title: Maternal pregnancy weight gain and the risk of placental abruption.
abstract: To evaluate the relationship between pregnancy weight gain and placental abruption, Missouri's population-based, maternally linked, longitudinal dataset (1989-2005, n = 1,146,935) was assessed. Regardless of baseline body mass index, women who gained less than the optimal amount recommended by the Institute of Medicine had a 67% increased likelihood of placental abruption (adjusted odds ratio [AOR] for placental abruption = 1.673; 95%CI = 1.588-1.762) compared with those who gained an optimal amount of weight, while those who gained more than the recommended optimal amount of weight had a 30% reduced AOR for placental abruption (AOR = 0.695, 95%CI = 0.660-0.731). These findings underscore the importance of maternal weight management as part of preconception care to improve pregnancy outcomes.
authors.affiliation: University of South Florida, College of Public Health, Department of Epidemiology and Biostatistics, Tampa, Florida, USA; University of South Florida, College of Medicine, Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Tampa, Florida, USA.
authors.forename: Hamisu M
authors.initials: HM
authors.lastname: Salihu
authors.forename: Elise
authors.initials: E
authors.lastname: Diamond
authors.forename: Euna M
authors.initials: EM
authors.lastname: August
authors.forename: Shams
authors.initials: S
authors.lastname: Rahman
authors.forename: Mulubrhan F
authors.initials: MF
authors.lastname: Mogos
authors.forename: Alfred K
authors.initials: AK
authors.lastname: Mbah
mesh_terms: D000037:Abruptio Placentae / Q000453:epidemiology*; D000328:Adult; D015992:Body Mass Index; D001835:Body Weight; D005260:Female; D006801:Humans; D015994:Incidence; D008923:Missouri / Q000453:epidemiology; D016017:Odds Ratio; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology*; D011256:Pregnancy Outcome; D012307:Risk Factors; D013851:Thinness / Q000453:epidemiology*; D014481:United States; D015430:Weight Gain
keywords: gestational weight gain; placental abruption; preconception care; pregnancy outcomes