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Table 6 Comparison of maternal and neonatal outcomes in the three GWG groups according to IOM recommendations

From: Effects of pre-pregnancy body mass index and gestational weight gain on maternal and infant complications

 

Gestational weight gain category

 

Inadequate

(N = 787)

Adequate

(N = 1309)

Excessive

(N = 1076)

P-value

Maternal outcomes

Gestational weeks

   

<  0.001

   ≥ 28 and < 37

61 (7.8)

53 (4.1)

33 (3.1)

 

   ≥ 37 and < 42

724 (92.0)

1254 (95.8)

1042 (96.8)

 

   ≥ 42

2 (0.2)

2 (0.1)

1 (0.1)

 

Delivery mode

   

<  0.001

  Eutocia

487 (61.9)

761 (58.1)

546 (50.7)

 

  Caesarean section

285 (36.2)

528 (40.3)

516 (48)

 

  Midwifery practice

15 (1.9)

20 (1.5)

14 (1.3)

 

Maternal complications

Anemia

   

0.695

  No

681 (86.5)

1118 (85.4)

930 (86.4)

 

  Yes

106 (13.5)

191 (14.6)

146 (13.6)

 

PROM

   

0.286

  No

680 (86.4)

1159 (88.5)

935 (86.9)

 

  Yes

107 (13.6)

150 (11.5)

141 (13.1)

 

GDM

   

<  0.001

  No

665 (84.5)

1170 (89.4)

965 (89.7)

 

  Yes

122 (15.5)

139 (10.6)

111 (10.3)

 

GHp

   

0.004

  No

775 (98.5)

1279 (97.7)

1034 (96.1)

 

  Yes

12 (1.5)

30 (2.3)

42 (3.9)

 

Neonatal outcomes

Birth weight

   

<  0.001

  Low birth weight

45 (5.7)

44 (3.4)

23 (2.1)

 

  Normal birth weight

711 (90.3)

1193 (91.1)

933 (86.7)

 

  Macrosomia

31 (3.9)

72 (5.5)

120 (11.2)

 

Gestational age (GA)

   

<  0.001

  Small for GA

60 (7.6)

78 (6.0)

44 (4.1)

 

  Normal GA

676 (85.9)

1119 (85.5)

861 (80.0)

 

  Large for GA

51 (6.5)

112 (8.6)

171 (15.9)

 
  1. Note: PROM Premature rupture of membranes, GDM Gestational diabetes mellitus, GHp Gestational hypertension