IMR Press / CEOG / Volume 44 / Issue 4 / DOI: 10.12891/ceog3461.2017

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Original Research
Does gestational weight gain of more than 12 kg in women increase the risk of a cesarean section delivery, gestational diabetes and pregnancy induced hypertension? A retrospective case series
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1 Midwifery School, ‘Alexander’ Technological Educational Institute of Thessaloniki, Thessaloniki, Greece
2 Shrewsbury and Telford Hospital, NHS Trust, Shropshire, UK
3 Independent Practice Midwifery, Ptolemaida, Greece
Clin. Exp. Obstet. Gynecol. 2017, 44(4), 540–544; https://doi.org/10.12891/ceog3461.2017
Published: 10 August 2017
Abstract
Purpose: The purpose of this study was to investigate whether the gestational weight gain of more than 12 kg represented a risk factor for an increased rate of cesarean section (CS) delivery, gestational diabetes, and pregnancy-induced hypertension (PIH). Materials and Methods: This was a retrospective case series study performed in a Greek National Health Service hospital and included women having given birth to singleton pregnancies between 2004-2009. Cases with multiple pregnancies, stillbirths, and congenital fetal abnormalities were excluded. Results: 600 eligible women were included in the study. Gestational weight increase correlated positively and was higher in women with a CS delivery, gestational diabetes, and PIH. The prepregnancy body mass index was identified as a predictor of gestational diabetes. The weight gain of less than 12 kg during pregnancy provided a protective effect against CS delivery by reducing the likelihood of this by 85%. Conclusion: The present authors have shown that the increased body weight gain during pregnancy of more than 12 kg is associated with increased rates of CS delivery, gestational diabetes, and hypertensive disorders in pregnancy.
Keywords
Body mass index
Cesarean section
Gestational diabetes
Preeclampsia
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