2009 IOM guidelines for gestational weight gain: how well do they predict outcomes across ethnic groups?

• Published in: Ethnicity & health 2020, Vol.25 (1), p.110-125
• Main Authors: Khanolkar, Amal R., Hanley, Gillian E., Koupil, Ilona, Janssen, Patricia A.
• Format: Article
• Language: English
• Subjects: Abbreviations; Age; Apgar score; Birth; Births; Black people; Blood pressure; Cesarean section; Childbirth & labor; Classification; Discharge; Eclampsia; Ethnic groups; Ethnicity; Gestational age; Guidelines; Health risk assessment; Hispanic Americans; Hospitalization; Hypertension; Infants; Intensive care; IOM; maternal health; Medical diagnosis; Medicine; Menstruation; Minority & ethnic groups; Minority groups; Mothers; neonatal outcomes; Neonatal units; Neonates; Newborn babies; Pacific Islander people; Population studies; Pre-eclampsia; Predictions; Preeclampsia; Pregnancy; Ventilation; Ventilators; Weight; Weight gain; Women
• ISSN: 1355-7858; 1465-3419; 1465-3419
• DOI: 10.1080/13557858.2017.1398312

Objective: To determine whether the Institute Of Medicine's (IOM) 2009 guidelines for weight-gain during pregnancy are predictive of maternal and infant outcomes in ethnic minority populations. Methods: We designed a population-based study using administrative data on 181,948 women who delivered live singleton births in Washington State between 2006-2008. We examined risks of gestational hypertension, preeclampsia/eclampsia, cesarean delivery, and extended hospital stay in White, Black, Native-American, East-Asian, Hispanic, South-Asian and Hawaiian/Pacific islander women according to whether they gained more or less weight during pregnancy than recommended by IOM guidelines. We also examined risks of neonatal outcomes including Apgar score