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Weight gain restriction for obese pregnant women: a case–control intervention study

  1. I-M Claesson1,
  2. G Sydsjö1,
  3. J Brynhildsen1,
  4. M Cedergren1,
  5. A Jeppsson1,
  6. F Nyström2,
  7. A Sydsjö1,
  8. A Josefsson1,*

Article first published online: 26 OCT 2007

DOI: 10.1111/j.1471-0528.2007.01531.x

Issue

BJOG: An International Journal of Obstetrics & Gynaecology

BJOG: An International Journal of Obstetrics & Gynaecology

Volume 115, Issue 1, pages 44–50, January 2008

Additional Information

How to Cite

Claesson, I.-M., Sydsjö, G., Brynhildsen, J., Cedergren, M., Jeppsson, A., Nyström, F., Sydsjö, A. and Josefsson, A. (2008), Weight gain restriction for obese pregnant women: a case–control intervention study. BJOG: An International Journal of Obstetrics & Gynaecology, 115: 44–50. doi: 10.1111/j.1471-0528.2007.01531.x

Author Information

  1. 1

    Division of Obstetrics and Gynaecology, Department of Molecular and Clinical Medicine

  2. 2

    Division of IMV, Diabetes Research Centre, Faculty of Health Sciences, Linköping University, Sweden

*Dr A Josefsson, Department of Obstetrics and Gynaecology, University Hospital, SE-581 85 Linköping, Sweden. Email ann.josefsson@lio.se

Publication History

  1. Issue published online: 5 NOV 2007
  2. Article first published online: 26 OCT 2007
  3. Accepted 27 August 2007. Published OnlineEarly 26 October 2007.

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Keywords:

  • Delivery;
  • intervention;
  • neonatal;
  • obesity;
  • pregnancy;
  • weight gain

Objective  To minimise obese women’s total weight gain during pregnancy to less than 7 kg and to investigate the delivery and neonatal outcome.

Design  A prospective case–control intervention study.

Setting  Antenatal care clinics in the southeast region of Sweden.

Population  One hundred fifty-five pregnant women in an index group and one hundred ninety-three women in a control group.

Methods  An intervention programme with weekly motivational talks and aqua aerobic classes for obese pregnant women.

Main outcome measures  Weight gain in kilograms, delivery and neonatal outcome.

Results  The index group had a significantly lower weight gain during pregnancy compared with the control group (P < 0.001). The women in the index group weighed less at the postnatal check-up compared with the weight registered in early pregnancy (P < 0.001). The percentage of women in the index group who gained less than 7 kg was greater than that of women in the control group who gained less than 7 kg (P= 0.003). The percentage of nulliparous women in this group was greater than that in the control group (P= 0.018). In addition, the women in the index group had a significantly lower body mass index at the postnatal check-up, compared with the control group (P < 0.001). There were no differences between the index group and the control group regarding birthweight, gestational age and mode of delivery.

Conclusion  The intervention programme was effective in controlling weight gain during pregnancy and did not affect delivery or neonatal outcome.

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