ArticleBMC pregnancy and childbirth2019
An evaluation of whether a gestational weight gain of 5 to 9 kg for obese women optimizes maternal and neonatal health risks.
Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- Global trends in prevalence of maternal overweight and obesity: A systematic review and meta-analysis of routinely collected data retrospective cohorts.International journal of population data science · 2024Pooled it
- Predictors of Adverse Pregnancy Outcomes in Pregnant Women Living with Obesity: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Effectiveness of a Step Counter Smartband and Midwife Counseling Intervention on Gestational Weight Gain and Physical Activity in Pregnant Women With Obesity (Pas and Pes Study): Randomized Controlled Trial.JMIR mHealth and uHealth · 2022Trial
- Trial
- Micronutrient Deficiency During Pregnancy After Bariatric Surgery: The Role of Micronutrient Supplements and Dietary Intake.Obesity surgery · 2026Article
- Article
- Weight Gain During Pregnancy Following Bariatric Surgery: Exploring the Influence of Weight Stability and Surgery-to-Conception Interval.Journal of clinical medicine · 2025Article
- Measuring Dietary Intake of Pregnant Women Post-Bariatric Surgery: Do Women Meet Recommendations?Nutrients · 2025Article
- Predictors of gestational weight gain in western India: Findings from a longitudinal study across rural and urban cohorts.PloS one · 2025Article
- Bayesian mediation modeling of racial disparity for maternal birth outcomes in United States.Medical research archives · 2024Article
- Patterns of gestational weight gain among women with obesity and its correlation with hypertensive disorders of pregnancy in Chinese women.Maternal & child nutrition · 2023Article
- Diagnosing Arterial Stiffness in Pregnancy and Its Implications in the Cardio-Renal-Metabolic Chain.Diagnostics (Basel, Switzerland) · 2022Review
- Impact of physical activity on course and outcome of pregnancy from pre- to postnatal.European journal of clinical nutrition · 2021Review
- The UK Pregnancies Better Eating and Activity Trial (UPBEAT); Pregnancy Outcomes and Health Behaviours by Obesity Class.International journal of environmental research and public health · 2020Article
- Estimating racial health disparities among adverse birth outcomes as deviations from the population rates.BMC pregnancy and childbirth · 2020Article
- Time to change weight gain recommendations for pregnant women with obesity.The Journal of clinical investigation · 2019Article
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundMaternal obesity has a wide range of health effects on both the pregnant woman and developing fetus. The clinical significance of these disorders, combined with a dramatically increasing prevalence of obesity among pregnant women has precipitated a major health crisis in the United States. The most commonly used recommendations for gestational weight gain were established by the Institute of Medicine (IOM) in 2009 and have become well known and often adopted. The authors of the IOM report acknowledged that the recommended gestational weight gain of 5 to 9 kg for obese women whose body mass index was greater than 30 kg/m
methodsData containing approximately 12,000,000 birth records were obtained from the United States Natality database for the years 2014 to 2016. A Bayesian modeling approach was used to estimate the controlled direct effects of pre-pregnancy body mass index and gestational weight gain.
resultsObese women gaining less than 5 kg during pregnancy had reduced maternal risks for gestational hypertension, eclampsia, induction of labor and Caesarian section. In contrast, maternal gestational weight gain of less than 5 kg was associated with increased risks for multiple adverse neonatal outcomes with macrosomia the exception. Obese women who gained more than 9 kg during pregnancy had increased risk for multiple maternal and neonatal adverse outcomes.
conclusionsObese women who were observed to gain less than 5 kg during gestation had reduced odds of several peripartum disorders. However, this lower gestational weight gain was associated with an increase in multiple risks for the neonate.
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