303599
Influence of pre-pregnancy BMI and gestational weight gain on hypertensive disorders during pregnancy
![142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual](images/banner.jpg)
Methods: The Pregnancy Risk Assessment Monitoring System (PRAMS), a nationally representative sample of women who delivered live births in the U.S., was analyzed. Maternal pre-pregnancy BMI was categorized as underweight (< 18.5), normal weight (18.5-24.9), overweight (25-29.9) and obese (≥30). Women were classified as having hypertensive disorders of pregnancy if they reported high blood pressure, pregnancy induced hypertension, preeclampsia, or toxemia during their most recent pregnancy. Pre-pregnancy BMI was stratified by maternal weight gain and ORs and 95% CIs were calculated using logistic regression.
Results: Within each stratum of gestational weight gain, women who were overweight or obese had increased odds of developing hypertensive disorders compared to normal BMI women. The estimates became more robust with increased gestational weight gain. Compared to women with normal pre-pregnancy BMI, underweight women had reduced odds of hypertensive disorders.
Conclusion: Exceeding the recommended guidelines for gestational weight gain may put mothers at risk for a range of hypertensive disorders during their pregnancy. These findings may help encourage obstetricians to effectively consult with patients about maintaining healthy weight gain during pregnancy to improve pregnancy outcomes.
Learning Areas:
EpidemiologyPublic health or related research
Social and behavioral sciences
Learning Objectives:
Evaluate the effect of pre-pregnancy BMI on hypertensive disorders during pregnancy.
Describe the relationship between pre-pregnancy BMI, gestational weight gain, and hypertensive disorders.
Discuss the implication of the 2009 IOM weight guideline as it relates to hypertensive disorders during pregnancy.
Keyword(s): Hypertension, Maternal and Child Health
Qualified on the content I am responsible for because: I am currently enrolled in the Mph program at Virginia Commonwealth University. My rigorous work in Biostatistics and Epidemiology has prepared me for research in the field of Maternal and Child Health. Past research experience has included data analysis of preterm birth rates for Richmond Virginia’s Healthy Start Initiative, and manuscript preparation for studies on preterm birth, intimate partner violence, and evaluation measures for Richmond’s Healthy Start Initiative.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.