What is it about?
International recommendations for gestational weight gain (IOM 2009) for obese women are adequate for obesities class I (30-34.9 kg/m²), inappropriate for obesities class II (35-39.9 kg/m²) and completely inadeqate for obesities class III (> 40 kg/m²)
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Why is it important?
With the obesity epidemic, keeping still the obsolete IOM2009 recommendations is now dangerous in terms of Public Health
Perspectives
Upgrading the obsolete IOM2009 recommendations would decrease by 40% the rate of caesarean section, macrosomic newborns (> 4kg) and probably gestational dabtes mellitus. Described in Robillard PY, Dekker GA, Boukerrou M, Boumahni B, Hulsey TC, Scioscia M. The urgent need to optimize gestational weight gain in overweight/obese women to lower maternal-fetal moribidities: a retrospective analysis on 59,000 singleton term pregnancies. Archives Women Health Care, 2020 (3) 1-9. DOI: 10.31038/AWHC.2020342 And MOREOVER decrease by 50% the rate of late onset preeclampsia (term preeclampsia. Robillard PY, Dekker G, Boukerrou M, Boumahni B, Hulsey T, Scioscia M.Gestational weight gain and rate of late-onset preeclampsia: a retrospectiveanalysis on 57 000 singleton pregnancies in Reunion Island. BMJ Open. 2020 Jul28;10(7):e036549. doi: 10.1136/bmjopen-2019-036549. PMID: 32723741; PMCID:PMC7389512.
Dr Pierre Yves François Robillard
Centre Hospitalier Universitaire SudRéunion, Saint-Pierre, Réunion, France
Read the Original
This page is a summary of: Obesity class I and II and IOM 2009 gestational weight gain recommendations 5–9 kg. An audit on 10,000 term singleton deliveries, The Journal of Maternal-Fetal & Neonatal Medicine, March 2023, Taylor & Francis,
DOI: 10.1080/14767058.2023.2184222.
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