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Predictors of Excessive Gestational Weight Gain and Infant Birth Weight in Overweight and Obese Postpartum Mothers

Ritcher, Erika M.

Abstract Details

2013, MS, University of Cincinnati, Allied Health Sciences: Nutrition.
Objectives. To describe the predictors associated with and occurrence of excessive gestational weight gain (GWG) in a sample of postpartum Cincinnati women. To compare the effects of pre-pregnancy body mass index (BMI, kg/m2,) and GWG on fetal macrosomia (birth weight = 4000g) using the 2009 Institute of Medicine recommendations. Design. This is a secondary analysis of data derived from a study for prevention of childhood obesity. Subjects. 116 mother-infant pairs recruited through obstetric clinics within an urban hospital in Cincinnati. Methods. Overweight and obese postpartum women between the ages of 21-35 years with no other co-morbidities were recruited six weeks after delivery. Women were categorized according to pre-pregnancy BMI and GWG adequacy. Chi-square tests were used for the outcome of excessive GWG. Linear and multivariate logistic regression models were estimated for infant birth weight and fetal macrosomia. Results. Within the total sample, 69.7%, 77.3%, and 84.6% of normal weight, overweight, and obese mothers had excessive weight gain during pregnancy, respectively (p < 0.001). Parity was significantly associated with excessive pregnancy weight gain (p < 0.003). Maternal GWG (p < 0.01) and parity (p < 0.008) were significantly associated with infant birth weight, however, there was no association between birth weight and pre-pregnancy BMI. Conclusion. This sample of mothers was more likely to exceed weight gain recommendations and significant gains are associated with number of previous pregnancies. Regardless of pre-pregnancy BMI, excessive weight gain during pregnancy may be associated with infant birth weight.
Graciela Falciglia, Ph.D. (Committee Chair)
Seung-Yeon Lee, Ph.D. (Committee Member)
43 p.

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Citations

  • Ritcher, E. M. (2013). Predictors of Excessive Gestational Weight Gain and Infant Birth Weight in Overweight and Obese Postpartum Mothers [Master's thesis, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1385114439

    APA Style (7th edition)

  • Ritcher, Erika. Predictors of Excessive Gestational Weight Gain and Infant Birth Weight in Overweight and Obese Postpartum Mothers. 2013. University of Cincinnati, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1385114439.

    MLA Style (8th edition)

  • Ritcher, Erika. "Predictors of Excessive Gestational Weight Gain and Infant Birth Weight in Overweight and Obese Postpartum Mothers." Master's thesis, University of Cincinnati, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1385114439

    Chicago Manual of Style (17th edition)