Maternal determinants of average weekly fetal weight gain in Yogyakarta, Indonesia

https://doi.org/10.19106/JMedSci005404202208

Eugenius Phyowai Ganap(1*), Pakartian Ayu Sugmana(2), Riantina Rizky Amalia(3), Laksmi Ika Hidayati(4), Aditya Doni Pradana Doni Pradana(5)

(1) Division of Social Obstetrics and Gynecology, Department of Obstetrics and Gynecology, Dr. Sardjito General Hospital/Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta,
(2) Department of Nutrition and Health, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta
(3) Department of Nutrition and Health, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta
(4) Department of Nutrition and Health, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta
(5) Department of Cardiology and Vascular Medicine, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada Yogyakarta
(*) Corresponding Author

Abstract


Average fetal weight gain (AWG) is one of the important parameters usuallyused as an indicator to identify the fetal risk of poor outcomes of intrauterinegrowth restriction (IUGR) or macrosomia. This study aimed to investigate theassociation between AWG and maternal factors such as body weight (BW), bodymass index (BMI), middle-upper arm circumference (MUAC), and economicstatus in Yogyakarta, Indonesia. This community-based cross-sectional studywas conducted in one district in the Yogyakarta Special Province, Indonesia.The study included 50 mother-infant pairs who delivered at term (37-42 weeksof pregnancy). The mother’s BW, height, BMI, and MUAC were recorded usinga case-report form. Questionnaires were also completed to establish therespondents’ economic status. Maternal factors associated with fetal birthweight were determined using univariate and multivariate analyses. Themothers registered in our study mostly had good nutritional status (74.0% hadan optimal MUAC > 23cm). The mean AWG and birth weights were 172.6 ±24.5g/wk and 3.08 ± 0.34kg, respectively. Univariable analysis models wereused to assess the associations between each variable and AWG (with a cut-offvalue of 153.8 g/wk). Our study found no associations between higher MUACand higher AWG (OR=1.03; 95% CI: 0.83-1.27; p=0.77) and energy intakes perday with AWG (OR=1.0; 95% CI: 1.00-1.001; p=0.21). Socioeconomic factors suchas the mother’s educational background also showed no association with AWG(OR=0.38; 95% CI: 0.92-1.57; p=0.18). In conclusion, this finding shows that thereis no association between variables such as MUAC, mother’s age, energy intake,and educational background with the average fetal weight gain achieved.

Keywords


average fetal weight gain; middle-upper arm circumference; socioeconomic factors; low birth weight; intra uterine growth restriction

