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Trimester-Specific and Total Gestational Weight Gain in Two Consecutive Pregnancies

  • Audrée Lebrun
    Affiliations
    School of Nutrition, Laval University, Québec City, QC

    Endocrinology and Nephrology Unit, CHU de Québec-Université Laval Research Center, Québec City, QC

    Centre de recherche Nutrition, Santé et Société (NUTRISS), INAF, Laval University, Québec City, QC
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  • Charlie Cloutier-Langevin
    Affiliations
    Faculté des sciences, Département de mathématiques, Université de Sherbrooke, Sherbrooke, QC

    Centre de recherche du CHU de Sherbrooke, axe Santé: Populations, Organisation, Pratiques, Sherbrooke, QC
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  • Anne-Sophie Plante
    Affiliations
    Endocrinology and Nephrology Unit, CHU de Québec-Université Laval Research Center, Québec City, QC
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  • Claudia Savard
    Affiliations
    School of Nutrition, Laval University, Québec City, QC

    Endocrinology and Nephrology Unit, CHU de Québec-Université Laval Research Center, Québec City, QC

    Centre de recherche Nutrition, Santé et Société (NUTRISS), INAF, Laval University, Québec City, QC
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  • S. John Weisnagel
    Affiliations
    School of Nutrition, Laval University, Québec City, QC

    Endocrinology and Nephrology Unit, CHU de Québec-Université Laval Research Center, Québec City, QC
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  • Julie Robitaille
    Affiliations
    School of Nutrition, Laval University, Québec City, QC

    Endocrinology and Nephrology Unit, CHU de Québec-Université Laval Research Center, Québec City, QC

    Centre de recherche Nutrition, Santé et Société (NUTRISS), INAF, Laval University, Québec City, QC
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  • Félix Camirand Lemyre
    Affiliations
    Faculté des sciences, Département de mathématiques, Université de Sherbrooke, Sherbrooke, QC

    Centre de recherche du CHU de Sherbrooke, axe Santé: Populations, Organisation, Pratiques, Sherbrooke, QC
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  • Anne-Sophie Morisset
    Correspondence
    Corresponding author: Anne-Sophie Morisset,
    Affiliations
    School of Nutrition, Laval University, Québec City, QC

    Endocrinology and Nephrology Unit, CHU de Québec-Université Laval Research Center, Québec City, QC

    Centre de recherche Nutrition, Santé et Société (NUTRISS), INAF, Laval University, Québec City, QC
    Search for articles by this author
Published:December 23, 2020DOI:https://doi.org/10.1016/j.jogc.2020.12.009

      ABSTRACT

      Objective

      This retrospective study aimed to characterize trimester-specific and total gestational weight gain (GWG) over the course of two consecutive pregnancies, as well as maternal determinants associated with interpregnancy weight change (IPWC) and excessive GWG in the second pregnancy.

      Methods

      We analyzed the electronic medical records of women who delivered their first two consecutive infants at term between 2001 and 2017.

      Results

      Weight gain trajectories differed between the first and second pregnancy for the 1497 women included in this study, with lower second- and third-trimester weight gain in the second pregnancy. Respectively, 53% and 41% of women had excessive GWG in the first and second pregnancies, with a higher proportion of excessive GWG found in women with a higher body mass index (BMI). Most women (55%) experienced interpregnancy weight gain. Maternal determinants of IPWC were BMI before first pregnancy, first-trimester and total GWG in the first pregnancy, and interpregnancy interval (P < 0.0001). Maternal risk factors associated with excessive GWG in the second pregnancy were excessive total GWG in the first pregnancy (OR 6.23; 95% CI 4.67–8.32), interpregnancy weight gain (OR 1.58; 95% CI 1.19–2.09), and interpregnancy interval (OR 1.18; 95% CI 1.07–1.29) as well as BMI before the second pregnancy (OR 1.04, 95% CI 1.02–1.07).

      Conclusion

      Weight gain trajectories differ between consecutive pregnancies. GWG in the first pregnancy is a key determinant for IPWC and GWG in the second pregnancy.

      RÉSUMÉ

      Objectif

      Cette étude rétrospective visait à caractériser le gain de poids gestationnel (GPG) total et par trimestre pendant deux grossesses consécutives, ainsi que les facteurs maternels associés à la variation du poids entre les grossesses et au GPG excessif à la deuxième grossesse.

      Méthodologie

      Nous avons analysé les dossiers médicaux électroniques de femmes qui ont accouché de leurs deux premiers nouveaux-nés consécutifs à terme entre 2001 et 2017.

      Resultats

      Les trajectoires de gain de poids différaient entre la première et la deuxième grossesse pour les 1497 femmes incluses dans l’étude, les trajectoires de gain de poids étant moins prononcées aux deuxième et troisième trimestres lors de la deuxième grossesse. Respectivement, 53 % et 41 % des femmes avaient un GPG excessif lors de la première et de la deuxième grossesse, la proportion de GPG excessif étant plus importante chez les femmes avec un indice de masse corporelle (IMC) élevé. La plupart des femmes (55 %) ont gagné du poids entre les grossesses. Les facteurs maternels déterminant la variation du poids entre les grossesses étaient l'IMC avant la première grossesse, le GPG au premier trimestre et total pendant la première grossesse et l'intervalle entre les grossesses (P < 0,0001). Les facteurs de risque maternels associés à un GPG excessif pendant la deuxième grossesse étaient le GPG total excessif à la première grossesse (RC : 6,23; IC à 95 % : 4,67–8,32), le gain de poids entre les grossesses (RC : 1,58; IC à 95 % : 1,19–2,09), l'intervalle entre les grossesses (RC : 1,18; IC à 95 % : 1,07–1,29) ainsi que l'IMC avant la deuxième grossesse (RC : 1,04; IC à 95 % : 1,02–1,07).

      Conclusion

      Les trajectoires de gain de poids diffèrent entre les grossesses consécutives. Le GPG à la première grossesse est un facteur important de la variation du poids entre les grossesses et du GPG excessif à la deuxième grossesse.

      Keywords

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