Background/Aims: Excessive gestational weight gain was known to be associated with adverse pregnancy outcomes. It increased the complications during pregnancy, delivery and postpartum period. Nevertheless, there are studies reporting the incompliance of pregnant women with recommendations of weight gain. The objectives of this study were to estimate the prevalence of high gestational weight gain and to identify the increased adverse pregnancy outcomes in these women. Methods: This was a cross sectional study. Data were collected retrospectively from hospital electronic database of Lampang Regional Hospital (LPH) along with manual retrieval from medical charts and labor records. Data of all pregnant women who delivered at labor room of LPH were collected from 1st February 2011 to 31st August 2012. After preterm and multifetal pregnancies were excluded, 4747 cases were brought to the study. This study used the new weight gain recommendation from the Institute of Medicine and National Research Council to classify pregnant women by pre-pregnancy body mass index. Data were analyzed by univariate and multivariate analysis. Results: The proportions of pregnant women with different level of weight gain were 28.4%, 38.5% and 33.1% for low, normal and high weight gain. After multivariate analysis was done to control the confounders, women with high weight gain were significantly correlated with having preeclampsia, higher birth weight group, cesarean section and long neonatal length with relative risk (RR) and 95% confidence interval (95% CI) of 4.84 (2.31 - 10.16), 3.94 (3.24 - 4.79), 2.12 (1.82 - 2.47) and 2.33 (1.90 - 2.86). Conclusions: There were more than half of pregnant women that were prone to have inappropriate weight gain. Many complications from high weight gain that have been reported from aboard also occurred in Thai pregnant women. This should alert corresponding health institute to establish a new guideline to avoid high gestational weight gain.
Cite this paper
Arora, R. , Arora, D. and Patumanond, J. (2013) Risk of high gestational weight gain on adverse pregnancy outcomes. Open Journal of Obstetrics and Gynecology, 3, 142-147. doi: 10.4236/ojog.2013.31A027.
 Ronnberg, A.K. and Nilsson, K. (2010) Interventions during pregnancy to reduce excessive gestational weight gain: A systematic review assessing current clinical evidence using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system. International Journal of Obstetrics & Gynaecology, 117, 1327-1334. doi:10.1111/j.1471-0528.2010.02619.x
 Bracero, L.A. and Byrne, D.W. (1998) Optimal maternal weight gain during singleton pregnancy. Gynecologic and Obstetric Investigation, 46, 9-16. doi:10.1159/000009988
 Carmichael, S., Abrams, B. and Selvin, S. (1997) The pattern of maternal weight gain in women with good pregnancy outcomes. American Journal of Public Health, 87, 1984-1988. doi:10.2105/AJPH.87.12.1984
 Muktabhant, B., Lumbiganon, P., Ngamjarus, C. and Dowswell, T. (2012) Interventions for preventing excessive weight gain during pregnancy. Cochrane Database of Systematic Reviews, 4, CD007145.
 Park, J.H., Lee, B.E., Park, H.S., Ha, E.H., Lee, S.W. and Kim, Y.J. (2011) Association between pre-pregnancy body mass index and socioeconomic status and impact on pregnancy outcomes in Korea. Journal of Obstetrics and Gynaecology Research, 37, 138-145.
 Nohr, E.A., Vaeth, M., Baker, J.L., S?rensen, T.I., Olsen, J. and Rasmussen, K.M. (2008) Combined associations of prepregnancy body mass index and gestational weight gain with the outcome of pregnancy. The American Journal of Clinical Nutrition, 87, 1750-1759.
 Rudra, C.B., Frederick, I.O. and Williams, M.A. (2008) Pre-pregnancy body mass index and weight gain during pregnancy in relation to preterm delivery subtypes. Acta Obstetricia et Gynecologica Scandinavica, 87, 510-517.
 Carnero, A.M., Mejia, C.R. and Garcia, P.J. (2012) Rate of gestational weight gain, pre-pregnancy body mass index and preterm birth subtypes: A retrospective cohort study from Peru. International Journal of Obstetrics & Gynaecology, 119, 924-935.
 Laitinen, J., Jaaskelainen, A., Hartikainen, A.L., Sovio, U., Vaarasmaki, M., Pouta, A., et al. (2012) Maternal weight gain during the first half of pregnancy and offspring obesity at 16 years: A prospective cohort study. International Journal of Obstetrics & Gynaecology, 119, 716-723. doi:10.1111/j.1471-0528.2012.03319.x
 Ogunyemi, D., Hullett, S., Leeper, J. and Risk, A. (1998) Prepregnancy body mass index, weight gain during pregnancy, and perinatal outcome in a rural black population. Journal of Maternal-Fetal Medicine, 7, 190-193.
 Scholl, T.O., Hediger, M.L., Schall, J.I., Ances, I.G. and Smith, W.K. (1995) Gestational weight gain, pregnancy outcome, and postpartum weight retention. Obstetrics & Gynecology, 86, 423-427.
 Rossner, S. (1997) Weight gain in pregnancy. Human Reproduction, 12, 110-115.
 Rasmussen, K.M., Abrams, B., Bodnar, L.M., Butte, N.F., Catalano, P.M. and Maria Siega-Riz, A. (2010) Recommendations for weight gain during pregnancy in the context of the obesity epidemic. Obstetrics & Gynecology, 116, 1191-1195. doi:10.1097/AOG.0b013e3181f60da7
 Thorsdottir, I., Torfadottir, J.E., Birgisdottir, B.E. and Geirsson, R.T. (2002) Weight gain in women of normal weight before pregnancy: complications in pregnancy or delivery and birth outcome. Obstetrics & Gynecology, 99, 799-806. doi:10.1016/S0029-7844(02)01946-4
 Kowal, C., Kuk, J. and Tamim, H. (2012) Characteristics of weight gain in pregnancy among Canadian women. Maternal and Child Health Journal, 16, 668-676.
 Di Benedetto, A., D’anna, R., Cannata, M.L., Giordano, D., Interdonato, M.L. and Corrado, F. (2012) Effects of prepregnancy body mass index and weight gain during pregnancy on perinatal outcome in glucose-tolerant women. Diabetes & Metabolism, 38, 63-67.