large-for-gestational age (SGA/LGA), and infant overweight/obesity.
methodsData were extracted from prenatal care records of 632 Samoan women. Mixed-effects growth models were used to produce individual weight-for-gestational week curves from which second and third trimester weight gain was estimated. Binary logistic regression was used to examine associations between GWG and the outcomes of interest.
resultsMost women were overweight/obese in early pregnancy (86%) and 78% exceeded the Institute of Medicine GWG guidelines. Greater GWG in the second trimester and early pregnancy weight were independently associated with increased odds of a c-section (OR 1.40 [95% CI: 1.08, 1.83]) and OR 1.51 [95% CI: 1.17, 1.95], respectively). Risk of delivering a LGA infant increased with greater third trimester weight gain and higher early pregnancy weight, while second trimester weight gain was negatively associated with SGA. Risk of infant overweight/obesity at 12 months increased with early pregnancy weight (OR: 1.23 [95% CI: 1.01, 1.51]) and infant birthweight.
conclusionsThe high levels of pregnancy obesity and excessive GWG in American Samoa suggest that it is important for physicians to encourage women into prenatal care early and begin education about appropriate GWG and the potential risks of excess weight gain for both the mother and baby.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.