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The factors affecting pregnancy outcomes in the second trimester pregnant women

  • Bang, Seo-Won (Department of Food & Nutrition, Hanyang University) ;
  • Lee, Sang-Sun (Department of Food & Nutrition, Hanyang University)
  • Published : 2009.06.30

Abstract

Adequate nutrient intake during pregnancy is important to fetal and maternal health. The purpose of this study was to investigate the factors affecting birth weight and gestational age and to provide basic data to promote more favorable pregnancy outcomes. Data were collected from 234 pregnant women at two hospitals in Seoul. Demographic characteristics, anthropometric measurements and health related habits were obtained using a questionnaire at the hospital visit during the second trimester. Dietary intakes were estimated by 24 hour recall at the hospital visit during the second trimester. Data on pregnancy outcomes, including birth weights and gestational ages, were obtained from hospital records after delivery. Birth weights were divided into a low birth weight group (birth weight<3.1 kg), a normal birth weight group (3.1-3.6 kg) and a high birth weight group (>3.6 kg). Gestational ages were divided into tertiles according to the gestational age of the subjects: group 1 (<38.53 weeks), group 2 (38.53-40.00 weeks) and group 3 (>40.00 weeks). The number of family members was significantly lower in the low birth weight group than in the normal birth weight group (p<0.05). In the low birth weight group, pregnancy weight was significantly lower than in the high birth weight group (p<0.05) Health related habits were not significantly different among any of the groups. Intakes of fiber, phosphorous, iron, vitamin $B_6$ and folic acid were significantly higher in the high birth weight group than the low birth weight group (p<0.05). Gestational age was not significantly affected by nutrient intakes, but birth weight was affected by nutrient intake in the results of this study. Therefore, the adequacy of nutrient intake is important for the improvement of pregnancy outcomes.

