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Erschienen in: Maternal and Child Health Journal 1/2018

05.08.2017

Assessing the Risk of Having Small for Gestational Age Newborns Among Lebanese Underweight and Normal Pre-pregnancy Weight Women

verfasst von: Rym El Rafei, Hussein A. Abbas, Hind Alameddine, Ayah Al Bizri, Imad Melki, Khalid A. Yunis

Erschienen in: Maternal and Child Health Journal | Ausgabe 1/2018

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Abstract

Introduction It has been established that underweight women with low gestational weight gain (GWG) are at a higher risk of having Small for Gestational Age (SGA) newborns. However, the association remains poorly studied in Middle Eastern societies exhibiting different ethnic groups, genetic predisposing factors along with differences in nutritional food intake during pregnancy. The aim of this study is to assess the risk of having a SGA newborn among underweight and normal weight BMI women while studying the role of GWG in this association. Methods This is a retrospective cross-sectional study of 62,351 singleton pregnancies from the National Collaborative Perinatal Neonatal Network between 2001 and 2009 from 27 hospitals across Lebanon. Women who had underweight and normal pre-pregnancy BMI were included. Results A total of 8.6% newborns were SGA and 6.6% of women were underweight. Among women with normal and underweight pre-pregnancy BMI, 8.6 and 12.4% had SGA births respectively. Overall, the adjusted OR of having SGA newborns was significantly higher among underweight women (OR = 1.448; 95%CI = 1.287–1.630) compared to normal pre-pregnancy BMI. Below normal weight gain significantly increased the odds of SGA for both normal and underweight pre-pregnancy BMI women, with adjusted ORs of 1.535 (95% CI = 1.418–1.661) and 1.970 (95%CI = 1.515–2.560) respectively. Discussion Higher risks of SGA newborns in underweight and normal BMI women with low GWG were observed. In addition, normal weight gain couldn’t protect underweight women of having risk for SGA newborns. Hence, all pregnant women should be encouraged to maintain healthy BMI before pregnancy and attain adequate GWG.
Literatur
Zurück zum Zitat Crane, J. M., White, J., Murphy, P., Burrage, L., & Hutchens, D. (2009). The effect of gestational weight gain by body mass index on maternal and neonatal outcomes. Journal of Obstetrics and Gynaecology Canada, 31(1), 28–35.CrossRefPubMed Crane, J. M., White, J., Murphy, P., Burrage, L., & Hutchens, D. (2009). The effect of gestational weight gain by body mass index on maternal and neonatal outcomes. Journal of Obstetrics and Gynaecology Canada, 31(1), 28–35.CrossRefPubMed
Zurück zum Zitat Durie, D. E., Thornburg, L. L., & Glantz, J. C. (2011). Effect of second-trimester and third-trimester rate of gestational weight gain on maternal and neonatal outcomes. Obstetrics & Gynecology, 118(3), 569–575. doi:10.1097/AOG.0b013e3182289f42.CrossRef Durie, D. E., Thornburg, L. L., & Glantz, J. C. (2011). Effect of second-trimester and third-trimester rate of gestational weight gain on maternal and neonatal outcomes. Obstetrics & Gynecology, 118(3), 569–575. doi:10.​1097/​AOG.​0b013e3182289f42​.CrossRef
Zurück zum Zitat Frederick, I. O., Williams, M. A., Sales, A. E., Martin, D. P., & Killien, M. (2008). Pre-pregnancy body mass index, gestational weight gain, and other maternal characteristics in relation to infant birth weight. Maternal and Child Health Journal, 12(5), 557–567. doi:10.1007/s10995-007-0276-2.CrossRefPubMed Frederick, I. O., Williams, M. A., Sales, A. E., Martin, D. P., & Killien, M. (2008). Pre-pregnancy body mass index, gestational weight gain, and other maternal characteristics in relation to infant birth weight. Maternal and Child Health Journal, 12(5), 557–567. doi:10.​1007/​s10995-007-0276-2.CrossRefPubMed
