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Body Mass Index Changes during Pregnancy and Perinatal Outcomes - A Cross-Sectional Study

Objective To evaluate the relation between changes the body mass index (BMI) percentile, reflected in the Atalah curve, and perinatal outcomes. Methods A cross-sectional study with 1,279 women was performed. Data regarding gestational weight, sociodemographic characteristics and perinatal outcomes w...

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Autores principales: Morais, Sirlei Siani, Nascimento, Simony Lira, Godoy-Miranda, Ana Carolina, Kasawara, Karina Tamy, Surita, Fernanda Garanhani
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Revinter Publicações Ltda 2017
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10467363/
https://www.ncbi.nlm.nih.gov/pubmed/29253913
http://dx.doi.org/10.1055/s-0037-1608885
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author Morais, Sirlei Siani
Nascimento, Simony Lira
Godoy-Miranda, Ana Carolina
Kasawara, Karina Tamy
Surita, Fernanda Garanhani
author_facet Morais, Sirlei Siani
Nascimento, Simony Lira
Godoy-Miranda, Ana Carolina
Kasawara, Karina Tamy
Surita, Fernanda Garanhani
author_sort Morais, Sirlei Siani
collection PubMed
description Objective To evaluate the relation between changes the body mass index (BMI) percentile, reflected in the Atalah curve, and perinatal outcomes. Methods A cross-sectional study with 1,279 women was performed. Data regarding gestational weight, sociodemographic characteristics and perinatal outcomes were collected through medical charts, prenatal card and interviews in the postpartum period. Women could be classified according to the Atalah curve in the following categories: low weight, adequate weight, overweight, and obese. The BMI was calculated at the first and at the last prenatal care visits, and these values were compared. Results An increase in the BMI category according to the Atalah classification occurred in 19.9% of pregnant women, and an increase of 3.4, 5.8 and 6.4 points of BMI were found for women respectively classified in the adequate weight, overweight and obese categories at the first prenatal visit. Women with high school education presented a lower chance of increasing their BMI (odds ratio [OR] 0:47 [0.24- 0.95]). Women who evolved with an increase in the the Atalah classification were associated with cesarean section (OR 1.97–2.28), fetal macrosomia (OR 4.13–12.54) and large for gestational age newborn (OR 2.88–9.83). Conclusion Pregnant women who gained enough weight to move up in their BMI classification according to the Atalah curve had a higher chance of cesarean section and macrosomia. Women classified as obese, according to the Atalah curve, at the first prenatal visit had a high chance of cesarean section and delivering a large for gestational age newborn.
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spelling pubmed-104673632023-08-31 Body Mass Index Changes during Pregnancy and Perinatal Outcomes - A Cross-Sectional Study Morais, Sirlei Siani Nascimento, Simony Lira Godoy-Miranda, Ana Carolina Kasawara, Karina Tamy Surita, Fernanda Garanhani Rev Bras Ginecol Obstet Objective To evaluate the relation between changes the body mass index (BMI) percentile, reflected in the Atalah curve, and perinatal outcomes. Methods A cross-sectional study with 1,279 women was performed. Data regarding gestational weight, sociodemographic characteristics and perinatal outcomes were collected through medical charts, prenatal card and interviews in the postpartum period. Women could be classified according to the Atalah curve in the following categories: low weight, adequate weight, overweight, and obese. The BMI was calculated at the first and at the last prenatal care visits, and these values were compared. Results An increase in the BMI category according to the Atalah classification occurred in 19.9% of pregnant women, and an increase of 3.4, 5.8 and 6.4 points of BMI were found for women respectively classified in the adequate weight, overweight and obese categories at the first prenatal visit. Women with high school education presented a lower chance of increasing their BMI (odds ratio [OR] 0:47 [0.24- 0.95]). Women who evolved with an increase in the the Atalah classification were associated with cesarean section (OR 1.97–2.28), fetal macrosomia (OR 4.13–12.54) and large for gestational age newborn (OR 2.88–9.83). Conclusion Pregnant women who gained enough weight to move up in their BMI classification according to the Atalah curve had a higher chance of cesarean section and macrosomia. Women classified as obese, according to the Atalah curve, at the first prenatal visit had a high chance of cesarean section and delivering a large for gestational age newborn. Thieme Revinter Publicações Ltda 2017-12-18 2018-01 /pmc/articles/PMC10467363/ /pubmed/29253913 http://dx.doi.org/10.1055/s-0037-1608885 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Morais, Sirlei Siani
Nascimento, Simony Lira
Godoy-Miranda, Ana Carolina
Kasawara, Karina Tamy
Surita, Fernanda Garanhani
Body Mass Index Changes during Pregnancy and Perinatal Outcomes - A Cross-Sectional Study
title Body Mass Index Changes during Pregnancy and Perinatal Outcomes - A Cross-Sectional Study
title_full Body Mass Index Changes during Pregnancy and Perinatal Outcomes - A Cross-Sectional Study
title_fullStr Body Mass Index Changes during Pregnancy and Perinatal Outcomes - A Cross-Sectional Study
title_full_unstemmed Body Mass Index Changes during Pregnancy and Perinatal Outcomes - A Cross-Sectional Study
title_short Body Mass Index Changes during Pregnancy and Perinatal Outcomes - A Cross-Sectional Study
title_sort body mass index changes during pregnancy and perinatal outcomes - a cross-sectional study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10467363/
https://www.ncbi.nlm.nih.gov/pubmed/29253913
http://dx.doi.org/10.1055/s-0037-1608885
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