Weight gain during pregnancy: Importance for maternal and child health

Annales Nestle

Volumn 68, Issue 1, 2010, Pages 17-28

  Herring, Sharon J ^a   Oken, Emily ^b  

^a TEMPLE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

Author keywords

Child health; Fetal growth; Gestational weight gain; Maternal health; Obesity; Postpartum; Pregnancy; Preterm birth

Indexed keywords

BODY MASS; CARDIOVASCULAR RISK; CHILD HEALTH; ENERGY METABOLISM; FETUS GROWTH; GLUCOSE METABOLISM; HEALTH CARE PLANNING; HIGH RISK PREGNANCY; HUMAN; INFANT MORTALITY; LABOR COMPLICATION; LONG TERM CARE; MATERNAL HYPERTENSION; MATERNAL NUTRITION; MATERNAL WELFARE; NONHUMAN; OBESITY; PREECLAMPSIA; PREGNANCY; PREGNANCY OUTCOME; PREMATURE LABOR; PUERPERIUM; REVIEW; RISK BENEFIT ANALYSIS; STRATEGIC PLANNING; WEIGHT GAIN;

EID: 77953192276     PISSN: 05178606     EISSN: 16614011     Source Type: Journal    
DOI: 10.1159/000298780     Document Type: Review

References (115)

