PMID: 9166359May 1, 1997Paper

A critical review of the relationship between gestational weight gain and preterm delivery

Obstetrics and Gynecology
S L Carmichael, B Abrams

Abstract

To review the relationship between gestational weight gain and preterm delivery. We identified published studies through Medline searches (for the period 1980-1996), and we reviewed bibliographies from published articles. We excluded non-English-language articles and articles that used total weight gain, unadjusted for gestational age. Thirteen articles were identified for review. Eleven of the 13 studies reported a significant association between maternal weight gain and risk of preterm delivery, and most reported that inadequate rate of maternal weight gain was associated with an increased risk (approximately 50-100%) of preterm delivery. Studies examining pattern of gain noted that a low rate of gain during the latter part of pregnancy (but not early pregnancy) was associated with an increased risk of preterm delivery (also approximately 50-100%). The studies' findings were relatively consistent, despite the use of diverse samples, study designs, and analytic strategies. The evidence suggests that a lower rate of weight gain during pregnancy is associated with an increased risk of preterm delivery, and that a slow rate of gain during the latter part of pregnancy may be particularly important. To improve our understanding of ...Continue Reading

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