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Obesity prior to pregnancy and maternal weight gain above recommended guidelines during pregnancy are another key risk factor for macrosomia or LGA infants. [ 21 ] [ 22 ] [ 23 ] It has been demonstrated that while maternal obesity and gestational diabetes are independent risk factors for LGA and macrosomia, they can act synergistically, with ...
The IOM has recommended the ranges of weight gain to be 12.5–18 kg, 11.5–16 kg, 7-11.5 kg, and 5–9 kg respectively. That is, the smaller the BMI pre pregnancy, the more weight a woman is expected to gain during her pregnancy. [3]
Recommended management ≤2 Labor induction; 4 Labor induction if gestational age >32 weeks; Repeating test same day if <32 weeks, then delivery if BPP <6; 6 Labor induction if >36 weeks if favorable cervix and normal AFI; Repeating test in 24 hours if <36 weeks and cervix unfavorable; then delivery if BPP <6, and follow-up if >6; ≥ 8
It is advised that women with a normal weight before pregnancy should gain a total of 11.5 kilograms to 16.0 kilograms throughout gestation, which is approximately 0.4 kilogram per week in the second and third trimesters. [3] In order to maintain a steady weight gain, the mother should engage in mild physical activities.
Weight gain is related to the weight of the baby, the placenta, extra circulatory fluid, larger tissues, and fat and protein stores. [16] Most needed weight gain occurs later in pregnancy. [103] The Institute of Medicine recommends an overall pregnancy weight gain for those of normal weight (body mass index of 18.5–24.9), of 11.3–15.9 kg ...
4.2.1 Screening during pregnancy. ... Large or small pregnancy weight gain: 1.8: 1.5–2.3 ... [87] In one investigation comparing this test to fetal fibronectin ...
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Because of the low accuracy of conventional screening tests, 5–10% of women, often those who are older, will opt for an invasive test even if they received a low-risk score from the screening. A patient who received a 1:330 risk score, while technically low-risk (since the cutoff for high-risk is commonly quoted as 1:270), might be more ...
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