| چکیده انگلیسی مقاله |
Background: Gestational weight gain (GWG) is an important issue for all pregnant women due to its effect on pregnancy outcomes. Regarding this, the aim of the present study was to assess the relationship of GWG with cesarean section, birth weight, and gestational age at birth in the women with a pre-pregnancy body mass index (BMI) of ≥ 25 kg/m2. Methods: This cross-sectional study was conducted on 2,147 obese or overweight pregnant females who had singleton births as a secondary analysis. The data were collected by filling out a checklist in 103 hospitals, which were equipped with department of obstetrics and gynecology, in Tehran province, Iran, in 2015. Data analysis was performed using binomial logistic regression model in Stata software version 14. Results: According to the results, the prevalence of cesarean section was 74.35%. Furthermore, the mean GWG was 11.7 kg. The odds of cesarean delivery in the women with low and high GWG were 0.62 times smaller and 1.20 times larger than that for normal GWG, respectively (95% CI: 0.42-0.92, P=0.019 and 95% CI:0.90-1.59, P=0.197, respectively). After adjusting for confounding variables, GWG had no significant association with birth weight and gestational age at birth in the overweight and obese women. Conclusion: The findings of this study revealed a significant relationship between GWG and cesarean section. Furthermore, the odds of cesarean section in the women with low GWG was less than that in the women with normal GWG. Regarding this, GWG should be considered as one of the determinants of cesarean delivery. Therefore, it is suggested to conduct further prospective cohort studies to clarify the impact of GWG on pregnancy complications. |
| نویسندگان مقاله |
امیر الماسی حشیانی | amir almasi hashiani
department of epidemiology and reproductive health, reproductive epidemiology research center, royan institute for reproductive biomedicine, academic center for education, culture, and research, tehran, iran
سازمان اصلی تایید شده: پژوهشگاه رویان (Royan institute)
محمد علی منصورنیا | mohammad ali mansournia
department of epidemiology and biostatistics, school of public health, tehran university of medical sciences, tehran, iran
سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)
مهدی سپیدارکیش | mahdi sepidarkish
department of epidemiology and reproductive health, reproductive epidemiology research center, royan institute for reproductive biomedicine, academic center for education, culture, and research, tehran, iran
سازمان اصلی تایید شده: پژوهشگاه رویان (Royan institute)
آرزو اسماعیل زاده | arezoo esmailzadeh
department of obstetrics and gynecology, zahedan university of medical sciences, zahedan, iran
سازمان اصلی تایید شده: دانشگاه علوم پزشکی زاهدان (Zahedan university of medical sciences)
سامان معروفی زاده | saman maroufizadeh
department of epidemiology and reproductive health, reproductive epidemiology research center, royan institute for reproductive biomedicine, academic center for education, culture, and research, tehran, iran
سازمان اصلی تایید شده: پژوهشگاه رویان (Royan institute)
رضا عمانی سامانی | reza omani samani
department of epidemiology and reproductive health, reproductive epidemiology research center, royan institute for reproductive biomedicine, acecr, tehran, iran
سازمان اصلی تایید شده: پژوهشگاه رویان (Royan institute)
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