Factors Associated With Rates of Gestational Weight Gain Among Pregnant Women in West Sumatera, Indonesia

Abstract

Objectives: Gestational weight gain (GWG) is an important anthro-pometric indicator for maternal nutritional status. This study analyzed to determine factors associated with rates of gestational weight gain among women in the third trimester in West Sumatera, Indonesia. Methods: This cross-sectional study was conducted among healthy pregnant women in the third trimester in West Sumatera, Indonesia. A total 195 pregnant women attending at each public health center were enrolled in the present study from September 2017 to March 2018. Information regarding demographic characteristics, obstetrical history, physical activity, calorie intake, and anthropometric was assessed through direct interview. GWG rates were determined based on recommendations of Institute of Medicine (IOM) 2009. Results: Of the 195 pregnant women, more than half of the women were GWG inadequate 53.3%, adequate 34.4%, and excessive 12.3%. Prepregnancy BMI were overweight/obese 43.1%, normal 46.7%, underweight 10.3%. The multinomial logistic model indicates than women who were overweight or obese at pre-pregnancy were 17 times more likely to have excessive GWG rate (p-value < 0.01) as compared to women who were pre-pregnancy normal weight. Conclusions: Women who were overweight/obese at pre-pregnancy were at-risk of having excessive GWG rate, which underlines the importance of targeting these women for pre-conception counseling or health education on GWG.