1. Institute of Medicine: Weight Gain During Pregnancy: Reexamining the Guidelines. Washington, National Academy Press, 2009.
2. Luke B, Hediger ML, Scholl TO: Point of diminishing returns: when does gestational weight gain cease benefiting birth weight and begin adding to maternal obesity? J Matern Fetal Med 1996; 5: 168-173.
3. Viswanathan M, Siega-Riz AM, Moos MK, Deierlein A, Mumford S, Knaack J, Thieda P, Lux LJ, Lohr KN: Outcomes of maternal weight gain. Evid Rep Technol Assess 2008: 1-223.
4. Abrams B, Altman SL, Pickett KE: Pregnancy weight gain: still controversial. Am J Clin Nutr 2000; 71: 1233S-1241S.
5. Helms E, Coulson CC, Galvin SL: Trends in weight gain during pregnancy: a population study across 16 years in North Carolina. Am J Obstet Gynecol 2006; 194:e32-e34.
6. Olson CM: Achieving a healthy weight gain during pregnancy. Annu Rev Nutr 2008; 28: 411-423.
7. Catalano PM: Management of obesity in pregnancy. Obstet Gynecol 2007; 109: 419-433.
8. Olson CM, Strawderman MS, Dennison BA: Maternal weight gain during pregnancy and child weight at age 3 years. Matern Child Health J 2009; 13: 839-846.
9. Wrotniak BH, Shults J, Butts S, Stettler N: Gestational weight gain and risk of overweight in the offspring at age 7 years in a multicenter, multiethnic cohort study. Am J Clin Nutr 2008; 87: 1818-1824.
10. Oken E, Taveras EM, Kleinman KP, Rich- Edwards JW, Gillman MW: Gestational weight gain and child adiposity at age 3 years. Am J Obste Gynecol 2007; 196: 322. e321-e328.
11. Gunderson EP, Abrams B: Epidemiology of gestational weight gain and body weight changes after pregnancy. Epidemiol Rev 2000; 22: 261-274.
12. Worthington-Roberts BS, Williams SR: Nutrition throughout the Life Cycle, ed 3. St Louis, Mosby, 1996.
13. Lain KY, Catalano PM: Metabolic changes in pregnancy. Clin Obstet Gynecol 2007; 50: 938-948.
14. Lang K, King J: Doctoral dissertation. Berkeley, University of California, 2009.
15. Boden G: Fuel metabolism in pregnancy and in gestational diabetes mellitus. Obstet Gynecol Clin North Am 1996; 23: 1-10.
16. Wells CS, Schwalberg R, Noonan G, Gabor V: Factors influencing inadequate and excessive weight gain in pregnancy: Colorado, 2000-2002. Matern Child Health J 2006; 10: 55-62.
17. Brawarsky P, Stotland NE, Jackson RA, Fuentes-Afflick E, Escobar GJ, Rubashkin N, Haas JS: Pre-pregnancy and pregnancy-related factors and the risk of excessive or inadequate gestational weight gain. Int J Gynaecol Obstet 2005; 91: 125-131.
18. Hickey CA, Cliver SP, McNeal SF, Hoffman HJ, Goldenberg RL: Prenatal weight gain patterns and spontaneous preterm birth among nonobese black and white women. Obstet Gynecol 1995; 85: 909-914.
19. Siega-Riz AM, Hobel CJ: Predictors of poor maternal weight gain from baseline anthropometric, psychosocial, and demographic information in a Hispanic population. J Am Diet Assoc 1997; 97: 1264-1268.
20. Olson CM, Strawderman MS: Modifiable behavioral factors in a biopsychosocial model predict inadequate and excessive gestational weight gain. J American Diet Assoc 2003; 103: 48-54.
21. Lederman SA, Alfasi G, Deckelbaum RJ: Pregnancy-associated obesity in black women in New York City. Matern Child Health J 2002; 6: 37-42.
22. Hu FB: Obesity Epidemiology. New York, Oxford University Press, 2008.
23. Oken E, Taveras EM, Popoola FA, Rich-Edwards JW, Gillman MW: Television, walking, and diet: associations with postpartum weight retention. Am J Prevent Med 2007; 32: 305-311. (Pubitemid 46441738)
24. Gunderson EP, Rifas-Shiman SL, Oken E, Rich-Edwards JW, Kleinman KP, Taveras EM, Gillman MW: Association of fewer hours of sleep at 6 months postpartum with substantial weight retention at 1 year postpartum. Am J Epidemiol 2008; 167: 178-187.
25. American Diabetes Association: Standards of medical care in diabetes. Diabetes Care 2008; 31:S13-S54.
26. Metzger BE, Lowe LP, Dyer AR, Trimble ER, Chaovarindr U, Coustan DR, Hadden DR, McCance DR, Hod M, McIntyre HD, Oats JJN, Persson B, Rogers MS, Sacks DA, HAPO study cooperative research group: Hyperglycemia and adverse pregnancy outcomes. N Engl J Med 2008; 358: 1991-2002.
27. Hillier TA, Pedula KL, Schmidt MM, Mullen JA, Charles M-A, Pettitt DJ: Childhood obesity and metabolic imprinting: the ongoing effects of maternal hyperglycemia. Diabetes Care 2007; 30: 2287-2292.
