title: Determinants of inadequate weight gain in pregnancy.
abstract: OBJECTIVE
  The aim of the study was to explore the anthropometric maternal characteristics and prenatal care as determinants of pregnancy weight gain.
  
  
  METHODS
  We conducted a cross-sectional study on a total of 400 pregnant women admitted to Cuza-Vodă Obstetrics and Gynecology Clinical Hospital, Iaşi. Information on demographic characteristics, number of prenatal visits, and education on nutrition and food changes occurring during pregnancy were recorded in a structured questionnaire. Anthropometric parameters analyzed were pregestational BMI (body mass index) and weight gain during pregnancy.
  
  
  RESULTS
  Weight gain was associated with pregestational BMI category. An increase in weight more than recommended occured more frequently in overweight (53.1%) and obese women (66.7%) (p < 0.001). Weight gain during pregnancy was related to area of residence, age, APCU (adequate prenatal care utilization) index. The multivariate analysis identified the following variables as significant determinants of pregnancy weight gain: inadequate prenatal care, BMI and changes in diet.
  
  
  CONCLUSIONS
  Pregestational BMI and changes in diet during pregnancy identified as determinants of weight gain suggests that overweight and underweight women must carefully be counseled regarding recommendations for weight gain in pregnancy. Tracking diet changes is important to ensure that a weight gain lies within the guidelines recommendations.
authors: Alina Delia
authors: AD
authors: Popa
authors: Otilia
authors: O
authors: Niţă
authors: Raluca Maria
authors: RM
authors: Popescu
authors: Andreea
authors: A
authors: Gherasim
authors: Lidia luliana
authors: Ll
authors: Arhire
authors: Laura
authors: L
authors: Mihalache
authors: Mariana
authors: M
authors: Graur
mesh_terms: D000328:Adult; D015992:Body Mass Index; D001835:Body Weight; D003430:Cross-Sectional Studies; D004032:Diet; D005260:Female; D006801:Humans; D050177:Overweight / Q000517:prevention & control*; D010353:Patient Education as Topic; D011247:Pregnancy; D011248:Pregnancy Complications / Q000517:prevention & control; D011295:Prenatal Care; D012307:Risk Factors; D011795:Surveys and Questionnaires; D015430:Weight Gain