Zurück zum Zitat Goetzinger, K. R., Cahill, A. G., Macones, G. A., & Odibo, A. O. (2012). The relationship between maternal body mass index and tobacco use on small-for-gestational-age infants. American Journal of Perinatology, 29(3), 153–158. doi:10.1055/s-0031-1284224.CrossRefPubMed Goetzinger, K. R., Cahill, A. G., Macones, G. A., & Odibo, A. O. (2012). The relationship between maternal body mass index and tobacco use on small-for-gestational-age infants. American Journal of Perinatology, 29(3), 153–158. doi:10.​1055/​s-0031-1284224.CrossRefPubMed
Zurück zum Zitat Han, Z., Mulla, S., Beyene, J., Liao, G., McDonald, S. D., & Knowledge Synthesis, G. (2011). Maternal underweight and the risk of preterm birth and low birth weight: A systematic review and meta-analyses. International Journal of Epidemiology, 40(1), 65–101. doi:10.1093/ije/dyq195.CrossRefPubMed Han, Z., Mulla, S., Beyene, J., Liao, G., McDonald, S. D., & Knowledge Synthesis, G. (2011). Maternal underweight and the risk of preterm birth and low birth weight: A systematic review and meta-analyses. International Journal of Epidemiology, 40(1), 65–101. doi:10.​1093/​ije/​dyq195.CrossRefPubMed
Zurück zum Zitat Lee, A. C., Katz, J., Blencowe, H., Cousens, S., Kozuki, N., Vogel, J. P., … & Group, C. S.-P. B. W (2013). National and regional estimates of term and preterm babies born small for gestational age in 138 low-income and middle-income countries in 2010. The Lancet Global Health, 1(1), e26–e36. doi:10.1016/S2214-109X(13)70006-8.CrossRefPubMedPubMedCentral Lee, A. C., Katz, J., Blencowe, H., Cousens, S., Kozuki, N., Vogel, J. P., … & Group, C. S.-P. B. W (2013). National and regional estimates of term and preterm babies born small for gestational age in 138 low-income and middle-income countries in 2010. The Lancet Global Health, 1(1), e26–e36. doi:10.​1016/​S2214-109X(13)70006-8.CrossRefPubMedPubMedCentral
Zurück zum Zitat Lee, P. A., Chernausek, S. D., Hokken-Koelega, A. C., & Czernichow, P. (2003). International Small for Gestational Age Advisory Board consensus development conference statement: Management of short children born small for gestational age, April 24-October 1, 2001. Pediatrics, 111(6 Pt 1), 1253–1261.CrossRefPubMed Lee, P. A., Chernausek, S. D., Hokken-Koelega, A. C., & Czernichow, P. (2003). International Small for Gestational Age Advisory Board consensus development conference statement: Management of short children born small for gestational age, April 24-October 1, 2001. Pediatrics, 111(6 Pt 1), 1253–1261.CrossRefPubMed
Zurück zum Zitat Li, N., Liu, E., Guo, J., Pan, L., Li, B., Wang, P., … & Baccarelli, A. A (2013). Maternal prepregnancy body mass index and gestational weight gain on pregnancy outcomes. PLoS ONE, 8(12), e82310.CrossRefPubMedPubMedCentral Li, N., Liu, E., Guo, J., Pan, L., Li, B., Wang, P., … & Baccarelli, A. A (2013). Maternal prepregnancy body mass index and gestational weight gain on pregnancy outcomes. PLoS ONE, 8(12), e82310.CrossRefPubMedPubMedCentral
Zurück zum Zitat McCowan, L. M., Roberts, C. T., Dekker, G. A., Taylor, R. S., Chan, E. H., Kenny, L. C., … North, R. A. (2010). Risk factors for small-for-gestational-age infants by customised birthweight centiles: Data from an international prospective cohort study. BJOG: An International Journal of Obstetrics and Gynaecology, 117(13), 1599–1607. doi:10.1111/j.1471-0528.2010.02737.x.CrossRef McCowan, L. M., Roberts, C. T., Dekker, G. A., Taylor, R. S., Chan, E. H., Kenny, L. C., … North, R. A. (2010). Risk factors for small-for-gestational-age infants by customised birthweight centiles: Data from an international prospective cohort study. BJOG: An International Journal of Obstetrics and Gynaecology, 117(13), 1599–1607. doi:10.​1111/​j.​1471-0528.​2010.​02737.​x.CrossRef
