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Magnitude and Associated Factors of Gestational Excessive Weight Gain Among Pregnancy Women at St Paul’s Hospital, Addis Ababa, Ethiopia 2024, a Crosse-Sectional Study

Received: 18 August 2024     Accepted: 6 September 2024     Published: 26 September 2024
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Abstract

Background: Women invariably gain weight during pregnancy due to fat deposition, fluid retention, and the weight attributed to the growth of the fetus, uterus, and breasts. Gestational weight gain can influence pregnancy outcomes as well as the long-term health of both the mother and child. It is reported that nearly 50 percent of mothers worldwide experience excessive weight gain during pregnancy. Suboptimal weight gain during pregnancy is also a recognized risk factor for adverse delivery outcomes. Objective: To assess the magnitude of excess maternal gestational weight gain and the associated factors influencing pregnancy complications among pregnant women at St. Paul’s Hospital, Addis Ababa, Ethiopia, in 2024. Methods and Materials: An institutional-based descriptive cross-sectional quantitative approach was used to conduct the study. Data were collected using both primary and secondary sources. Well-organized interviewer-administered questionnaires and a checklist were utilized. The sample size was determined using a single population formula Considering the proportion to be 50% to get the maximum possible sample size. A total of 422 mothers participated in the study, and a systematic random sampling technique was employed to select the study population. Data were collected, summarized, tabulated, and analyzed using the Statistical Package Epi-Info version 7 and SPSS version 26 software. Frequencies, proportions, and dispersions were estimated to describe the variables. Multivariate analysis was used to determine the association between explanatory variables and gestational weight gain. Results: A total of 422 pregnant mothers participated in the study, resulting in a 100% response rate. The majority, 201 (47.6%), were in the age group of 20 to 25 years, and 179 (42.4%) had delivered two children. Additionally, 112 (26.5%) ate more than four times per day, and 303 (71.8%) consumed carbohydrates daily. Of the participants, 375 (88.9%) gained adequate weight, 35 (8.3%) gained excessive weight, and 12 (2.8%) gained inadequate weight during their current pregnancy. Being employed and consuming fruits and vegetables were associated with a lower likelihood of excessive gestational weight gain, while high carbohydrate consumption was linked to a higher risk of excessive weight gain. Conclusion and Recommendation: A significant proportion of women (35%) gained excessive weight. Unemployment and daily carbohydrate and fruits consumption were significantly associated with excessive weight gain. Women of childbearing age should be informed about the importance of consuming fruits and vegetables and reducing carbohydrate intake during pregnancy to prevent excessive weight gain.

Published in International Journal of Clinical and Experimental Medical Sciences (Volume 10, Issue 3)
DOI 10.11648/j.ijcems.20241003.12
Page(s) 36-42
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Magnitude, Weight Gain Adequacy, Pre-pregnancy BMI, Pregnant Women, Ethiopia

References
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[2] Wang X, Zhang X, Zhou M, Juan J, Wang X. Association of prepregnancy body mass index, rate of gestational weight gain with pregnancy outcomes in Chinese urban women. Nutr Metab (Lond). 2019 Aug 19; 16: 54.
[3] Lynch CM, Sexton DJ, Hession M, Morrison JJ. Obesity and mode of delivery in primigravid and multigravid women. Am J Perinatol. 2008 Mar; 25(3): 163-7.
[4] Frederick IO, Williams MA, Sales AE, Martin DP, Killien M. Pre-pregnancy body mass index, gestational weight gain, and other maternal characteristics in relation to infant birth weight. Matern Child Health J. 2008 Sep; 12(5): 557-67.
[5] Nohr EA, Vaeth M, Baker JL, Sørensen TIa, Olsen J, Rasmussen KM. Combined associations of prepregnancy body mass index and gestational weight gain with the outcome of pregnancy. Am J Clin Nutr. 2008 Jun; 87(6): 1750-9.
[6] Castro LC, Avina RL. Maternal obesity and pregnancy outcomes. Curr Opin Obstet Gynecol. 2002 Dec; 14(6): 601-6.
[7] Young TK, Woodmansee B. Factors those are associated with cesarean delivery in a large private practice: the importance of prepregnancy body mass index and weight gain. Am J Obstet Gynecol. 2002 Aug; 187(2): 312-8; discussion 318-20.
[8] Prevention of Group B Streptococcal Early-Onset Disease in Newborns: ACOG Committee Opinion, Number 797. Obstet Gynecol. 2020 Feb; 135(2): e51-e72.
[9] Ørskou J, Kesmodel U, Henriksen TB, Secher NJ. An increasing proportion of infants weigh more than 4000 grams at birth. Acta Obstet Gynecol Scand. 2001 Oct; 80(10): 931-6.
[10] Schummers L, Hutcheon JA, Bodnar LM, Lieberman E, Himes KP. Risk of adverse pregnancy outcomes by prepregnancy body mass index: a population-based study to inform prepregnancy weight loss counseling. Obstet Gynecol. 2015 Jan; 125(1): 133-143.
[11] Restall A, Taylor RS, Thompson JM, Flower D, Dekker GA, Kenny LC, Poston L, McCowan LM. Risk factors for excessive gestational weight gain in a healthy, nulliparous cohort. J Obes. 2014; 2014: 148391.
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[13] Bhavadharini B, Anjana RM, Deepa M, Jayashree G, Nrutya S, Shobana M, Malanda B, Kayal A, Belton A, Joseph K, Rekha K, Uma R, Mohan V. Gestational Weight Gain and Pregnancy Outcomes in Relation to Body Mass Index in Asian Indian Women. Indian J Endocrinol Metab 2017 Jul-Aug; 21(4): 588-593.
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  • APA Style