Keywords

References

  1. Alati R, Al MA, Williams GM, O'Callaghan M, Najman JM & Bor W (2006). In utero alcohol exposure and prediction of alcohol disorders in early adulthood: a birth cohort study. Arch Gen Psychiatry 63:1009-1016 https://doi.org/10.1001/archpsyc.63.9.1009
  2. Anahita HR, Nasrin O, Mahmood M, Fariba K & Maryam A (1998). Dietary intake, anthropometry and birth outcome of rural pregnant women in two Iranian districts. Nutr Res 18:1469-1482 https://doi.org/10.1016/S0271-5317(98)00122-5
  3. Barker DJ (1998). In utero programming of chronic disease. Clin Sci 95:115-128 https://doi.org/10.1042/CS19980019
  4. Bell R, Palma S & Lumley J (1995). The effect of vigorous exercise during pregnancy on birthweight. Aust NZ J Obstet Gynaecol 35:46-51 https://doi.org/10.1111/j.1479-828X.1995.tb01829.x
  5. Bulletin of the World Health Organization (1995). Maternal Anthropometry and Pregnancy Outcomes: A WHO Collaborative Study. Bull World Health Organ 73:1-98
  6. Caulfield LE, Zavaleta N, Shankar AH & Merialdi M (1998). Potential contribution of maternal zinc supplementation during pregnancy to maternal and child survival. Am J Clin Nutr 68:499-508
  7. Chasan-Taber L, Schmidt MD, Roberts DE, Hosmer D, Markenson G & Freedson PS (2004). Development and validation of a pregnancy physical activity questionnaire. Med Sci Sports Exerc 36:1750-1760 https://doi.org/10.1249/01.MSS.0000142303.49306.0D
  8. Chiriboga CA (2003). Fetal alcohol and drug effects. Neurologist 9:267-279 https://doi.org/10.1097/01.nrl.0000094941.96358.d1
  9. Choi BS, Lee IS, Shin JJ & Park MH (2001). Factors affecting dietary & nutrients intake during the first, second, and third trimesters and pregnancy outcome (2001). Korean Journal of Food Culture 16:203-214
  10. Choi HM, Kim JH, Lee JH, Kim CI, Song KH, Jang KJ & Min HS (2006). 21C Nutrition. Kyomunsa. Republic of Korea
  11. Coad J, Al-Rasasi B & Vassia Morgan JB (2005). Nausea and vomiting in pregnancy is associated with reduced fat intake and altered patterns of maternal fat deposition. Proceedings of the Nutrition Society of New Zealand 30:182
  12. Conti J, Abraham S & Taylor A (1998). Eating behavior and pregnancy outcome. J Psychosom Res 44:465-477 https://doi.org/10.1016/S0022-3999(97)00271-7
  13. Dietz PM, Callaghan WM, Cogswell ME, Morrow B, Ferre C, Schieve LA (2006). Combined effects of pre-pregnancy body mass index and weight gain during pregnancy on the risk of preterm delivery. Epidemiology 17:170-177 https://doi.org/10.1097/01.ede.0000198470.26932.9a
  14. Freisling H, Elmadfa I & Gall I (2006). The effect of socioeconomic status on dietary intake, physical activity and Body Mass Index in Austrian pregnant women. J Hum Nutr Diet 19:437-445 https://doi.org/10.1111/j.1365-277X.2006.00723.x
  15. Galtier-Dereure F, Boegner C & Bringer J (2000). Obesity and pregnancy: complications and cost. Am J Clin Nutr 71:1242-1248
  16. Galtier-Dereure F & Boulot P (1994). Obstetrical complications at maternal overweight. Contracept Fertil Sex 22:113-116
  17. Gale CR & Martyn CN (2004). Birth weight and later risk of depression in a national birth cohort. Br J Psychiatry 184:28-33 https://doi.org/10.1192/bjp.184.1.28
  18. Green N (2002). Folic acid supplementation and prevention of birth defects. J Nutr 132:2356-2360
  19. Gulson BL, Mizon KJ, Korsch MJ, Mahaffey KR & Taylor AJ (2001). Dietary intakes of selected elements from longitudinal 6-day duplicate diets for pregnant and nonpregnant subjects and elemental concentrations of breast milk and infant formula. Environ Res Sec 87:160-174 https://doi.org/10.1006/enrs.2001.4309
  20. Haste FM, Brooke OG, Anderson HR, Bland JM, Shaw A & Griffin Peacock JL (1990). Nutrient intakes during pregnancy: Observations on the influence of smoking and social class. Am J Clin Nutr 51:29-36
  21. Holmes TH & Rache RH (1967). The social readjustment rating scale. J Psychosom Res 11:213 https://doi.org/10.1016/0022-3999(67)90010-4
  22. Jackson AA & Robinson SM (2001). Dietary guidelines for pregnancy:a review of current evidence. Public Health Nutr 4:625-630 https://doi.org/10.1079/PHN2001146
  23. Kafatos AG, Tsitoura S, Pantelakis SN & Doxiadis SA (1991). Maternal and infant health education in a rural Greek community. Hygie 10:32-37
