Choose your font:
 Arimo
 Merriweather
 Mukta Malar
 Open Sans Condensed
 Rokkitt
 Source Sans Pro
 Login


 English 
 Français 
 Português 
 Español 

[Valid RSS] RSS
bar

Database - (CIANE)

Description of this bibliographical database (CIANE website)
Currently 3111 records
YouTube channel (tutorial)

https://ciane.net/id=2089

Created on : 17 Feb 2008
Modified on : 24 Dec 2008

 Modify this record
Do not follow this link unless you know an editor’s password!


Share: Facebook logo   Tweeter logo   Easy

Bibliographical entry (without author) :

I. Repeated measurement of maternal weight during pregnancy. Is this a useful practice? II. Patterns of maternal weight gain in pregnancy. BJOG: An International Journal of Obstetrics and Gynaecology 98 (10) , 1055–1056.

Author(s) :

D. F. Hawkins Professor

Year of publication :

1991

URL(s) :

http://www.blackwell-synergy.com/doi/full/10.1111/…
https://doi.org/10.1111/j.1471-0528.1991.tb15347.x

Résumé (français)  :

Abstract (English)  :

I. Repeated measurement of maternal weight during pregnancy. Is this a useful practice? II. Patterns of maternal weight gain in pregnancy

* D. F. Hawkins Professor11Department of Obstetrics & Gynaecology Hammersmith Hospital London W12 OHS

*
1Department of Obstetrics & Gynaecology Hammersmith Hospital London W12 OHS

Dear Sir,

Dawes & Grudzinskas [Br J Obstet Gynaecol (1991) 98, 189–194 & 195–201] have made a brave attempt to tilt at this windmill. Their findings are of interest, but do not justify the conclusion that routine recording of maternal weight gain in pregnancy should be abandoned in women with a normal weight at booking.

Maternal weight changes in late pregnancy have two components, dietary and fluid retention. The former may be beneficial or it may have adverse consequences; the latter may reflect oestrogen levels and hence placental function or it may be the harbinger of pre-eclampsia (Dieckmann 1952). With such interactions it is not surprising that the changes should have limited predictive value for small for gestational age babies, except in pregnancies with essential hypertension or pregnancy induced hypertension (Elder et al. 1970). The question that has not been answered is what is the significance of these changes in relation to growth retarded babies, as distinct from ‘small for gestational age’ babies? In a recent study from Norwich, Fay et al. (1991) found that only 40% of babies with birthweights less than the 10th centile had the features of intrauterine growth retardation when assessed by neonatal paediatricians.

The hazards to mother and baby of obesity in pregnancy are emphasized in three recent studies (Narayansingh et al. 1988; Frentzen et al. 1988; Lucas et al. 1988). How much of the problem is due to pathology consequent on the obesity, and how much to the diagnostic and management difficulties to which the overweight woman is predisposed is far from clear. About half the cases of damaged babies that have come my way for medicolegal opinions in recent years have been associated with maternal obesity causing difficulty in ascertaining gestational age, fetal lie, presentation and position, and engagement of the head; and in fetal monitoring. There has also been undue reluctance to induce labour or perform caesarean section. These consequences are the same if the excess weight was acquired before or during pregnancy. There is thus a case for monitoring and discouraging excess weight gain in pregnancy.

In an important proportion of women in their 40s and 50s attending medical outpatient departments, the underlying diagnosis is obesity. The story is commonly one of successive gains in weight in relation to pregnancy (Sheldon 1949) and failure to lose the extra weight after the pregnancy is over. This alone is enough for discouragement of excessive weight gain during pregnancy, which requires monitoring of maternal weight.

When all these factors are considered, I do not think Dr Dawes and Professor Grudzinskas have made an adequate case.

D. F. Hawkins Professor

Sumário (português)  :

Resumen (español)  :

Comments :

Argument (français) :

Argument (English):

Argumento (português):

Argumento (español):

Keywords :

➡ maternal weight

Author of this record :

Emmanuelle Phan — 17 Feb 2008

Discussion (display only in English)
 
➡ Only identified users



 I have read the guidelines of discussions and I accept all terms (read guidelines)

barre

New expert query --- New simple query

Creating new record --- Importing records

User management --- Dump database --- Contact

bar

This database created by Alliance francophone pour l'accouchement respecté (AFAR) is managed
by Collectif interassociatif autour de la naissance (CIANE, https://ciane.net).
It is fed by the voluntary contributions of persons interested in the sharing of scientific data.
If you agree with this project, you can support us in several ways:
(1) contributing to this database if you have a minimum training in documentation
(2) or financially supporting CIANE (see below)
(3) or joining any society affiliated with CIANE.
Sign in or create an account to follow changes or become an editor.
Contact bibli(arobase)ciane.net for more information.

Valid CSS! Valid HTML!
Donating to CIANE (click “Faire un don”) will help us to maintain and develop sites and public
databases towards the support of parents and caregivers’ informed decisions with respect to childbirth