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Adolescent pregnancy: maternal weight effects on fetal heaviness: possible route to improved outcomes

Show simple item record Cherry, F.F. en_US Rojas, P. en_US Sandstead, H.H. en_US Johnson, L.K. en_US Wickremasinghe, A.R. en_US Ebomoyi, E.W. en_US 2014-10-29T09:10:14Z 2014-10-29T09:10:14Z 1991 en_US
dc.identifier.citation Journal of Community Health, 1991; 16(4): pp.179-95 en_US
dc.identifier.issn 0094-5145 (Print) en_US
dc.identifier.issn 1573-3610 (Electronic) en_US
dc.description Indexed in MEDLINE
dc.description.abstract In a previous report of a zinc supplementation trial in pregnant adolescents zinc effect varied according to maternal weight (wt) status--normal (90-110% of expected wt), light or heavy, prompting this analysis of effects of wt status and gestational wt gain on fetal heaviness relative to length and gestational age (GA) and other pregnancy outcomes. One-third of adolescents shifted in or out of normal wt by delivery, creating seven outcome groups--light-light, light to normal, normal to light, normal-normal, normal to heavy, heavy to normal, and heavy-heavy. These wt class change groups varied significantly as to intrauterine growth (SGA, low AGA, high AGA, and LGA); by weekly grams gain per cm height (ht), birth wt, infant wt/length ratio, and occurrence of low birth wt (LBW). Infants with above average intrauterine growth had an advantage in: absolute size, length of hospital stay, rates of LBW, fetal demise, rates of low Apgar score, and "other" complications. This association between intrauterine growth and maternal wt class change suggests that promotion of wt gain might lower rates of LBW. Birthwt varied by quartiles of weekly wt change (gm) per cm ht in women grouped by their percent of expected wt: in the lowest quartile (Q1) only one group in seven reached average Bwt (3025 grams); with Q4 gain all groups did. Thus, the parameter wt gain/wk/cm ht deserves study as a tool for monitoring wt status and gain to identify those pregnant adolescents in greatest need for nutritional counseling and to set wt gain goals. en_US
dc.publisher Human Sciences Press en_US
dc.subject Birth Weight-physiology en_US
dc.subject Body Weight-physiology en_US
dc.subject Pregnancy in Adolescence--physiology en_US
dc.subject Pregnancy Outcome en_US
dc.title Adolescent pregnancy: maternal weight effects on fetal heaviness: possible route to improved outcomes en_US
dc.type Article en_US
dc.identifier.department Public Health en_US
dc.creator.corporateauthor Association of Teachers of Preventive Medicine en_US

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