@article{misugi2014effect,
  title = {The Effect of Maternal Weight Gain During Pregnancy on Perinatal Prognosis in Japanese Women},
  author = {Takuya Misugi and Junko Nishio and TadahiroTakebayasi and Kayoko Nakagawa and Masako Tanaka and Makoto Yamauchi and Hiroko Yamamoto and Daisuke Tachibanaand MasayasuKoyama},
  year = 2014,
  url = {https://ibimapublishing.com/articles/GYNE/2014/467559/},
  journal = {Obstetrics & Gynecology: An International Journal},
  volume = 2014,
  pages = 15,
  doi = 10.5171/2014.467559,
  abstract = {Objective: The aim of this study is to clearly validate the perinatal prognosis when Japanese pregnant women gain weight during pregnancy within the Japanese Ministry of Health, Labor and Welfare (HLWM) recommendation or the U.S. Institute of Health (IOM) recommendation. Methods: Japanese women who delivered single term infants (37-42w) were recruited to the study. Perinatal risk factors including light for date (LFD), heavy for date (HFD), emergency cesarean section (ECS) and pregnancy induced hypertension (PIH) were analyzed using the guidelines of HLWM and IOM. Results: 5,602 women were classified as underweight (group U:BMI<18.5kg/m2 , n=1,035), normal weight (group N:18.5≤BMI<25kg/m2 , n=3,964), 3 overweight (group O:25≤BMI<30kg/m2 , n=449) and obese (group OB:30kg/m2 ≤BMI, n=154). When GWG was within the IOM recommendation, women were at decreased risk of LFD (adjusted OR 0.50, 95% IC 0.26-0.70), and increased risk of HFD (adjusted OR 1.99, 95% IC 1.50-2.64) and ECS delivery (adjusted OR 1.56, 95% IC 1.12-2.17) compared with women whose GWG was within the HLWM recommendation. Conclusion: For Japanese women in groups U and group N, the acceptable weight gain during pregnancy may have been within the US IOM recommendation to reduce LFD, but we still need to pay attention to the adverse events related to HFD or ECS.},
  keywords = {gestational weight gain; light for date; pre-pregnancy body mass index},
  note = Article ID: 467559
}