Influence of gestational weight gain on baby’s birth weight in Addis Ababa, Central Ethiopia: a follow-up study
Background Gestational weight gain (GWG) is an important indicator of fetal well-being during pregnancy. Inadequate or excessive GWG could have undesirable effects on birth weight. However, information regarding the influence of GWG on birth weight is lacking from the Ethiopian setting.Objective Thi...
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BMJ Publishing Group
2022-06-01
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| Series: | BMJ Open |
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| author | Andrew Hayen Yadeta Dessie Maralyn Foureur Fekede Asefa Allison Cummins |
| author_facet | Andrew Hayen Yadeta Dessie Maralyn Foureur Fekede Asefa Allison Cummins |
| author_sort | Andrew Hayen |
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| description | Background Gestational weight gain (GWG) is an important indicator of fetal well-being during pregnancy. Inadequate or excessive GWG could have undesirable effects on birth weight. However, information regarding the influence of GWG on birth weight is lacking from the Ethiopian setting.Objective This study aimed to determine the influence of GWG and other maternal-related factors on birth weight in Addis Ababa, Ethiopia.Design and methods A cohort of pregnant women who received the first antenatal care before or at 16 weeks of gestation in health centres in Addis Ababa were followed from 10 January 2019 to 25 September 2019. Data were collected using a structured questionnaire and medical record reviews. We conducted a multivariable linear regression analysis to determine the independent effect of gestational weight on birth weight.Results Of the 395 women enrolled in the study, the participants’ pregnancy outcome was available for 329 (83.3%). The mean birth weight was 3130 (SD, 509) g. The proportion of low birth weight (<2500 g) was 7.5% (95% CI 4.8% to 11.0%). Babies born to underweight women were 150.9 g (95% CI 5.8 to 308.6 g, p=0.049) lighter than babies born to normal-weight women. Similarly, babies whose mothers gained inadequate weight were 248 g (95% CI 112.8 to 383.6 g, p<0.001) lighter than those who gained adequate weight. Moreover, babies whose mothers had a previous history of abortion or miscarriages or developed gestational hypertension in the current pregnancy were 147.2 g (95% CI 3.2 to 291.3 g, p=0.045) and 310.7 g (95% CI 62.7 to 552.8 g, p=0.012) lighter, respectively, compared with those whose mothers had not.Conclusions Prepregnancy weight, GWG, having had a previous history of abortion or miscarriages, and developing gestational hypertension during a current pregnancy were independently associated with birth weight. Pregnancy-related weight management should be actively promoted through intensive counseling during routine antenatal care contacts. |
| format | Article |
| id | doaj-art-bef03fcc4f7847deba520ec0b44c298a |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | BMJ Publishing Group |
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| series | BMJ Open |
| spelling | doaj-art-bef03fcc4f7847deba520ec0b44c298a2025-01-27T13:05:09ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-055660Influence of gestational weight gain on baby’s birth weight in Addis Ababa, Central Ethiopia: a follow-up studyAndrew Hayen0Yadeta Dessie1Maralyn Foureur2Fekede Asefa3Allison Cummins4University of Technology, Sydney, New South Wales, AustraliaSchool of Public Health, Haramaya University College of Health and Medical Sciences, Harar, EthiopiaCentre for Midwifery, Child and Family Health, Faculty of Health, University of Technology Sydney, Sydney, NSW, AustraliaSchool of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Oromia, EthiopiaCentre for Midwifery, Child and Family Health, Faculty of Health, University of Technology Sydney, Sydney, NSW, AustraliaBackground Gestational weight gain (GWG) is an important indicator of fetal well-being during pregnancy. Inadequate or excessive GWG could have undesirable effects on birth weight. However, information regarding the influence of GWG on birth weight is lacking from the Ethiopian setting.Objective This study aimed to determine the influence of GWG and other maternal-related factors on birth weight in Addis Ababa, Ethiopia.Design and methods A cohort of pregnant women who received the first antenatal care before or at 16 weeks of gestation in health centres in Addis Ababa were followed from 10 January 2019 to 25 September 2019. Data were collected using a structured questionnaire and medical record reviews. We conducted a multivariable linear regression analysis to determine the independent effect of gestational weight on birth weight.Results Of the 395 women enrolled in the study, the participants’ pregnancy outcome was available for 329 (83.3%). The mean birth weight was 3130 (SD, 509) g. The proportion of low birth weight (<2500 g) was 7.5% (95% CI 4.8% to 11.0%). Babies born to underweight women were 150.9 g (95% CI 5.8 to 308.6 g, p=0.049) lighter than babies born to normal-weight women. Similarly, babies whose mothers gained inadequate weight were 248 g (95% CI 112.8 to 383.6 g, p<0.001) lighter than those who gained adequate weight. Moreover, babies whose mothers had a previous history of abortion or miscarriages or developed gestational hypertension in the current pregnancy were 147.2 g (95% CI 3.2 to 291.3 g, p=0.045) and 310.7 g (95% CI 62.7 to 552.8 g, p=0.012) lighter, respectively, compared with those whose mothers had not.Conclusions Prepregnancy weight, GWG, having had a previous history of abortion or miscarriages, and developing gestational hypertension during a current pregnancy were independently associated with birth weight. Pregnancy-related weight management should be actively promoted through intensive counseling during routine antenatal care contacts.https://bmjopen.bmj.com/content/12/6/e055660.full |
| spellingShingle | Andrew Hayen Yadeta Dessie Maralyn Foureur Fekede Asefa Allison Cummins Influence of gestational weight gain on baby’s birth weight in Addis Ababa, Central Ethiopia: a follow-up study BMJ Open |
| title | Influence of gestational weight gain on baby’s birth weight in Addis Ababa, Central Ethiopia: a follow-up study |
| title_full | Influence of gestational weight gain on baby’s birth weight in Addis Ababa, Central Ethiopia: a follow-up study |
| title_fullStr | Influence of gestational weight gain on baby’s birth weight in Addis Ababa, Central Ethiopia: a follow-up study |
| title_full_unstemmed | Influence of gestational weight gain on baby’s birth weight in Addis Ababa, Central Ethiopia: a follow-up study |
| title_short | Influence of gestational weight gain on baby’s birth weight in Addis Ababa, Central Ethiopia: a follow-up study |
| title_sort | influence of gestational weight gain on baby s birth weight in addis ababa central ethiopia a follow up study |
| url | https://bmjopen.bmj.com/content/12/6/e055660.full |
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