PDF(Pubmed)
Abstract：
BACKGROUND: The nutritional status of the mothers before pregnancy and the weights gained during pregnancy are very crucial factors affecting the pregnancy outcomes and health of the infants. This study aimed to assess early pregnancy weight, determine the magnitude of gestational weight gain, and investigate the factors affecting gestational weight gain among pregnant women in the Gurage zone, 2022.
METHODS: A prospective cohort study was conducted among pregnant women who started antenatal care follow-up before the 16th week of gestation in the selected hospitals and health centers of the Gurage zone, Ethiopia. The gestational weight gain was obtained by subtracting the early pregnancy weight from the last pregnancy weight and categorizing based on the Institute of Medicine (IOM) recommendation.
RESULTS: The early pregnancy weight status of the women at enrollment indicates that 10% of them were underweight and 83% of them had normal weight. On average, the study participants gained 13.3 kgs of weight with [95% CI: 13.0, 13.6]. More than half (56%) of them gained adequate weight, a quarter (26%) of them gained inadequate weight, and 18% of them gained excess weight during pregnancy compared to the IOM recommendation. Maternal age, occupational status, and early pregnancy weight status were found to have a statistically significant association with the gestational weight gained.
CONCLUSIONS: Almost half (44%) of the pregnant women gained either inadequate or excess weight during pregnancy. Promoting gestational weight gain within recommended guidelines should be emphasized for younger, employed women and those who are either underweight or overweight.
METHODS: A prospective cohort study was conducted among pregnant women who started antenatal care follow-up before the 16th week of gestation in the selected hospitals and health centers of the Gurage zone, Ethiopia. The gestational weight gain was obtained by subtracting the early pregnancy weight from the last pregnancy weight and categorizing based on the Institute of Medicine (IOM) recommendation.
RESULTS: The early pregnancy weight status of the women at enrollment indicates that 10% of them were underweight and 83% of them had normal weight. On average, the study participants gained 13.3 kgs of weight with [95% CI: 13.0, 13.6]. More than half (56%) of them gained adequate weight, a quarter (26%) of them gained inadequate weight, and 18% of them gained excess weight during pregnancy compared to the IOM recommendation. Maternal age, occupational status, and early pregnancy weight status were found to have a statistically significant association with the gestational weight gained.
CONCLUSIONS: Almost half (44%) of the pregnant women gained either inadequate or excess weight during pregnancy. Promoting gestational weight gain within recommended guidelines should be emphasized for younger, employed women and those who are either underweight or overweight.
摘要：
背景：孕前母亲的营养状况和孕期体重增加是影响妊娠结局和婴儿健康的关键因素。这项研究旨在评估早期妊娠体重，确定妊娠期体重增加的幅度，并调查了影响Gurage区孕妇妊娠期体重增加的因素，2022年。
方法：在Gurage区选定的医院和保健中心，对妊娠第16周前开始产前护理随访的孕妇进行了前瞻性队列研究。埃塞俄比亚。通过从上次妊娠体重中减去早期妊娠体重并根据医学研究所（IOM）的建议进行分类来获得妊娠体重增加。
结果：入组时妇女的妊娠早期体重状况表明，其中10％体重不足，83％体重正常。平均而言,研究参与者体重增加了13.3kg，[95%CI：13.0,13.6]。超过一半（56％）的人获得了足够的体重，四分之一(26%)的人体重不足，与IOM建议相比，其中18％的人在怀孕期间体重增加。产妇年龄,职业状况,发现早期妊娠体重状况与妊娠体重增加具有统计学上的显着关联。
结论：几乎一半（44%）的孕妇在怀孕期间体重增加不足或超重。在推荐的指南中促进妊娠期体重增加应强调年轻人，就业妇女和体重不足或超重的妇女。
方法：在Gurage区选定的医院和保健中心，对妊娠第16周前开始产前护理随访的孕妇进行了前瞻性队列研究。埃塞俄比亚。通过从上次妊娠体重中减去早期妊娠体重并根据医学研究所（IOM）的建议进行分类来获得妊娠体重增加。
结果：入组时妇女的妊娠早期体重状况表明，其中10％体重不足，83％体重正常。平均而言,研究参与者体重增加了13.3kg，[95%CI：13.0,13.6]。超过一半（56％）的人获得了足够的体重，四分之一(26%)的人体重不足，与IOM建议相比，其中18％的人在怀孕期间体重增加。产妇年龄,职业状况,发现早期妊娠体重状况与妊娠体重增加具有统计学上的显着关联。
结论：几乎一半（44%）的孕妇在怀孕期间体重增加不足或超重。在推荐的指南中促进妊娠期体重增加应强调年轻人，就业妇女和体重不足或超重的妇女。