28. Retnakaran R, Qi Y, Sermer M, Connelly PW, Hanley AJ, Zinman B: Glucose intolerance in pregnancy and future risk of pre-diabetes or diabetes. Diabetes Care 2008; 31: 2026-2031.
29. Reaven GM: Insulin resistance and human disease: a short history. J Basic Clin Physiol Pharmacol 1998; 9: 387-406.
30. Rondinone CM: Adipocyte-derived hormones, cytokines, and mediators. Endocrine 2006; 29: 81-90.
31. Solomon CG, Willett WC, Carey VJ, Rich- Edwards J, Hunter DJ, Colditz GA, Stampfer MJ, Speizer FE, Spiegelman D, Manson JE: A prospective study of pregravid determinants of gestational diabetes mellitus. JAMA 1997; 278: 1078-1083.
32. Chu SY, Callaghan WM, Kim SY, Schmid CH, Lau J, England LJ, Dietz PM: Maternal obesity and risk of gestational diabetes mellitus. Diabetes Care 2007; 30: 2070-2076. (Pubitemid 47219422)
33. Villamor E, Cnattingius S: Interpregnancy weight change and risk of adverse pregnancy outcomes: a population-based study. Lancet 2006; 368: 1164-1167.
34. Saldana TM, Siega-Riz AM, Adair LS, Suchindran C: The relationship between pregnancy weight gain and glucose tolerance status among black and white women in central North Carolina. Am J Obstet Gynecol 2006; 195: 1629-1635.
35. Herring SJ, Oken E, Rifas-Shiman SL, Rich- Edwards JW, Stuebe AM, Kleinman KP, Gillman MW: Weight gain in pregnancy and risk of maternal hyperglycemia. Am J Obstet Gynecol 2009; 201: 61.e61-e67.
36. Tovar A, Must A, Bermudez O, Hyatt R, Chasan-Taber L: The impact of gestational weight gain and diet on abnormal glucose tolerance during pregnancy in Hispanic women. Matern Child Health J 2009; 13: 520-530.
37. Wolff S, Legarth J, Vangsgaard K, Toubro S, Astrup A: A randomized trial of the effects of dietary counseling on gestational weight gain and glucose metabolism in obese pregnant women. Int J Obes (Lond) 2008; 32: 495-501.
38. Kahn SE: Clinical review 135: the importance ofβ-cell failure in the development and progression of type 2 diabetes. J Clin Endocrinol Metab 2001; 86: 4047-4058.
39. Buchanan TA: Pancreatic B-cell defects in gestational diabetes: implications for the pathogenesis and prevention of type 2 diabetes. J Clin Endocrinol Metab 2001; 86: 989-993.
40. Kieffer EC, Tabaei BP, Carman WJ, Nolan GH, Guzman JR, Herman WH: The influence of maternal weight and glucose tolerance on infant birth weight in Latino mother- infant pairs. Am J Public Health 2006; 96: 2201-2208.
41. Retnakaran R, Zinman B, Connelly PW, Sermer M, Hanley AJ: Impaired glucose tolerance of pregnancy is a heterogeneous metabolic disorder as defined by the glycemic response to the oral glucose tolerance test. Diabetes Care 2006; 29: 57-62.
42. Report of the National High Blood Pressure Education Program Working Group on High Blood Pressure in Pregnancy. Am J Obstet Gynecol 2000; 183:S1-S22.
43. Lain KY, Roberts JM: Contemporary concepts of the pathogenesis and management of preeclampsia. JAMA 2002; 287: 3183-3186.
44. NHLBI Obesity Education Initiative Expert Panel on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: Clinical Guidelines on the Identification, Evaluation and Treatment of Overweight and Obesity in Adults. Bethesda, National Heart, Lung and Blood Institute, NIH, 1998.
45. Brennand EA, Dannenbaum D, Willows ND: Pregnancy outcomes of first nations women in relation to pregravid weight and pregnancy weight gain. J Obstet Gynaecol Can 2005; 27: 936-944.
46. Thorsdottir I, Torfadottir JE, Birgisdottir BE, Geirsson RT: Weight gain in women of normal weight before pregnancy: complications in pregnancy or delivery and birth outcome. Obstet Gynecol 2002; 99: 799-806.
47. Cedergren M: Effects of gestational weight gain and body mass index on obstetric outcome in Sweden. Int J Gynaecol Obstet 2006; 93: 269-274.
48. Kiel DW, Dodson EA, Artal R, Boehmer TK, Leet TL: Gestational weight gain and pregnancy outcomes in obese women: how much is enough? Obstet Gynecol 2007; 110: 752-758.
49. DeVader SR, Neeley HL, Myles TD, Leet TL: Evaluation of gestational weight gain guidelines for women with normal prepregnancy body mass index. Obstet Gynecol 2007; 110: 745-751.
50. Kabiru W, Raynor BD: Obstetric outcomes associated with increase in BMI category during pregnancy. Am J Obstet Gynecol 2004; 191: 928-932.
