ArticlePloS one2019
Inadequate maternal weight gain in the third trimester increases the risk of intrauterine growth restriction in rural Bangladesh.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Maternal dietary diversity during pregnancy and risk of low birth weight in newborns: a systematic review.Public health nutrition · 2021Pooled it
- Maternal plasma lipid levels across pregnancy and the risks of small-for-gestational age and low birth weight: a cohort study from rural Gambia.BMC pregnancy and childbirth · 2020Trial
- Modelling gestational weight gain trajectories and risk of adverse birth outcomes using super imposition by translation and rotation: findings from two Brazilian cohort studies.Lancet regional health. Americas · 2026Article
- Determinants of low birth weight in newborns at a referral hospital in the western Nepal: an unmatched case-control study.BMC pediatrics · 2025Article
- Effects of maternal exposure to biomass cooking fuel on birth size and body proportionality in full-term infants born by vaginal delivery.Scientific reports · 2024Article
- The impact of gestational weight gain on fetal and neonatal outcomes: the Araraquara Cohort Study.BMC pregnancy and childbirth · 2024Article
- Impact of Pre-Gestational BMI and Gestational Weight Gain on Fetal Development Outcomes in Adolescent Pregnant Women.Journal of clinical medicine · 2024Article
- Socio-economic and socio-demographic determinants of diet diversity among rural pregnant women from Pune, India.BMC nutrition · 2022Article
- Influence of gestational weight gain on baby's birth weight in Addis Ababa, Central Ethiopia: a follow-up study.BMJ open · 2022Article
- Article
- Gestational weight gain in the REVAMP pregnancy cohort in Western India: Comparison with international and national references.Frontiers in medicine · 2022Article
- Nutrition and Food Security in Bangladesh: Achievements, Challenges, and Impact of the COVID-19 Pandemic.The Journal of infectious diseases · 2021Review
- Association of Household Food Insecurity with Nutritional Status and Mental Health of Pregnant Women in Rural Bangladesh.Nutrients · 2021Article
- Institute of Medicine Recommendations on the Rate of Gestational Weight Gain and Perinatal Outcomes in Rural Bangladesh.International journal of environmental research and public health · 2021Article
- Assessment of myocardial performance index in late-onset fetal growth restriction.Nagoya journal of medical science · 2021Article
- Prenatal exposure to multiple metals and birth outcomes: An observational study within the National Children's Study cohort.Environment international · 2021Observational
- Effect of Maternal Exposure to Seasons during the Second and Third Trimesters of Pregnancy on Infant Birth Weight in Rural Bangladesh.Current developments in nutrition · 2020Article
- Seasonality of antenatal care attendance, maternal dietary intake, and fetal growth in the VHEMBE birth cohort, South Africa.PloS one · 2019Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo estimate the effect of inadequate maternal weight gain in the third trimester on the risk of intrauterine growth restriction (IUGR) in rural Bangladesh.
methodsThis study analyzed data from 1,463 mother-infant pairs in Matlab, Bangladesh which were available through the electronic databases of Matlab Health and Demographic Surveillance System and Matlab hospital of the International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b). All the mothers were admitted to Matlab hospital for childbirth from January 2012 to December 2014, and they had singleton live births at term. Third-trimester weight gain (kg) was calculated by subtracting the estimated weight at the end of the second trimester from the weight taken before childbirth. Inadequate third-trimester weight gain was defined as 4 kg or less irrespective of pre-gravid nutritional status. IUGR was defined as a birth weight below 2500 g in full-term newborns (LBW-Term), and a birth weight for gestational age and infant sex less than the 10th percentile (SGA-10th) and 2 standard deviations below the mean birth weight (SGA-2SD) based on the international newborn standards from the INTERGROWTH-21st project. Multivariable logistic regression models were fitted to determine the independent effect of inadequate weight gain in the third trimester on the risk of IUGR.
resultsA total of 824 (56.3%) women experienced inadequate weight gain in the third trimester of pregnancy. In this study, 215 (14.7%), 573 (39.2%) and 220 (15.0%) infants were born as LBW-Term, SGA-10th and SGA-2SD, respectively. In the multivariable logistic regression models, compared to adequate weight gain in the third-trimester, the odds ratios (OR) for LBW-Term, SGA-10th and SGA-2SD for inadequate weight gain were 1.8 (95% CI: 1.3, 2.5; p < 0.001), 1.4 (95% CI: 1.1, 1.8; p = 0.002) and 1.8 (95% CI: 1.3, 2.4; p = 0.001), respectively.
conclusionsBoth inadequate third-trimester weight gain and IUGR are prevailing public health concerns in rural Bangladesh. Inadequate weight gain in the third trimester substantially increased the risk of IUGR. Public health programs focusing on the promotion of adequate weight gain in the third trimester of pregnancy with an ultimate aim to decrease IUGR should be implemented.
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