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Excessive gestational weight gain in accordance with the IOM criteria and the risk of hypertensive disorders of pregnancy: a meta-analysis.
- Source :
-
BMC pregnancy and childbirth [BMC Pregnancy Childbirth] 2018 Jul 04; Vol. 18 (1), pp. 281. Date of Electronic Publication: 2018 Jul 04. - Publication Year :
- 2018
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Abstract
- Background: Excessive gestational weight gain (GWG) is a potential risk factor for hypertensive disorders of pregnancy (HDP).<br />Methods: We systematically reviewed three electronic databases for relevant articles published in English: PubMed, EMBASE and Web of Science. The Newcastle-Ottawa Scale was used to assess study quality. Random-effects meta-analyses were performed to supply a pooled estimation of the OR comparing the risk of HDP among healthy pregnant women with and without excessive GWG.<br />Results: The pooled estimation for the association between excessive GWG and the risk of HDPs yielded an odds ratio (OR) of 1.79 (95% CI: 1.61-1.99). A subgroup analysis showed that women who had excessive GWG were more likely to have an HDP (OR 1.82; 95% CI 1.53-2.17), preeclampsia (OR 1.92; 95% CI 1.36-2.72), or gestational hypertension (OR 1.67; 95% CI 1.43-1.95). The pooled estimation for the association between excessive GWG and the risk of HDPs among pregestational normal weight women yielded an OR of 1.57 (95% CI 1.26-1.96). A subgroup analysis showed that women who had excessive GWG were more likely to have HDP (OR 1.45; 95% CI 1.09-1.92) or gestational hypertension (OR 1.51; 95% CI 1.22-1.86). The summary ORs of pre-gestational underweight women and pre-gestational overweight and obese women were 2.17 (95% CI 1.56-3.02) and 1.32 (95% CI 1.08-1.63), respectively.<br />Conclusions: The findings of this study suggest that excessive GWG in accordance with the IOM recommendations influences the rate of HDP.
Details
- Language :
- English
- ISSN :
- 1471-2393
- Volume :
- 18
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- BMC pregnancy and childbirth
- Publication Type :
- Academic Journal
- Accession number :
- 29973178
- Full Text :
- https://doi.org/10.1186/s12884-018-1922-y