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Are women in Uganda gaining adequate gestational weight? A prospective study in low income urban Kampala
BACKGROUND: Pre-pregnancy weight and weight gained during pregnancy significantly influence maternal and infant health. Little information is available regarding optimal gestational weight gain (GWG) in relation to pre-pregnancy body mass index (BMI) in Uganda. The study aimed at determining gestati...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6154409/ https://www.ncbi.nlm.nih.gov/pubmed/30249266 http://dx.doi.org/10.1186/s12978-018-0608-2 |
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author | Wanyama, Ronald Obai, Gerald Odongo, Pancras Kagawa, Mike N. Baingana, Rhona K. |
author_facet | Wanyama, Ronald Obai, Gerald Odongo, Pancras Kagawa, Mike N. Baingana, Rhona K. |
author_sort | Wanyama, Ronald |
collection | PubMed |
description | BACKGROUND: Pre-pregnancy weight and weight gained during pregnancy significantly influence maternal and infant health. Little information is available regarding optimal gestational weight gain (GWG) in relation to pre-pregnancy body mass index (BMI) in Uganda. The study aimed at determining gestational weight gain (GWG) in women pregnant for the first and second time. METHODS: The study was prospective cohort study which included 221 HIV negative women pregnant for the first or second time. It was conducted in the antenatal clinic of the directorate of gynecology and obstetrics, Mulago hospital and women were recruited at ≤18 weeks of gestation by dates. Follow up measurements were done at 26 and 36 weeks gestation. Measured maternal height and reported pre-pregnancy weight were used to calculate BMI. Depending on BMI category, GWG was categorized as inadequate, adequate and excessive based on the Uganda Ministry of Health guidelines. RESULTS: The participants’ mean ± standard deviation (Sd) age was 20.9 ± 2.7 years and mean ± Sd BMI was 21.40 ± 2.73 kg/m(2). None of the participants was obese and 68.8% (n = 132) were pregnant for the first time. The mean ± Sd GWG at time of delivery was 10.58 ± 2.44 kg. Inadequate GWG was recorded in 62.5% (n = 120/192) while only 3.1% (n = 6/192) of the participants gained excessive weight during pregnancy. CONCLUSION: About 62% of pregnant women in Kampala did not gain adequate weight during their first/second pregnancy. We recommend that studies be carried out to assess whether the Uganda Ministry of Health recommendations for weight gain during are appropriate for preventing adverse pregnancy outcomes across populations in Uganda. |
format | Online Article Text |
id | pubmed-6154409 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-61544092018-09-26 Are women in Uganda gaining adequate gestational weight? A prospective study in low income urban Kampala Wanyama, Ronald Obai, Gerald Odongo, Pancras Kagawa, Mike N. Baingana, Rhona K. Reprod Health Research BACKGROUND: Pre-pregnancy weight and weight gained during pregnancy significantly influence maternal and infant health. Little information is available regarding optimal gestational weight gain (GWG) in relation to pre-pregnancy body mass index (BMI) in Uganda. The study aimed at determining gestational weight gain (GWG) in women pregnant for the first and second time. METHODS: The study was prospective cohort study which included 221 HIV negative women pregnant for the first or second time. It was conducted in the antenatal clinic of the directorate of gynecology and obstetrics, Mulago hospital and women were recruited at ≤18 weeks of gestation by dates. Follow up measurements were done at 26 and 36 weeks gestation. Measured maternal height and reported pre-pregnancy weight were used to calculate BMI. Depending on BMI category, GWG was categorized as inadequate, adequate and excessive based on the Uganda Ministry of Health guidelines. RESULTS: The participants’ mean ± standard deviation (Sd) age was 20.9 ± 2.7 years and mean ± Sd BMI was 21.40 ± 2.73 kg/m(2). None of the participants was obese and 68.8% (n = 132) were pregnant for the first time. The mean ± Sd GWG at time of delivery was 10.58 ± 2.44 kg. Inadequate GWG was recorded in 62.5% (n = 120/192) while only 3.1% (n = 6/192) of the participants gained excessive weight during pregnancy. CONCLUSION: About 62% of pregnant women in Kampala did not gain adequate weight during their first/second pregnancy. We recommend that studies be carried out to assess whether the Uganda Ministry of Health recommendations for weight gain during are appropriate for preventing adverse pregnancy outcomes across populations in Uganda. BioMed Central 2018-09-24 /pmc/articles/PMC6154409/ /pubmed/30249266 http://dx.doi.org/10.1186/s12978-018-0608-2 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Wanyama, Ronald Obai, Gerald Odongo, Pancras Kagawa, Mike N. Baingana, Rhona K. Are women in Uganda gaining adequate gestational weight? A prospective study in low income urban Kampala |
title | Are women in Uganda gaining adequate gestational weight? A prospective study in low income urban Kampala |
title_full | Are women in Uganda gaining adequate gestational weight? A prospective study in low income urban Kampala |
title_fullStr | Are women in Uganda gaining adequate gestational weight? A prospective study in low income urban Kampala |
title_full_unstemmed | Are women in Uganda gaining adequate gestational weight? A prospective study in low income urban Kampala |
title_short | Are women in Uganda gaining adequate gestational weight? A prospective study in low income urban Kampala |
title_sort | are women in uganda gaining adequate gestational weight? a prospective study in low income urban kampala |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6154409/ https://www.ncbi.nlm.nih.gov/pubmed/30249266 http://dx.doi.org/10.1186/s12978-018-0608-2 |
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