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References

Bianchi ME, Restrepo JM. Low birth weight as a risk factor for non-communicable diseases in adults. Front Med 2022; 8:793990.
https://doi.org/10.3389/fmed.2021.793990
2.Knop MR, Geng TT, Gorny AW, Ding R, Li C, Ley SH, et al. Birth weight and risk of type 2 diabetes mellitus, cardiovascular disease, and hypertension in adults: a meta-analysis of 7 646 267 participants from 135 studies. J Am Heart Assoc 2018; 7(23):e008870.
https://doi.org/10.1161/JAHA.118.008870
3.Belbasis L, Savvidou MD, Kanu C, Evangelou E, Tzoulaki I. Birth weight in relation to health and disease in later life: an umbrella review of systematic reviews and meta-analyses. BMC Med 2016; 14(1):147.
http://doi.org/10.1186/s12916-016-0692-5
4.Aryastami NK, Shankar A, Kusumawardani N, Besral B, Jahari AB, Achadi E. Low birth weight was the most dominant predictor associated with stunting among children aged 12-23 months in Indonesia. BMC Nutr 2017; 3(1):16.
https://doi.org/10.1186/s40795-017-0130-x
5.Islam MM. The effects of low birth weight on school performance and behavioral outcomes of elementary school children in Oman. Oman Med J 2015; 30(4):241-51.
https://doi.org/10.5001/omj.2015.50
6.Blencowe H, Krasevec J, de Onis M, Black RE, An X, Stevens GA, et al. National, regional, and worldwide estimates of low birthweight in 2015, with trends from 2000: a systematic analysis. Lancet Glob Heal 2019; 7(7):e849-60.
http://doi.org/10.1016/S2214-109X(18)30565-5
7.Badan Penelitian dan Pengembangan Kesehatan. Hasil Riset Kesehatan Dasar (Riskesdas) 2018. Jakarta: Kementerian Kesehatan RI, 2018.
8.Rahfiludin MZ, Dharmawan Y. Risk factors associated with low birth weight. Kesmas 2018; 13(2):75-80.
https://doi.org/10.21109/kesmas.v13i2.1719
9.Anil KC, Basel PL, Singh S. Low birth weight and its associated risk factors: Health facility-based case-control study. PLoS ONE 2020; 15(6):e0234907.
https://dx.doi.org/10.1371/journal.pone.0234907
10.Falcão IR, Ribeiro-Silva RDC, De Almeida MF, Fiaccone RL, Rocha ADS, Ortelan N, et al. Factors associated with low birth weight at term: a population-based linkage study of the 100 million Brazilian cohort. BMC Pregnancy Childbirth 2020; 20(1):536.
https://doi.org/10.1186/s12884-020-03226-x
11.Abubakari A, Kynast-Wolf G, Jahn A. Maternal determinants of birth weight in Northern Ghana. PLoS One. 2015; 10(8):e0135641.
https://doi.org/10.1371/journal.pone.0135641
12.Mongelli M, Benzie R, Condous G. Average fetal weekly weight gain: a novel measure of fetal growth velocity. J Matern Neonatal Med 2016; 29(4):676-9.
https://doi.org/10.3109/14767058.2015.1015981
13.Ikenoue S, Miyakoshi K, Kasuga Y, Ochiai D, Matsumoto T, Tanaka M. Impaired fetal growth in mothers with inadequate gestational weight gain: a retrospective study in Japanese uncomplicated pregnancy. J Matern Neonatal Med 2020; 33(13):2227-31.
https://doi.org/10.1080/14767058.2018.1545835
14.Bhavadharini B, Anjana RM, Deepa M, Jayashree G, Nrutya S, Shobana M, et al. Gestational weight gain and pregnancy outcomes in relation to body mass index in Asian Indian women. Indian J Endocrinol Metab 2017; 21(4):588-93.
https://doi.org/10.4103/ijem.IJEM_557_16
15.Williams M, Turner S, Butler E, Gardosi J. Fetal growth surveillance: current guidelines, practices and challenges. Ultrasound 2018; 26(2):69-79.
https://doi.org/10.1177/1742271X18760657
16.O’Connor D. Saving babies’ lives: a care bundle for reducing stillbirth [Internet]. London; 2016. 1-30.
https://www.england.nhs.uk/wp-content/uploads/2016/03/saving-babies-lives-car-bundl.pdf
17.Royal College of Obstetricians & Gynaecologists. The investigation and management of the small for gestational age fetus [Internet]. London; 2014. Report No.: Green-to Guideline No. 31. Available from: https://www.rcog.org.uk/media/t3lmjhnl/gtg_31.pdf
18.Grantz KL, Kim S, Grobman WA, Newman R, Owen J, Skupski D, et al. Fetal growth velocity: the NICHD fetal growth studies. Am J Obstet Gynecol 2018; 219(3):285.e1-285.e36.
https://doi.org/10.1016/j.ajog.2018.05.016
19.Uehara R, Miura F, Itabashi K, Fujimura M, Nakamura Y. Distribution of birth weight for gestational age in Japanese infants delivered by cesarean section. J Epidemiol 2011; 21(3):217-22.
https://doi.org/10.2188/jea.JE20100123
20.Ohuma EO, Villar J, Feng Y, Xiao L, Salomon L, Barros FC, et al. Fetal growth velocity standards from the Fetal Growth Longitudinal Study of the INTERGROWTH-21st Project. Am J Obstet Gynecol 2021; 224(2):208.e1-208.e18.
https://doi.org/10.1016/j.ajog.2020.07.054
21.de Jong CL, Francis A, van Geijn HP, Gardosi J. Fetal growth rate and adverse perinatal events. Ultrasound Obstet Gynecol 1999; 13(2):86-9.
https://doi.org/10.1046/j.1469-0705.1999.13020086.x
22.Chappell LC, Enye S, Seed P, Briley AL, Poston L, Shennan AH. Adverse perinatal outcomes and risk factors for preeclampsia in women with chronic hypertension. Hypertension 2008; 51(4):1002-9.
https://doi.org/10.1161/HYPERTENSIONAHA.107.107565
23.Ota E, Ganchimeg T, Morisaki N, Vogel JP, Pileggi C, Ortiz-Panozo E, et al. Risk factors and adverse perinatal outcomes among term and preterm infants born small-for-gestational-age: secondary analyses of the WHO multi-country survey on maternal and newborn health. PLoS One 2014; 9(8):e105155.
https://doi.org/10.1371/journal.pone.0105155
24.Nomura K, Nagashima K, Suzuki S, Itoh H. Application of Japanese guidelines for gestational weight gain to multiple pregnancy outcomes and its optimal range in 101,336 Japanese women. Sci Rep 2019; 9(1):17310.
https://doi.org/10.1038/s41598-019-53809-8
25.Ricalde AE, Velásquez-Meléndez G, Tanaka AC, de Siqueira AA. Mid-upper arm circumference in pregnant women and its relation to birth weight. Rev Saude Publica. 1998; 32(2):112-7.
https://doi.org/10.1590/s0034-89101998000200002
26.Williamson CS. Nutrition in pregnancy. Nutr Bull 2006; 31(1):28-59.
https://doi.org/10.1111/j.1467-3010.2006.00541.x



DOI: https://doi.org/10.19106/JMedSci005404202208

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Journal of the Medical Sciences (Berkala Ilmu Kedokteran) by  Universitas Gadjah Mada is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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