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29.05.2019 | Maternal-Fetal Medicine

Association of trimester-specific gestational weight gain with birth weight and fetal growth in a large community-based population

verfasst von: Yafei Mao, Shuojia Wang, Minchao Li, Manxian Huang, Minjia Mo, Leijun Gu, Xiamusiye Muyiduli, Hongyu Lian, Shuying Jiang, Zhaopin Wang, Bule Shao, Liuyan Pu, Yunxian Yu

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 2/2019

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Abstract

Background

Previous studies showed that the association of gestational weight gain (GWG) with fetal birthweight and offspring developmental growth was unclear. The aim of this study is to investigate the respective effect of 1 kg of GWG during three trimesters on birthweight and offspring growth from birth to 3 years of age.

Methods

We extracted the decoded information from the Maternal and Child Health Information Management System of Zhoushan Maternal and Child Health Hospital in Zhejiang, China from October 2001 to March 2015, and used multiple linear and logistic regression models.

Results

This study included 20,232 women with a full-term singleton birth and 15,557 newborns who took regular health check-ups. Compared to that in the 2nd and 3rd trimester, 1 kg GWG increasing in the 1st trimester had the strongest positive association with higher birthweight, body weight, and height from 1 to 36 months. Their associations with BMI after birth were similar among the three trimesters. In addition, some positive dose–response effects found between quartiles of GWG in the 1st trimester and offspring body weight, as well as BMI. The 1 kg GWG in 1st trimester played the strongest role in contributing to birth weight and benefiting to body growth among children aged up to 3 years.

Conclusion

The 1 kg GWG in 1st trimester contributed more to birth weight and body development from birth to 3 years compared to the 2nd and 3rd trimesters. The possible beneficial effects of GWG in the 1st trimester on birthweight and offspring development in under/normal weight mothers are found.

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Titel: Association of trimester-specific gestational weight gain with birth weight and fetal growth in a large community-based population
verfasst von: Yafei Mao
Shuojia Wang
Minchao Li
Manxian Huang
Minjia Mo
Leijun Gu
Xiamusiye Muyiduli
Hongyu Lian
Shuying Jiang
Zhaopin Wang
Bule Shao
Liuyan Pu
Yunxian Yu
Publikationsdatum: 29.05.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Gynecology and Obstetrics / Ausgabe 2/2019
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-019-05188-8

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Association of trimester-specific gestational weight gain with birth weight and fetal growth in a large community-based population