    Alemu, M. Y. (2024). Magnitude and Associated Factors of Gestational Excessive Weight Gain Among Pregnancy Women at St Paul’s Hospital, Addis Ababa, Ethiopia 2024, a Crosse-Sectional Study. International Journal of Clinical and Experimental Medical Sciences, 10(3), 36-42. https://doi.org/10.11648/j.ijcems.20241003.12

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    ACS Style

    Alemu, M. Y. Magnitude and Associated Factors of Gestational Excessive Weight Gain Among Pregnancy Women at St Paul’s Hospital, Addis Ababa, Ethiopia 2024, a Crosse-Sectional Study. Int. J. Clin. Exp. Med. Sci. 2024, 10(3), 36-42. doi: 10.11648/j.ijcems.20241003.12

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    AMA Style

    Alemu MY. Magnitude and Associated Factors of Gestational Excessive Weight Gain Among Pregnancy Women at St Paul’s Hospital, Addis Ababa, Ethiopia 2024, a Crosse-Sectional Study. Int J Clin Exp Med Sci. 2024;10(3):36-42. doi: 10.11648/j.ijcems.20241003.12

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  • @article{10.11648/j.ijcems.20241003.12,
      author = {Megbar Yilie Alemu},
      title = {Magnitude and Associated Factors of Gestational Excessive Weight Gain Among Pregnancy Women at St Paul’s Hospital, Addis Ababa, Ethiopia 2024, a Crosse-Sectional Study
    },
      journal = {International Journal of Clinical and Experimental Medical Sciences},
      volume = {10},
      number = {3},
      pages = {36-42},
      doi = {10.11648/j.ijcems.20241003.12},
      url = {https://doi.org/10.11648/j.ijcems.20241003.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcems.20241003.12},
      abstract = {Background: Women invariably gain weight during pregnancy due to fat deposition, fluid retention, and the weight attributed to the growth of the fetus, uterus, and breasts. Gestational weight gain can influence pregnancy outcomes as well as the long-term health of both the mother and child. It is reported that nearly 50 percent of mothers worldwide experience excessive weight gain during pregnancy. Suboptimal weight gain during pregnancy is also a recognized risk factor for adverse delivery outcomes. Objective: To assess the magnitude of excess maternal gestational weight gain and the associated factors influencing pregnancy complications among pregnant women at St. Paul’s Hospital, Addis Ababa, Ethiopia, in 2024. Methods and Materials: An institutional-based descriptive cross-sectional quantitative approach was used to conduct the study. Data were collected using both primary and secondary sources. Well-organized interviewer-administered questionnaires and a checklist were utilized. The sample size was determined using a single population formula Considering the proportion to be 50% to get the maximum possible sample size. A total of 422 mothers participated in the study, and a systematic random sampling technique was employed to select the study population. Data were collected, summarized, tabulated, and analyzed using the Statistical Package Epi-Info version 7 and SPSS version 26 software. Frequencies, proportions, and dispersions were estimated to describe the variables. Multivariate analysis was used to determine the association between explanatory variables and gestational weight gain. Results: A total of 422 pregnant mothers participated in the study, resulting in a 100% response rate. The majority, 201 (47.6%), were in the age group of 20 to 25 years, and 179 (42.4%) had delivered two children. Additionally, 112 (26.5%) ate more than four times per day, and 303 (71.8%) consumed carbohydrates daily. Of the participants, 375 (88.9%) gained adequate weight, 35 (8.3%) gained excessive weight, and 12 (2.8%) gained inadequate weight during their current pregnancy. Being employed and consuming fruits and vegetables were associated with a lower likelihood of excessive gestational weight gain, while high carbohydrate consumption was linked to a higher risk of excessive weight gain. Conclusion and Recommendation: A significant proportion of women (35%) gained excessive weight. Unemployment and daily carbohydrate and fruits consumption were significantly associated with excessive weight gain. Women of childbearing age should be informed about the importance of consuming fruits and vegetables and reducing carbohydrate intake during pregnancy to prevent excessive weight gain.
    },
     year = {2024}
    }
    