Zurück zum Zitat Medicine, I. O. (2009). Weight gain during pregnancy: Reexamining the guidelines. Washington, DC: The National Academies Press. Medicine, I. O. (2009). Weight gain during pregnancy: Reexamining the guidelines. Washington, DC: The National Academies Press.
Zurück zum Zitat Nohr, E. A., Vaeth, M., Baker, J. L., Sorensen, T., Olsen, J., & Rasmussen, K. M. (2008). Combined associations of prepregnancy body mass index and gestational weight gain with the outcome of pregnancy. American Journal of Clinical Nutrition, 87(6), 1750–1759.PubMed Nohr, E. A., Vaeth, M., Baker, J. L., Sorensen, T., Olsen, J., & Rasmussen, K. M. (2008). Combined associations of prepregnancy body mass index and gestational weight gain with the outcome of pregnancy. American Journal of Clinical Nutrition, 87(6), 1750–1759.PubMed
Zurück zum Zitat Nohr, E. A., Vaeth, M., Baker, J. L., Sorensen, T. I., Olsen, J., & Rasmussen, K. M. (2009). 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, 90(5), 1288–1294. doi:10.3945/ajcn.2009.27919.CrossRefPubMed Nohr, E. A., Vaeth, M., Baker, J. L., Sorensen, T. I., Olsen, J., & Rasmussen, K. M. (2009). 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, 90(5), 1288–1294. doi:10.​3945/​ajcn.​2009.​27919.CrossRefPubMed
Zurück zum Zitat Oken, E., Kleinman, K. P., Belfort, M. B., Hammitt, J. K., & Gillman, M. W. (2009). Associations of gestational weight gain with short- and longer-term maternal and child health outcomes. American Journal of Epidemiology, 170(2), 173–180. doi:10.1093/aje/kwp101.CrossRefPubMedPubMedCentral Oken, E., Kleinman, K. P., Belfort, M. B., Hammitt, J. K., & Gillman, M. W. (2009). Associations of gestational weight gain with short- and longer-term maternal and child health outcomes. American Journal of Epidemiology, 170(2), 173–180. doi:10.​1093/​aje/​kwp101.CrossRefPubMedPubMedCentral
Zurück zum Zitat Park, S., Sappenfield, W. M., Bish, C., Salihu, H., Goodman, D., & Bensyl, D. M. (2011). Assessment of the Institute of Medicine recommendations for weight gain during pregnancy: Florida, 2004–2007. Maternal and Child Health Journal, 15(3), 289–301. doi:10.1007/s10995-010-0596-5.CrossRefPubMed Park, S., Sappenfield, W. M., Bish, C., Salihu, H., Goodman, D., & Bensyl, D. M. (2011). Assessment of the Institute of Medicine recommendations for weight gain during pregnancy: Florida, 2004–2007. Maternal and Child Health Journal, 15(3), 289–301. doi:10.​1007/​s10995-010-0596-5.CrossRefPubMed
Zurück zum Zitat Pope, D. P., Mishra, V., Thompson, L., Siddiqui, A. R., Rehfuess, E. A., Weber, M., & Bruce, N. G. (2010). Risk of low birth weight and stillbirth associated with indoor air pollution from solid fuel use in developing countries. Epidemiologic Review, 32(1), 70–81. doi:10.1093/epirev/mxq005.CrossRef Pope, D. P., Mishra, V., Thompson, L., Siddiqui, A. R., Rehfuess, E. A., Weber, M., & Bruce, N. G. (2010). Risk of low birth weight and stillbirth associated with indoor air pollution from solid fuel use in developing countries. Epidemiologic Review, 32(1), 70–81. doi:10.​1093/​epirev/​mxq005.CrossRef
Zurück zum Zitat Rasmussen, K. M., Abrams, B., Bodnar, L. M., Butte, N. F., Catalano, P. M., & Maria Siega-Riz, A. (2010). Recommendations for weight gain during pregnancy in the context of the obesity epidemic. Obstetrics & Gynecology, 116(5), 1191–1195. doi:10.1097/AOG.0b013e3181f60da7.CrossRef Rasmussen, K. M., Abrams, B., Bodnar, L. M., Butte, N. F., Catalano, P. M., & Maria Siega-Riz, A. (2010). Recommendations for weight gain during pregnancy in the context of the obesity epidemic. Obstetrics & Gynecology, 116(5), 1191–1195. doi:10.​1097/​AOG.​0b013e3181f60da7​.CrossRef
