Postnatal growth outcomes and influence of maternal gestational weight gain: a prospective cohort study in rural Vietnam

BMC Pregnancy and Childbirth

Beverley-Ann Biggs⁶  Jane Fisher⁵  Tran Tuan⁴  Thach D Tran⁵  Dang D Thoang³  Nguyen C Khuong³  Tran T Thuy⁴  Julie A Simpson¹  Tran T Ha⁴  Sarah Hanieh² 

[1] Centre for Molecular, Environmental, Genetic and Analytic Epidemiology, Melbourne School of Population and Global Health, University of Melbourne, Parkville, Victoria, Australia;Department of Medicine, University of Melbourne, L 4 Clinical Science Building, Royal Melbourne Hospital, Parkville, Victoria 3050, Australia;Provincial Centre of Preventive Medicine, Hanam Province, Vietnam;Research and Training Centre for Community Development (RTCCD), Hanoi, Vietnam;The Jean Hailes Research Unit, School of Public Health and Preventive Medicine, Monash University, Clayton, Victoria, Australia;The Victorian Infectious Diseases Service, Royal Melbourne Hospital, Parkville, Victoria, Australia

关键词: Body mass index;    Postnatal growth;    Gestational weight gain;   

Others  :  1122713
DOI  :  10.1186/1471-2393-14-339

 received in 2014-07-08, accepted in 2014-09-25,  发布年份 2014

【 摘 要 】

Background

Suboptimal weight gain during pregnancy may result in adverse outcomes for both the mother and child, including increased risk of pre-eclampsia and gestational diabetes, delivery of low birth weight and small-for-gestational age (SGA) infants, and preterm delivery. The objectives of this study were to identify maternal predictors of rate of weight gain in pregnancy, and to evaluate the association of gestational weight gain with infant postnatal growth outcomes.

Methods

We conducted a prospective cohort study of infants born to women who had previously participated in a double-blind cluster randomized controlled trial of antenatal micronutrient supplementation, in Ha Nam province, Vietnam. Pregnant women (n = 1258) were seen at enrolment and 32 weeks gestation, and infants (n = 965) were followed until 6 months of age. Primary outcome was infant anthropometric indicators at 6 months of age (weight for age, length for age, weight for height z scores), and infant weight gain velocity during the first 6 months of life.

Results

Low body mass index (<18.5 kg/m²) was present in 26% of women, and rate of gestational weight gain was 0.4 kg per week [SD 0.12]. Rate of weight gain during pregnancy was significantly associated with infant weight-for-age (MD 1.13, 95% CI 0.58 to 1.68), length-for-age (MD 1.11, 95% CI 0.66 to 1.55), weight-for-length z scores (MD 0.63, 95% CI 0.07 to 1.19), and infant weight gain velocity during the first 6 months of life (MD 93.6 g per month, 95% CI 8.2 to 179.0).

Conclusions

Rate of gestational weight gain is predictive of postnatal growth at six months of age in this setting. Public health programs should be targeted towards improving body mass index and weight gain in pregnant women in rural Vietnam.

【 授权许可】

   
2014 Hanieh et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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