51. Edwards LE, Hellerstedt WL, Alton IR, Story M, Himes JH: Pregnancy complications and birth outcomes in obese and normal-weight women: effects of gestational weight change. Obstet Gynecol 1996; 87: 389-394.
52. Jensen DM, Ovesen P, Beck-Nielsen H, Molsted- Pedersen L, Sorensen B, Vinter C, Damm P: Gestational weight gain and pregnancy outcomes in 481 obese glucose-tolerant women. Diabetes Care 2005; 28: 2118-2122.
53. Ogunyemi D, Hullett S, Leeper J, Risk A: Prepregnancy body mass index, weight gain during pregnancy, and perinatal outcome in a rural black population. J Matern Fetal Med 1998; 7: 190-193.
54. Wataba K, Mizutani T, Wasada K, Morine M, Sugiyama T, Suehara N: Impact of prepregnant body mass index and maternal weight gain on the risk of pregnancy complications in Japanese women. Acta Obstet Gynecol Scand 2006; 85: 269-276.
55. Ohlin A, Rossner S: Maternal body weight development after pregnancy. Int J Obes 1990; 14: 159-173.
56. Boardley DJ, Sargent RG, Coker AL, Hussey JR, Sharpe PA: The relationship between diet, activity, and other factors, and postpartum weight change by race. Obstet Gynecol 1995; 86: 834-838.
57. Schauberger CW, Rooney BL, Brimer LM: Factors that influence weight loss in the puerperium. Obstet Gynecol 1992; 79: 424-429.
58. Kac G, Benicio MH, Velasquez-Melendez G, Valente JG, Struchiner CJ: Gestational weight gain and prepregnancy weight influence postpartum weight retention in a cohort of Brazilian women. J Nutr 2004; 134: 661-666.
59. Keppel KG, Taffel SM: Pregnancy-related weight gain and retention: implications of the 1990 Institute of Medicine guidelines. Am J Public Health 1993; 83: 1100-1103.
60. Kleinman KP, Oken E, Radesky JS, Rich-Edwards JW, Peterson KE, Gillman MW: How should gestational weight gain be assessed? A comparison of existing methods and a novel method, area under the weight gain curve. Int J Epidemiol 2007; 36: 1275-1282.
61. Parker JD, Abrams B: Differences in postpartum weight retention between black and white mothers. Obstet Gynecol 1993; 81: 768-774.
62. Gunderson EP: Childbearing and obesity in women: weight before, during, and after pregnancy. Obstet Gynecol Clin North Am 2009; 36: 317-332.
63. Linne Y, Dye L, Barkeling B, Rossner S: Long-term weight development in women: A 15-year follow-up of the effects of pregnancy. Obes Res 2004; 12: 1166-1178.
64. Gunderson EP, Murtaugh MA, Lewis CE, Quesenberry CP, West DS, Sidney S: Excess gains in weight and waist circumference associated with childbearing: The Coronary Artery Risk Development in Young Adults Study (CARDIA). Int J Obes Relat Metab Disord 2004; 28: 525-535.
65. Gunderson EP, Lewis CE, Murtaugh MA, Quesenberry CP, Smith West D, Sidney S: Long-term plasma lipid changes associated with a first birth: The Coronary Artery Risk Development in Young Adults Study. Am J Epidemiol 2004; 159: 1028-1039.
66. Gunderson EP, Jacobs DR Jr, Chiang V, Lewis CE, Tsai A, Quesenberry CP Jr, Sidney S: Childbearing is associated with higher incidence of the metabolic syndrome among women of reproductive age controlling for measurements before pregnancy: the CARDIA study. Am J Obstet Gynecol 2009; 201: 177.e1-177.e9.
67. Gunderson EP, Sternfeld B, Wellons MF, Whitmer RA, Chiang V, Quesenberry CP Jr, Lewis CE, Sidney S: Childbearing may increase visceral adipose tissue independent of overall increase in body fat. Obesity 2008; 16: 1078-1084.
68. Weidner MD, Gavigan KE, Tyndall GL, Hickey MS, McCammon MR, Houmard JA: Which anthropometric indices of regional adiposity are related to the insulin resistance of aging? Int J Obes Relat Metab Disord 1995; 19: 325-330.
69. Institute of Medicine: Nutrition During Pregnancy. Washington, National Academy Press, 1990.
70. Siega-Riz AM, Viswanathan M, Moos MK, Deierlein A, Mumford S, Knaack J, Thieda P, Lux LJ, Lohr KN: A systematic review of outcomes of maternal weight gain according to the Institute of Medicine recommendations: birth weight, fetal growth, and postpartum weight retention. Am J Obstet Gynecol 2009; 201: 339.e1-339.e14.
71. Brown JE, Murtaugh MA, Jacobs DR Jr, Margellos HC: Variation in newborn size according to pregnancy weight change by trimester. Am J Clin Nutr 2002; 76: 205-209.