  24. Kajantie E, Osmond C, Barker DJ, Forsen T, Phillips DI & Eriksson JG (2005). Size at birth as a predictor of mortality in adulthood: a follow-up of 350,000 person-years relief of stress. Int J Epidemiol 34:655-663 https://doi.org/10.1093/ije/dyi048
  25. Kim YJ & Lee SS (2008). The relation of maternal stress with nutrients intake and pregnancy outcome in pregnant women. The Korean Journal of Nutrition 41:776-785
  26. Kirkinen P, Jouppila P, Koivula A, Vuori J & Puukka M (1983). The effect of caffeine on placental and fetal blood flow in human pregnancy. Am J Obstet Gynecol 147:939-942
  27. Kramer MS, Sequin L, Lydon J & Goulet L (2000). Socioeconomic disparities in pregnancy outcome: Why do the poor fare so poorly? Paediatr Perinat Epidemiol 14:194-210 https://doi.org/10.1046/j.1365-3016.2000.00266.x
  28. Laraia BA, Siega-Riz AM, Gunderson C & Dole N (2006). Psychosocial factors and socioeconomic indicators are associated with household food insecurity among pregnant women. J Nutr 136:177-182
  29. Lechat MF, Borlee I, Bouckaert A & Misson C (1980). Caffeine study. Science 207:1296-1297 https://doi.org/10.1126/science.7355288
  30. Lokey EA, Tran ZV, Wells CL, Myers BM & Tran AC (1991). Effects of physical exercise on pregnancy outcomes: a meta-analytic review. Med Sci Sports Exerc 23:1234-1249
  31. Maccari S, Darnaudery M, Morley-Fletcher S, Zuena AR, Cinque C & Van Reeth O (2003). Prenatal stress and long-term consequences: implications of glucocorticoid hormones. Neurosci Biobehav Rev 27:119-127 https://doi.org/10.1016/S0149-7634(03)00014-9
  32. Micali N, Treasure J & Simonoff E (2007). Eating disorders symptoms in pregnancy: A longitudinal study of women with recent and past eating disorders and obesity. J Psychosom Res 63:297-303 https://doi.org/10.1016/j.jpsychores.2007.05.003
  33. Mitchell EA, Ford RP, Stewart AW, Taylor BJ, Becroft DM & Thompson JM (1993). Smoking and the sudden infant death syndrome. Pediatrics 91:893-896
  34. Park JH, Lee JY, Park SW & Park SJ (2004). Effect of delayed first childbearing on low birth weight and pre-term Birth. The Korean Society of Maternal and Child Health 8:7-15
  35. Rush D (2001). Maternal nutrition and perinatal survival. Nutr Rev 59:315-326 https://doi.org/10.1111/j.1753-4887.2001.tb06956.x
  36. Saba A & Di Natale R (1999). A study on the mediating role of intention in the impact of habit and attitude on meat consumption. Food Qual Prefer 10:69-77 https://doi.org/10.1016/S0950-3293(98)00039-1
  37. Siega-Riz AM, Herrmann TS, Savitz DA & Thorp JM (2001). Frequency of eating during pregnancy and its effect on preterm delivery. Am J Epidemiol 153:647-652 https://doi.org/10.1093/aje/153.7.647
  38. Steer PJ (2000). Maternal hemoglobin concentration and birth weight. Am J Clin Nutr 71:1285-1287
  39. Sternfeld B, Quesenberry C, Eskenazi B & Newman LA (1995). Exercise during pregnancy and pregnancy outcome. Med Sci Sports Exerc 27:634-640
  40. Stewart DE, Raskin J, Garfinkel PE, MacDonald OL & Robinson GE (1987). Anorexia nervosa, bulimia, and pregnancy. Am J Obstet Gynecol 157:1194-1198
  41. The Korean Nutrition Society (2005). Dietary reference intakes for Koreans. The Korean Nutrition Society, Seoul. Republic of Korea
  42. Treasure JL (1988). The ultrasonographic features in anorexia nervosa and bulimia nervosa: A simplified method of monitoring hormonal states during weight gain. J Psychosom Res 32:623-634 https://doi.org/10.1016/0022-3999(88)90011-6
  43. Wadhwa PD, Sandman CA & Garite TJ (2001). The neurobiology of stress in human pregnancy: implications for prematurity and development of the fetal central nervous system. Prog Brain Res 133:131-142 https://doi.org/10.1016/S0079-6123(01)33010-8
  44. Weinstock M (1997). Does prenatal stress impair coping and regulation of hypothalamic-pituitary-adrenal axis? Neurosci Biobehav Rev 21:1-10 https://doi.org/10.1016/S0149-7634(96)00014-0
  45. Weissgerber TL, Wolfe LA & Davies GAL (2004). The role of regular physical activity in preeclampsia prevention. Med Sci Sports Exerc 36:2024-2031
  46. Wilcox AJ, Skjaerven R (1992). Birth weight and perinatal mortality: the effect of gestational age. Am J Public Health 82:378-382 https://doi.org/10.2105/AJPH.82.3.378
  47. Yu KH & Yoon JS (1999). A cross-sectional study of nutrient intakes by gestational age and pregnancy outcome (I). The Korean Journal of Nutrition 32:877-886

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