Comparison of gestational weight gain recommendations between study from Thai population and U.S. Institute of Medicine

Korranat Thanaratsiriworakul, Panya Sananpanichkul, N. Suriya
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引用次数: 1

Abstract

Objective: To identify which recommendations of weight gain aresuitable for Thai pregnant women to deliver a normal birth weight neonate. Materials and Methods :   This retrospective study was performed by reviewing 1,657 medical records of singleton pregnant women who delivered normal birth weight healthy neonates at Department of Obstetrics and Gynecology, Prapokklao Hospital during July 1 st , 2013 – June 30 th , 2014. Pre-pregnancy BMI was categorized according to U.S.Institute of Medicine (IOM) 2009. Gestational weight gain and pregnancy outcomes were compared using IOM and Thai Siriraj Hospital recommendations. One-way ANOVA was used to compare continuous data and Chi-square test was used to compare discrete data among two groups. Results: Mean gestational weight gain of our population in underweight, normal weight, overweight, and obese groups were 13.73±5.43 kg, 13.52±5.63 kg, 11.35±5.65 kg, and 8.81±7.41 kg, respectively. Significant difference of maternal age, pre-pregnancy BMI, gestational weight gain and neonatal birth weight were found among groups (p<0.001). About one-third of both underweight group and normal weight group gained the appropriate weight based on the IOM recommendations whereas two-thirds of both groups gained the appropriate weight using Thai Siriraj recommendations. While the performances of both sets of recommendations were similar in obese women, the Thai Siriraj recommendations performed better in the overweight group, In total, 56.3% of women and 34.8% of women could gain weight within the recommendations of Thai Siriraj and IOM respectively while the neonatal outcomes of both groups of women were comparable. Conclusion:   Thai Siriraj recommendations for weight gain during pregnancy appear to be more suitable for our population than the U.S. IOM ones.
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泰国人口和美国医学研究所研究的妊娠期体重增加建议的比较
目的:确定什么样的体重增加建议适合泰国孕妇生产正常出生体重的新生儿。材料与方法:回顾性分析2013年7月1日至2014年6月30日在Prapokklao医院妇产科分娩的1657例正常出生体重健康新生儿的单胎孕妇病历。怀孕前的身体质量指数是根据2009年美国医学研究所(IOM)进行分类的。采用IOM和泰国Siriraj医院的建议对妊娠体重增加和妊娠结局进行比较。两组间连续资料比较采用单因素方差分析,离散资料比较采用卡方检验。结果:体重过轻组、正常组、超重组和肥胖组的平均妊娠体重增加分别为13.73±5.43 kg、13.52±5.63 kg、11.35±5.65 kg和8.81±7.41 kg。产妇年龄、孕前BMI、妊娠期体重增加、新生儿体重组间差异有统计学意义(p<0.001)。体重过轻组和正常体重组中约有三分之一的人根据国际医学研究所的建议获得了适当的体重,而两组中有三分之二的人根据泰国Siriraj的建议获得了适当的体重。虽然两组建议在肥胖妇女中的效果相似,但泰式诗丽拉的建议在超重组中的效果更好。总的来说,56.3%的妇女和34.8%的妇女在泰式诗丽拉和IOM的建议下体重增加,而两组妇女的新生儿结局是相当的。结论:泰国Siriraj对怀孕期间体重增加的建议似乎比美国IOM的建议更适合我们的人群。
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来源期刊
Thai Journal of Obstetrics and Gynaecology
Thai Journal of Obstetrics and Gynaecology Medicine-Obstetrics and Gynecology
CiteScore
0.40
自引率
0.00%
发文量
3
审稿时长
24 weeks
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