Zurück zum Zitat Ricci, E., Parazzini, F., Chiaffarino, F., Cipriani, S., & Polverino, G. (2010). Pre-pregnancy body mass index, maternal weight gain during pregnancy and risk of small-for-gestational age birth: Results from a case-control study in Italy. The Journal of Maternal-Fetal & Neonatal Medicine, 23(6), 501–505. doi:10.3109/14767050903216025.CrossRef Ricci, E., Parazzini, F., Chiaffarino, F., Cipriani, S., & Polverino, G. (2010). Pre-pregnancy body mass index, maternal weight gain during pregnancy and risk of small-for-gestational age birth: Results from a case-control study in Italy. The Journal of Maternal-Fetal & Neonatal Medicine, 23(6), 501–505. doi:10.​3109/​1476705090321602​5.CrossRef
Zurück zum Zitat Simas, T. A., Waring, M. E., Liao, X., Garrison, A., Sullivan, G. M., Howard, A. E., & Hardy, J. R. (2012). Prepregnancy weight, gestational weight gain, and risk of growth affected neonates. Journal of Women’s Health, 21(4), 410–417. doi:10.1089/jwh.2011.2810.CrossRefPubMed Simas, T. A., Waring, M. E., Liao, X., Garrison, A., Sullivan, G. M., Howard, A. E., & Hardy, J. R. (2012). Prepregnancy weight, gestational weight gain, and risk of growth affected neonates. Journal of Women’s Health, 21(4), 410–417. doi:10.​1089/​jwh.​2011.​2810.CrossRefPubMed
Zurück zum Zitat Watanabe, H., Inoue, K., Doi, M., Matsumoto, M., Ogasawara, K., Fukuoka, H., & Nagai, Y. (2010). Risk factors for term small for gestational age infants in women with low prepregnancy body mass index. Journal of Obstetrics and Gynaecology Research, 36(3), 506–512. doi:10.1111/j.1447-0756.2010.01170.x.CrossRefPubMed Watanabe, H., Inoue, K., Doi, M., Matsumoto, M., Ogasawara, K., Fukuoka, H., & Nagai, Y. (2010). Risk factors for term small for gestational age infants in women with low prepregnancy body mass index. Journal of Obstetrics and Gynaecology Research, 36(3), 506–512. doi:10.​1111/​j.​1447-0756.​2010.​01170.​x.CrossRefPubMed
Zurück zum Zitat Yu, S. M., & Nagey, D. A. (1992). Validity of self-reported pregravid weight. Annals of Epidemiology, 2(5), 715–721.CrossRefPubMed Yu, S. M., & Nagey, D. A. (1992). Validity of self-reported pregravid weight. Annals of Epidemiology, 2(5), 715–721.CrossRefPubMed
Zurück zum Zitat Yunis, K. A., Beydoun, H., & Tamim, H. (2002). Maternal predictors of small-for-gestational age in uncomplicated births. International Journal of Gynecology & Obstetrics, 79(1), 33–35.CrossRef Yunis, K. A., Beydoun, H., & Tamim, H. (2002). Maternal predictors of small-for-gestational age in uncomplicated births. International Journal of Gynecology & Obstetrics, 79(1), 33–35.CrossRef
Zurück zum Zitat Yunis, K. A., Khawaja, M., Beydoun, H., Nassif, Y., Khogali, M., & Tamim, H. (2007). Intrauterine growth standards in a developing country: A study of singleton livebirths at 28–42 weeks’ gestation. Paediatric and Perinatal Epidemiology, 21(5), 387–396. doi:10.1111/j.1365-3016.2007.00827.x.CrossRefPubMed Yunis, K. A., Khawaja, M., Beydoun, H., Nassif, Y., Khogali, M., & Tamim, H. (2007). Intrauterine growth standards in a developing country: A study of singleton livebirths at 28–42 weeks’ gestation. Paediatric and Perinatal Epidemiology, 21(5), 387–396. doi:10.​1111/​j.​1365-3016.​2007.​00827.​x.CrossRefPubMed
Metadaten
Titel
Assessing the Risk of Having Small for Gestational Age Newborns Among Lebanese Underweight and Normal Pre-pregnancy Weight Women
verfasst von
Rym El Rafei
Hussein A. Abbas
Hind Alameddine
Ayah Al Bizri
Imad Melki
Khalid A. Yunis
Publikationsdatum
05.08.2017
Verlag
Springer US
Erschienen in
Maternal and Child Health Journal / Ausgabe 1/2018
Print ISSN: 1092-7875
Elektronische ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-017-2362-4

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