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ORIGINAL ARTICLE   

Minerva Ginecologica 2019 December;71(6):427-33

DOI: 10.23736/S0026-4784.19.04449-6

Copyright © 2019 EDIZIONI MINERVA MEDICA

lingua: Inglese

The role of antenatal education for the prevention of excessive weight gain during pregnancy

Roberta AMADORI 1 , Carmela MELLUZZA 1, Alessia MOTTA 2, Alberto DE PEDRINI 1, Daniela SURICO 1

1 Department of Obstetrics and Gynecology, University of Eastern Piedmont, Novara, Italy; 2 Unit of Midwifery, Department of Obstetrics and Gynecology, University of Eastern Piedmont, Novara, Italy



BACKGROUND: Excessive weight gain (EWG) during pregnancy is associated to adverse maternal-fetal outcomes. The aim of this study was to analyze the situation in a single high intensity care center in Eastern Piedmont, north of Italy.
METHODS: This is a cohort study including 715 patients classified into four classes corresponding to pregestational BMI values. Based on the WHO’s weight gain for each class, women were subdivided into three groups: inadequate, adequate and excessive increase.
RESULTS: EWG was significant in overweight (43.9%) and obese women (37.3%). There was a significant correlation with gestational diabetes (P=0.046), hypertension (P=0.0001), preterm birth (P=0.047), intake of antihypertensive drugs (P=0.0001), maternal study degree (P=0.005), profession (P=0.015), civil status (P=0.003), parity (P=0.039) and paternal ethnicity (P=0.027). Participation at antenatal education for childbirth (AEC) had a positive impact leading to an appropriate weight gain (P=0.004).
CONCLUSIONS: If adequately counselled, women understand the consequences of excessive weight gain during pregnancy, comply more to therapy and modify their lifestyle.


KEY WORDS: Prenatal education; Gestational weight gain; Pregnancy

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