Effects of gestational weight gain on adverse pregnancy outcomes among pregnant women in gurage zone, central Ethiopia: a cohort study

Abstract The consequences of being overweight in non-pregnant individuals have been studied and chronic diseases are found to be associated with higher weight gain. However, few studies target the effect of gestational weight gain on adverse pregnancy outcomes. Thus, this study aims to fill the know...

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Main Authors: Girma Alemayehu Beyene, Abebaw Wasie Kasahun
Format: Article
Language:English
Published: Nature Portfolio 2025-02-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-91782-7
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author Girma Alemayehu Beyene
Abebaw Wasie Kasahun
author_facet Girma Alemayehu Beyene
Abebaw Wasie Kasahun
author_sort Girma Alemayehu Beyene
collection DOAJ
description Abstract The consequences of being overweight in non-pregnant individuals have been studied and chronic diseases are found to be associated with higher weight gain. However, few studies target the effect of gestational weight gain on adverse pregnancy outcomes. Thus, this study aims to fill the knowledge gap due to the scarcity of studies and inconsistencies of results and gain more insight into the effects of gestational weight gain on pregnancy outcomes. A prospective cohort study was conducted among pregnant women who started antenatal care follow-up before the 16 weeks of gestation in the selected health facilities of the Gurage zone. The follow-up continued until the first 7 days after delivery to record all the pregnancy outcomes. Adverse pregnancy outcomes include any of the following conditions: gestational hypertension, pre-eclampsia, eclampsia, gestational diabetes mellitus, antepartum hemorrhage, post-partum hemorrhage, preterm delivery, low birth weight, low Apgar score, intra-uterine death, intrapartum death, and early neonatal death. Binary logistic regression was used to assess the relationship between adverse pregnancy outcomes and other independent variables. From the 424 pregnant women included in the study, adverse outcome was documented among 31.4%, [95% CI 26.9, 35.8]. Maternal age, educational status of the mother, body mass index, and gestational weight gain were significantly associated with adverse pregnancy outcomes. Adverse pregnancy outcomes were higher among mothers with young age, no formal education, higher body mass index, and larger gestational weight gain.
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spelling doaj-art-a010fc51f21347ab8e2b1a3fbf0b829a2025-08-20T02:16:40ZengNature PortfolioScientific Reports2045-23222025-02-011511810.1038/s41598-025-91782-7Effects of gestational weight gain on adverse pregnancy outcomes among pregnant women in gurage zone, central Ethiopia: a cohort studyGirma Alemayehu Beyene0Abebaw Wasie Kasahun1Department of Public Health, College of Medicine and Health Sciences, Wolkite UniversityDepartment of Public Health, College of Medicine and Health Sciences, Wolkite UniversityAbstract The consequences of being overweight in non-pregnant individuals have been studied and chronic diseases are found to be associated with higher weight gain. However, few studies target the effect of gestational weight gain on adverse pregnancy outcomes. Thus, this study aims to fill the knowledge gap due to the scarcity of studies and inconsistencies of results and gain more insight into the effects of gestational weight gain on pregnancy outcomes. A prospective cohort study was conducted among pregnant women who started antenatal care follow-up before the 16 weeks of gestation in the selected health facilities of the Gurage zone. The follow-up continued until the first 7 days after delivery to record all the pregnancy outcomes. Adverse pregnancy outcomes include any of the following conditions: gestational hypertension, pre-eclampsia, eclampsia, gestational diabetes mellitus, antepartum hemorrhage, post-partum hemorrhage, preterm delivery, low birth weight, low Apgar score, intra-uterine death, intrapartum death, and early neonatal death. Binary logistic regression was used to assess the relationship between adverse pregnancy outcomes and other independent variables. From the 424 pregnant women included in the study, adverse outcome was documented among 31.4%, [95% CI 26.9, 35.8]. Maternal age, educational status of the mother, body mass index, and gestational weight gain were significantly associated with adverse pregnancy outcomes. Adverse pregnancy outcomes were higher among mothers with young age, no formal education, higher body mass index, and larger gestational weight gain.https://doi.org/10.1038/s41598-025-91782-7Gestational weight gainPregnancy outcomeBirthweight
spellingShingle Girma Alemayehu Beyene
Abebaw Wasie Kasahun
Effects of gestational weight gain on adverse pregnancy outcomes among pregnant women in gurage zone, central Ethiopia: a cohort study
Scientific Reports
Gestational weight gain
Pregnancy outcome
Birthweight
title Effects of gestational weight gain on adverse pregnancy outcomes among pregnant women in gurage zone, central Ethiopia: a cohort study
title_full Effects of gestational weight gain on adverse pregnancy outcomes among pregnant women in gurage zone, central Ethiopia: a cohort study
title_fullStr Effects of gestational weight gain on adverse pregnancy outcomes among pregnant women in gurage zone, central Ethiopia: a cohort study
title_full_unstemmed Effects of gestational weight gain on adverse pregnancy outcomes among pregnant women in gurage zone, central Ethiopia: a cohort study
title_short Effects of gestational weight gain on adverse pregnancy outcomes among pregnant women in gurage zone, central Ethiopia: a cohort study
title_sort effects of gestational weight gain on adverse pregnancy outcomes among pregnant women in gurage zone central ethiopia a cohort study
topic Gestational weight gain
Pregnancy outcome
Birthweight
url https://doi.org/10.1038/s41598-025-91782-7
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