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  • TY  - JOUR
    T1  - Magnitude and Associated Factors of Gestational Excessive Weight Gain Among Pregnancy Women at St Paul’s Hospital, Addis Ababa, Ethiopia 2024, a Crosse-Sectional Study
    
    AU  - Megbar Yilie Alemu
    Y1  - 2024/09/26
    PY  - 2024
    N1  - https://doi.org/10.11648/j.ijcems.20241003.12
    DO  - 10.11648/j.ijcems.20241003.12
    T2  - International Journal of Clinical and Experimental Medical Sciences
    JF  - International Journal of Clinical and Experimental Medical Sciences
    JO  - International Journal of Clinical and Experimental Medical Sciences
    SP  - 36
    EP  - 42
    PB  - Science Publishing Group
    SN  - 2469-8032
    UR  - https://doi.org/10.11648/j.ijcems.20241003.12
    AB  - Background: Women invariably gain weight during pregnancy due to fat deposition, fluid retention, and the weight attributed to the growth of the fetus, uterus, and breasts. Gestational weight gain can influence pregnancy outcomes as well as the long-term health of both the mother and child. It is reported that nearly 50 percent of mothers worldwide experience excessive weight gain during pregnancy. Suboptimal weight gain during pregnancy is also a recognized risk factor for adverse delivery outcomes. Objective: To assess the magnitude of excess maternal gestational weight gain and the associated factors influencing pregnancy complications among pregnant women at St. Paul’s Hospital, Addis Ababa, Ethiopia, in 2024. Methods and Materials: An institutional-based descriptive cross-sectional quantitative approach was used to conduct the study. Data were collected using both primary and secondary sources. Well-organized interviewer-administered questionnaires and a checklist were utilized. The sample size was determined using a single population formula Considering the proportion to be 50% to get the maximum possible sample size. A total of 422 mothers participated in the study, and a systematic random sampling technique was employed to select the study population. Data were collected, summarized, tabulated, and analyzed using the Statistical Package Epi-Info version 7 and SPSS version 26 software. Frequencies, proportions, and dispersions were estimated to describe the variables. Multivariate analysis was used to determine the association between explanatory variables and gestational weight gain. Results: A total of 422 pregnant mothers participated in the study, resulting in a 100% response rate. The majority, 201 (47.6%), were in the age group of 20 to 25 years, and 179 (42.4%) had delivered two children. Additionally, 112 (26.5%) ate more than four times per day, and 303 (71.8%) consumed carbohydrates daily. Of the participants, 375 (88.9%) gained adequate weight, 35 (8.3%) gained excessive weight, and 12 (2.8%) gained inadequate weight during their current pregnancy. Being employed and consuming fruits and vegetables were associated with a lower likelihood of excessive gestational weight gain, while high carbohydrate consumption was linked to a higher risk of excessive weight gain. Conclusion and Recommendation: A significant proportion of women (35%) gained excessive weight. Unemployment and daily carbohydrate and fruits consumption were significantly associated with excessive weight gain. Women of childbearing age should be informed about the importance of consuming fruits and vegetables and reducing carbohydrate intake during pregnancy to prevent excessive weight gain.
    
    VL  - 10
    IS  - 3
    ER  - 

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