Comparison between American Institute of Medicine Guidelines and Local Recommendation for Gestational Weight Gain in Taiwanese Primiparous Women

Alexander Waits, Chao Yu Guo, Li Yin Chien*

*此作品的通信作者

研究成果: Article同行評審

1 引文 斯高帕斯(Scopus)

摘要

Objectives: American Institute of Medicine (IOM) recommends different ranges of gestational weight gain (GWG) based on pre-pregnancy body mass index (BMI). In Taiwan, IOM guidelines are implemented concurrently with the local recommendation for GWG (10–14 kg). This study compared between the two sets of guidelines in relation to adverse perinatal outcomes. Methods: We analyzed 31,653 primiparas with singletons from 2011 to 2016 annual National Breastfeeding Surveys. Logistic regressions for preterm birth, small for gestational age (SGA), large for gestational age (LGA), cesarean section and excessive postpartum weight retention (EPWR) were fitted separately for GWG categorized according to IOM and Taiwan ranges. Areas under the receiver–operator curves (AUC) and the predicted probabilities for each outcome were compared in each BMI group. Results: AUC for both guidelines ranged within 0.51–0.73. Compared to Taiwan recommendation, IOM ranges showed lower probabilities of SGA for underweight (0.11–0.15 versus 0.14–0.18), of LGA for obese (0.12–0.15 versus 0.15–0.18), of EPWR for overweight (0.19–0.30 versus 0.27–0.39), and obese (0.15–0.22 versus 0.25–0.36); and higher probabilities of EPWR for underweight (0.17–0.33 versus 0.14–0.22). Conclusions for practice: Discriminative performance of IOM and Taiwan recommendations was poor for the five adverse birth outcomes, and no preference for either set of recommendations could be inferred from our results. In the absence of specific GWG guidelines, health care workers may provide inconsistent information to their patients. Future research is needed to explore optimal GWG ranges that can reliably predict locally relevant perinatal outcomes for mother and child.

原文English
頁(從 - 到)1981-1991
頁數11
期刊Maternal and Child Health Journal
25
發行號12
DOIs
出版狀態Published - 12月 2021

指紋

深入研究「Comparison between American Institute of Medicine Guidelines and Local Recommendation for Gestational Weight Gain in Taiwanese Primiparous Women」主題。共同形成了獨特的指紋。

引用此