ArticlePaediatric and perinatal epidemiology2021
Rating the seriousness of maternal and child health outcomes linked with pregnancy weight gain.
Article in Paediatric and perinatal epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Optimal gestational weight gain in women with pregestational type 2 diabetes: a population-based cohort study in China.Diabetology & metabolic syndrome · 2025Article
- The technical expert/clinical user/patient panel (TECUPP): centering patient and family perspectives in patient-reported measure development.Research involvement and engagement · 2025Article
- Gestational weight gain below recommendations and adverse maternal and child health outcomes for pregnancies with overweight or obesity: a United States cohort study.The American journal of clinical nutrition · 2024Article
- Weight Loss, Stability, and Low Weight Gain during Pregnancy among Individuals with Obesity: Associations with Adverse Perinatal Outcomes: An Observational Study.American journal of perinatology · 2024Observational
- Paid Family Leave Programs-Understanding the Consequences for Infant Health.JAMA pediatrics · 2024Article
- Safety of low weight gain or weight loss in pregnancies with class 1, 2, and 3 obesity: a population-based cohort study.Lancet (London, England) · 2024Article
- Do current pregnancy weight gain guidelines balance risks of adverse maternal and child health in a United States cohort?The American journal of clinical nutrition · 2024Article
- Identifying optimal ranges of weight gain at the end of the second trimester result from a population-based cohort study.Public health nutrition · 2023Article
- Associations between antidepressant use patterns during pregnancy and birth outcomes among periconception antidepressant users.Pharmacotherapy · 2023Article
- The impact of panel composition and topic on stakeholder perspectives: Generating hypotheses from online maternal and child health modified-Delphi panels.Health expectations : an international journal of public participation in health care and health policy · 2022Article
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Authors and funding
6 authors.
Funding
Abstract
backgroundCurrent pregnancy weight gain guidelines were developed based on implicit assumptions of a small group of experts about the relative seriousness of adverse health outcomes. Therefore, they will not necessarily reflect the values of women.
objectiveTo estimate the seriousness of 11 maternal and child health outcomes that have been consistently associated with pregnancy weight gain by engaging patients and health professionals.
methodsWe collected data using an online panel approach with a modified Delphi structure. We selected a purposeful sample of maternal and child health professionals (n = 84) and women who were pregnant or recently postpartum (patients) (n = 82) in the United States as panellists. We conducted three concurrent panels: professionals only, patients only, and patients and professionals. During a 3-round online modified Delphi process, participants rated the seriousness of health outcomes (Round 1), reviewed and discussed the initial results (Round 2), and revised their original ratings (Round 3). Panellists assigned seriousness ratings (0, [not serious] to 100 [most serious]) for infant death, stillbirth, preterm birth, gestational diabetes, preeclampsia, small-for-gestational-age (SGA) birth, large-for-gestational-age (LGA) birth, unplanned caesarean delivery, maternal obesity, childhood obesity, and maternal metabolic syndrome.
resultsEach panel individually came to a consensus on all seriousness ratings. The final median seriousness ratings combined across all panels were highest for infant death (100), stillbirth (95), preterm birth (80), and preeclampsia (80). Obesity in children, metabolic syndrome in women, obesity in women, and gestational diabetes had median seriousness ratings ranging from 55 to 65. The lowest seriousness ratings were for SGA birth, LGA birth, and unplanned caesarean delivery (30-40).
conclusionProfessionals and women rate some adverse outcomes as being more serious than others. These ratings can be used to establish the range of pregnancy weight gain associated with the lowest risk of a broad range of maternal and child health outcomes.
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