72. Neufeld LM, Haas JD, Grajeda R, Martorell R: Changes in maternal weight from the first to second trimester of pregnancy are associated with fetal growth and infant length at birth. Am J Clin Nutr 2004; 79: 646-652.
73. Catalano PM, Drago NM, Amini SB: Maternal carbohydrate metabolism and its relationship to fetal growth and body composition. Am J Obstet Gynecol 1995; 172: 1464-1470.
74. Oken E, Kleinman KP, Belfort MB, Hammitt JK, Gillman MW: Associations of gestational weight gain with short- and longer-term maternal and child health outcomes. Am J Epidemiol 2009; 170: 173-180.
75. Hickey CA, McNeal SF, Menefee L, Ivey S: Prenatal weight gain within upper and lower recommended ranges: effect on birth weight of black and white infants. Obstet Gynecol 1997; 90: 489-494.
76. Sanin Aguirre LH, Reza-Lopez S, Levario- Carrillo M: Relation between maternal body composition and birth weight. Biol Neonate 2004; 86: 55-62.
77. Hutcheon JA, Platt RW, Meltzer SJ, Egeland GM: Is birth weight modified during pregnancy? Using sibling differences to understand the impact of blood glucose, obesity, and maternal weight gain in gestational diabetes. Am J Obstet Gynecol 2006; 195: 488-494.
78. Ananth CV, Wen SW: Trends in fetal growth among singleton gestations in the United States and Canada, 1985 through 1998. Semin Perinatol 2002; 26: 260-267.
79. Wen SW, Kramer MS, Platt R, Demissie K, Joseph KS, Liu S, Sauve R: Secular trends of fetal growth in Canada, 1981 to 1997. Paediatr Perinat Epidemiol 2003; 17: 347-354.
80. Kramer MS, Morin I, Yang H, Platt RW, Usher R, McNamara H, Joseph KS, Wen SW: Why are babies getting bigger? Temporal trends in fetal growth and its determinants. J Pediatr 2002; 141: 538-542.
81. Moreira P, Padez C, Mourao-Carvalhal I, Rosado V: Maternal weight gain during pregnancy and overweight in Portuguese children. Int J Obes (Lond) 2007; 31: 608-614.
82. Oken E, Rifas-Shiman SL, Field AE, Frazier AL, Gillman MW: Maternal gestational weight gain and offspring weight in adolescence. Obstet Gynecol 2008; 112: 999-1006.
83. Stuebe AM, Forman MR, Michels KB: Maternal- recalled gestational weight gain, prepregnancy body mass index, and obesity in the daughter. Int J Obes (Lond) 2009; 33: 743-752.
84. Schack-Nielsen L, Mortensen EL, Michaelsen KF, Sorensen TIA: High maternal pregnancy weight gain is associated with an increased risk of obesity in childhood and adulthood independent of maternal BMI (abstract). Pediatr Res 2005; 58: 1020.
85. Li C, Goran MI, Kaur H, Nollen N, Ahluwalia JS: Developmental trajectories of overweight during childhood: role of early life factors. Obesity (Silver Spring) 2007; 15: 760-771.
86. Whitaker RC: Predicting preschooler obesity at birth: the role of maternal obesity in early pregnancy. Pediatrics 2004; 114:e29-e36.
87. Maffeis C, Micciolo R, Must A, Zaffanello M, Pinelli L: Parental and perinatal factors associated with childhood obesity in northeast Italy. Int J Obes Relat Metab Disord 1994; 18: 301-305.
88. Sharma AJ, Cogswell ME, Grummer-Strawn LM: The association between pregnancy weight gain is associated with an increased risk of obesity in childhood and adulthood independent of maternal BMI (abstract). Pediatr Res 2005; 58: 1038.
89. Kleiser C, Schaffrath Rosario A, Mensink GB, Prinz-Langenohl R, Kurth BM: Potential determinants of obesity among children and adolescents in Germany: results from the cross-sectional KIGGS study. BMC Public Health 2009; 9: 46.
90. McMillen IC, Edwards LJ, Duffield J, Muhlhausler BS: Regulation of leptin synthesis and secretion before birth: implications for the early programming of adult obesity. Reproduction 2006; 131: 415-427.
91. Shankar K, Harrell A, Liu X, Gilchrist JM, Ronis MJ, Badger TM: Maternal obesity at conception programs obesity in the offspring. Am J Physiol Regul Integr Comp Physiol 2008; 294:R528-R538.
92. Samuelsson AM, Matthews PA, Argenton M, Christie MR, McConnell JM, Jansen EH, Piersma AH, Ozanne SE, Twinn DF, Remacle C, Rowlerson A, Poston L, Taylor PD: Diet-induced obesity in female mice leads to offspring hyperphagia, adiposity, hypertension, and insulin resistance: a novel murine model of developmental programming. Hypertension 2008; 51: 383-392.
