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    Maternal weight and body composition in the first trimester of pregnancy.

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    Authors
    Fattah, Chro
    Farah, Nadine
    Barry, Sinead C
    O'Connor, Norah
    Stuart, Bernard
    Turner, Michael J
    Affiliation
    UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, , Dublin, Ireland.
    Issue Date
    2012-02-01T10:58:43Z
    MeSH
    Adult
    Analysis of Variance
    Body Composition/*physiology
    *Body Mass Index
    Body Weight/*physiology
    Cross-Sectional Studies
    Female
    Fetal Development/physiology
    Humans
    Maternal Welfare
    Pregnancy
    Pregnancy Trimester, First/*physiology
    Prenatal Care/methods
    Probability
    Prospective Studies
    Reference Values
    Time Factors
    Ultrasonography, Prenatal
    Weight Gain/physiology
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    Metadata
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    Citation
    Acta Obstet Gynecol Scand. 2010 Jul;89(7):952-5.
    Journal
    Acta obstetricia et gynecologica Scandinavica
    URI
    http://hdl.handle.net/10147/208048
    DOI
    10.3109/00016341003801706
    PubMed ID
    20380598
    Abstract
    OBJECTIVE: Previous studies on weight gain in pregnancy suggested that maternal weight on average increased by 0.5-2.0 kg in the first trimester of pregnancy. This study examined whether mean maternal weight or body composition changes in the first trimester of pregnancy. DESIGN: Prospective observational study. POPULATION: We studied 1,000 Caucasian women booking for antenatal care in the first trimester of pregnancy. SETTING: Large university teaching hospital. METHODS: Maternal height and weight were measured digitally in a standardized way and Body Mass Index (BMI) was calculated. Maternal body composition was measured using segmental multifrequency Bioelectrical Impedance Analysis (BIA). Sonographic examination confirmed the gestational age and a normal ongoing singleton pregnancy in all subjects. MAIN OUTCOME MEASURES: Maternal weight, maternal body composition. RESULTS: The mean BMI was 25.7 kg/m(2) and 19.0% of the women were in the obese category (> or =30.0 kg/m(2)). Cross-sectional analysis by gestational age showed that there was no change in mean maternal weight, BMI, total body water, fat mass, fat-free mass or bone mass before 14 weeks gestation. CONCLUSIONS: Contrary to previous reports, mean maternal weight and mean body composition values remain unchanged in the first trimester of pregnancy. This has implications for guidelines on maternal weight gain during pregnancy. We also recommend that calculation of BMI in pregnancy and gestational weight gain should be based on accurate early pregnancy measurements, and not on self-reported or prepregnancy measurements.
    Language
    eng
    ISSN
    1600-0412 (Electronic)
    0001-6349 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.3109/00016341003801706
    Scopus Count
    Collections
    Coombe Women & Infants University Hospital

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