Pre-pregnancy obesity and weight gain during pregnancy: impact on newborn outcomes

Abstract Background Overweight and obesity are global issues, especially among women of childbearing age, linked to adverse maternal and neonatal outcomes. These risks vary by age, race, and ethnicity, with increasing rates among immigrant and minority women. This study compares overweight and obesi...

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Main Authors: Sezgin Gunes, Suzan Sahin, Meltem Koyuncu Arslan, Nurhan Korkmaz, Ozlem Karaca Dag, Emir Gokalp, Hazal Saban, Mehmet Koca, Mehmet Yekta Oncel
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Pediatrics
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Online Access:https://doi.org/10.1186/s12887-024-05381-y
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author Sezgin Gunes
Suzan Sahin
Meltem Koyuncu Arslan
Nurhan Korkmaz
Ozlem Karaca Dag
Emir Gokalp
Hazal Saban
Mehmet Koca
Mehmet Yekta Oncel
author_facet Sezgin Gunes
Suzan Sahin
Meltem Koyuncu Arslan
Nurhan Korkmaz
Ozlem Karaca Dag
Emir Gokalp
Hazal Saban
Mehmet Koca
Mehmet Yekta Oncel
author_sort Sezgin Gunes
collection DOAJ
description Abstract Background Overweight and obesity are global issues, especially among women of childbearing age, linked to adverse maternal and neonatal outcomes. These risks vary by age, race, and ethnicity, with increasing rates among immigrant and minority women. This study compares overweight and obesity rates, pregnancy weight gain, and neonatal outcomes in Turkish and Syrian immigrant/refugee women. Methods In this retrospective study, at Buca Seyfi Demirsoy Hospital in Izmir, Turkey a total of 1353 mother-infant pairs were checked for eligibility. Of the entire cohort of 1353 mother-infant pairs, 323 pairs with complete medical records were included. The primary outcome was rate of pregestational obesity or overweight as secondary outcomes were weight gain during pregnancy and adherence to guidelines, neonatal outcomes according to different BMI categories and possible impact of maternal weight gain on neonatal morbidities in two different ethic populations. Results Of the 323 mother-infant pairs, overweight/obese mothers had higher birth weights and cesarean-section rates. Syrian mothers were more likely to gain less weight than recommended. Neonatal outcomes, such as hospitalization and SGA/LGA birth rates, were similar across groups, with varying compliance to weight gain guidelines. Conclusions Pre-pregnancy BMI and gestational weight gain significantly affect some of the neonatal outcomes. High obesity rates and ethnic disparities highlight the need for culturally tailored prenatal care to improve maternal and neonatal health, especially in immigrant populations. Further research with larger, diverse cohorts is needed.
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spelling doaj-art-27d184ec7349420384ade3f0ae7919f32025-01-19T12:38:51ZengBMCBMC Pediatrics1471-24312025-01-012511910.1186/s12887-024-05381-yPre-pregnancy obesity and weight gain during pregnancy: impact on newborn outcomesSezgin Gunes0Suzan Sahin1Meltem Koyuncu Arslan2Nurhan Korkmaz3Ozlem Karaca Dag4Emir Gokalp5Hazal Saban6Mehmet Koca7Mehmet Yekta Oncel8Department of Pediatrics, Division of Neonatology, Izmir City HospitalFaculty of Medicine, Department of Pediatrics, Division of Neonatology, Izmir Democracy UniversityDepartment of Pediatrics, Division of Neonatology, Buca Seyfi Demirsoy Teaching and Research HospitalDepartment of Pediatrics, Division of Neonatology, Izmir City HospitalDepartment of Pediatrics, Division of Neonatology, Izmir City HospitalFaculty of Medicine, Izmir Demokrasi UniversityFaculty of Medicine, Izmir Demokrasi UniversityRepublic of Turkey, Ministry of Health, General Directorate of European Union and Foreign AffairsFaculty of Medicine, Department of Pediatrics, Division of Neonatology, Izmir Katip Celebi UniversityAbstract Background Overweight and obesity are global issues, especially among women of childbearing age, linked to adverse maternal and neonatal outcomes. These risks vary by age, race, and ethnicity, with increasing rates among immigrant and minority women. This study compares overweight and obesity rates, pregnancy weight gain, and neonatal outcomes in Turkish and Syrian immigrant/refugee women. Methods In this retrospective study, at Buca Seyfi Demirsoy Hospital in Izmir, Turkey a total of 1353 mother-infant pairs were checked for eligibility. Of the entire cohort of 1353 mother-infant pairs, 323 pairs with complete medical records were included. The primary outcome was rate of pregestational obesity or overweight as secondary outcomes were weight gain during pregnancy and adherence to guidelines, neonatal outcomes according to different BMI categories and possible impact of maternal weight gain on neonatal morbidities in two different ethic populations. Results Of the 323 mother-infant pairs, overweight/obese mothers had higher birth weights and cesarean-section rates. Syrian mothers were more likely to gain less weight than recommended. Neonatal outcomes, such as hospitalization and SGA/LGA birth rates, were similar across groups, with varying compliance to weight gain guidelines. Conclusions Pre-pregnancy BMI and gestational weight gain significantly affect some of the neonatal outcomes. High obesity rates and ethnic disparities highlight the need for culturally tailored prenatal care to improve maternal and neonatal health, especially in immigrant populations. Further research with larger, diverse cohorts is needed.https://doi.org/10.1186/s12887-024-05381-yMaternal obesityNeonatal outcomeWeight gain in pregnancyImmigrantRefugeeSyrian
spellingShingle Sezgin Gunes
Suzan Sahin
Meltem Koyuncu Arslan
Nurhan Korkmaz
Ozlem Karaca Dag
Emir Gokalp
Hazal Saban
Mehmet Koca
Mehmet Yekta Oncel
Pre-pregnancy obesity and weight gain during pregnancy: impact on newborn outcomes
BMC Pediatrics
Maternal obesity
Neonatal outcome
Weight gain in pregnancy
Immigrant
Refugee
Syrian
title Pre-pregnancy obesity and weight gain during pregnancy: impact on newborn outcomes
title_full Pre-pregnancy obesity and weight gain during pregnancy: impact on newborn outcomes
title_fullStr Pre-pregnancy obesity and weight gain during pregnancy: impact on newborn outcomes
title_full_unstemmed Pre-pregnancy obesity and weight gain during pregnancy: impact on newborn outcomes
title_short Pre-pregnancy obesity and weight gain during pregnancy: impact on newborn outcomes
title_sort pre pregnancy obesity and weight gain during pregnancy impact on newborn outcomes
topic Maternal obesity
Neonatal outcome
Weight gain in pregnancy
Immigrant
Refugee
Syrian
url https://doi.org/10.1186/s12887-024-05381-y
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