93. Bayol SA, Farrington SJ, Stickland NC: A maternal 'junk food' diet in pregnancy and lactation promotes an exacerbated taste for 'junk food' and a greater propensity for obesity in rat offspring. Br J Nutr 2007; 98: 843-851.
94. Wardle J, Guthrie C, Sanderson S, Birch L, Plomin R: Food and activity preferences in children of lean and obese parents. Int J Obes Relat Metab Disord 2001; 25: 971-977.
95. Rising R, Lifshitz F: Lower energy expenditures in infants from obese biological mothers. Nutr J 2008; 7: 15.
96. Muhlhausler BS, Duffield JA, McMillen IC: Increased maternal nutrition stimulates peroxisome proliferator activated receptor-γ, adiponectin, and leptin messenger ribonucleic acid expression in adipose tissue before birth. Endocrinology 2007; 148: 878-885.
97. Muhlhausler BS, Adam CL, Findlay PA, Duffield JA, McMillen IC: Increased maternal nutrition alters development of the appetite- regulating network in the brain. FASEB J 2006; 20: 1257-1259.
98. Muhlhausler BS, Duffield JA, McMillen IC: Increased maternal nutrition increases leptin expression in perirenal and subcutaneous adipose tissue in the postnatal lamb. Endocrinology 2007; 148: 6157-6163.
99. Catalano PM: Obesity and pregnancy - the propagation of a viscous cycle? J Clin Endocrinol Metab 2003; 88: 3505-3506.
100. Spalding KL, Arner E, Westermark PO, Bernard S, Buchholz BA, Bergmann O, Blomqvist L, Hoffstedt J, Naslund E, Britton T, Concha H, Hassan M, Ryden M, Frisen J, Arner P: Dynamics of fat cell turnover in humans. Nature 2008; 453: 783-787.
101. Aagaard-Tillery KM, Grove K, Bishop J, Ke X, Fu Q, McKnight R, Lane RH: Developmental origins of disease and determinants of chromatin structure: maternal diet modifies the primate fetal epigenome. J Mol Endocrinol 2008; 41: 91-102.
102. Wu Q, Suzuki M: Parental obesity and overweight affect the body-fat accumulation in the offspring: the possible effect of a high-fat diet through epigenetic inheritance. Obes Rev 2006; 7: 201-208.
103. Bayol SA, Simbi BH, Stickland NC: A maternal cafeteria diet during gestation and lactation promotes adiposity and impairs skeletal muscle development and metabolism in rat offspring at weaning. J Physiol 2005; 567: 951-961.
104. Oken E, Guthrie L, Rifas-Shiman SL, Gillman MW: Maternal gestational weight gain and child cognition. Obesity (Silver Spring) 2009; 17:S64.
105. Cogswell ME, Scanlon KS, Fein SB, Schieve LA: Medically advised, mother's personal target, and actual weight gain during pregnancy. Obstet Gynecol 1999; 94: 616-622.
106. Stotland NE, Haas JS, Brawarsky P, Jackson RA, Fuentes-Afflick E, Escobar GJ: Body mass index, provider advice, and target gestational weight gain. Obstet Gynecol 2005; 105: 633-638.
107. Asbee SM, Jenkins TR, Butler JR, White J, Elliot M, Rutledge A: Preventing excessive weight gain during pregnancy through dietary and lifestyle counseling: a randomized controlled trial. Obstet Gynecol 2009; 113: 305-312.
108. Olson CM, Strawderman MS, Reed RG: Efficacy of an intervention to prevent excessive gestational weight gain. Am J Obstet Gynecol 2004; 191: 530-536.
109. Kinnunen TI, Pasanen M, Aittasalo M, Fogelholm M, Weiderpass E, Luoto R: Reducing postpartum weight retention - a pilot trial in primary health care. Nutr J 2007; 6: 21.
110. Jeffries K, Shub A, Walker SP, Hiscock R, Permezel M: Reducing excessive weight gain in pregnancy: a randomised controlled trial. Med J Aust 2009; 191: 429-433.
111. Power ML, Cogswell ME, Schulkin J: Obesity prevention and treatment practices of US obstetrician-gynecologists. Obstet Gynecol 2006; 108: 961-968.
112. Herring SJ, Platek D, Elliott P, Riley L, Stuebe AM, Oken E: Addressing obesity in pregnancy: what do obstetric providers recommend? J Womens Health 2010; 19: 65-70.
113. Claesson IM, Sydsjo G, Brynhildsen J, Cedergren M, Jeppsson A, Nystrom F, Sydsjo A, Josefsson A: Weight gain restriction for obese pregnant women: a case-control intervention study. BJOG 2008; 115: 44-50. (Pubitemid 350209611)
114. Polley BA, Wing RR, Sims CJ: Randomized controlled trial to prevent excessive weight gain in pregnant women. Int J Obes Relat Metab Disord 2002; 26: 1494-1502.
115. Orstead C, Arrington D, Kamath SK, Olson R, Kohrs MB: Efficacy of prenatal nutrition counseling: weight gain, infant birth weight, and cost-effectiveness. J Am Dietet Assoc 1985; 85: 40-45.