Weight Gain During Pregnancy in Antananarivo, Madagascar: Determinants and Outcome

Lantonirina Ravaoarisoa; Julio Rakotonirina; Abdallah Chanfi Zalihata; Maminiaina Patricia Ratsimbazafy; Hery Rakotovao Andrianampanalinarivo; Justin Rasolofomanana Ranjalahy; Jean de Dieu Marie Rakotomanga

doi:doi:10.11648/j.jfns.20200801.11

Weight Gain During Pregnancy in Antananarivo, Madagascar: Determinants and Outcome

Lantonirina Ravaoarisoa, Julio Rakotonirina, Abdallah Chanfi Zalihata, Maminiaina Patricia Ratsimbazafy, Hery Rakotovao Andrianampanalinarivo, Justin Rasolofomanana Ranjalahy, Jean de Dieu Marie Rakotomanga

Published in Journal of Food and Nutrition Sciences (Volume 8, Issue 1)

Received: 29 December 2019 Accepted: 9 January 2020 Published: 23 January 2020

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Abstract

Weight gain during pregnancy has effects on growth and development during intrauterine life. Data for this subject is not available for Madagascar. This study aims to measure the weight gain during pregnancy, to identify its determinants and to assess its effect on the baby's weight at birth. A retrospective cohort study was carried out on pregnant women who gave birth in three maternity wards in the city of Antananarivo. The study included women who followed the first early prenatal consultation and who had their weight noted in the pregnancy notebook, during this prenatal consultation. Weight gain during pregnancy was assessed by using the difference in weight during the early prenatal visit and the weight before delivery. Recommendations from the Institute of Medicine were used to classify weight gain during pregnancy. Of the 380 pregnant women included in the study, 76.3% did not obtain the needed weight gain during pregnancy, 20% obtained normal weight gain and 3.7% obtained excess weight gain. In a multivariate analysis, the good nutritional status of women (body mass index <18.5 kg / m²) at the beginning of pregnancy (ORa (95% CI): 3.11 (1.06 - 9.10)) and their level of secondary education (ORa (95% CI): 5.96 (2.07 - 17.18)) and university education (ORa (95% CI): 6.45 (2.63 - 23.43)), were retained as predictors of sufficient weight gain during pregnancy. In a linear regression, the baby's weight increased significantly with the increase in weight gain during pregnancy, coefficient ß (ES) = 91 (7), p<0.001. Most women did not obtain the weight gain recommended during pregnancy and had a risk of giving birth to a low-weight baby. It is necessary to identify the other determinants of this weight gain.

Published in	Journal of Food and Nutrition Sciences (Volume 8, Issue 1)
DOI	10.11648/j.jfns.20200801.11
Page(s)	1-5
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Birth Weight, Determinant, Madagascar, Weight Gain, Pregnancy

References

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[3]	Rasmussen KM, Yaktine AL, Institute of Medicine (U.S.), éditeurs. Weight gain during pregnancy: reexamining the guidelines. Washington, DC: National Academies Press; 2009. 854 p.
[4]	Han Z, Lutsiv O, Mulla S, Rosen A, Beyene J, McDonald SD, et al. Low gestational weight gain and the risk of preterm birth and low birthweight: a systematic review and meta-analyses. Acta Obstet Gynecol Scand. 2011; 90 (9): 935-54.
[5]	Goldstein RF, Abell SK, Ranasinha S, Misso M, Boyle JA, Black MH, et al. Association of Gestational Weight Gain With Maternal and Infant Outcomes: A Systematic Review and Meta-analysis. JAMA. 2017; 317 (21): 2207.
[6]	Goldstein RF, Abell SK, Ranasinha S, Misso ML, Boyle JA, Harrison CL, et al. Gestational weight gain across continents and ethnicity: systematic review and meta-analysis of maternal and infant outcomes in more than one million women. BMC Medicine [Internet]. déc 2018 [Accessed 29 sept 2018]; 16 (1). Available at https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-018-1128-1
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[12]	Fouelifack FY, Fouedjio JH, Fouogue JT, Sando Z, Fouelifa LD, Mbu RE. Associations of body mass index and gestational weight gain with term pregnancy outcomes in urban Cameroon: a retrospective cohort study in a tertiary hospital. BMC Research Notes [Internet]. déc 2015 [Accessed 3 janv 2019]; 8 (1). Available at http://www.biomedcentral.com/1756-0500/8/806.
[13]	Soltani H, Lipoeto NI, Fair FJ, Kilner K, Yusrawati Y. Pre-pregnancy body mass index and gestational weight gain and their effects on pregnancy and birth outcomes: a cohort study in West Sumatra, Indonesia. BMC Women’s Health [Internet]. déc 2017 [Accessed 3 janv 2019]; 17 (1). Available at https://bmcwomenshealth.biomedcentral.com/articles/10.1186/s12905-017-0455-2.
[14]	Ravaoarisoa L, Rakotonirina J, Andriamiandrisoa D, Humblet P, Dieu J de. Habitude alimentaire des mères pendant la grossesse et l'allaitement, région Amoron'i Mania Madagascar: étude qualitative. Pan African Medical Journal [Internet]. 2018 [Accessed 22 oct 2018]; 29. Available at http://www.panafrican-med-journal.com/content/article/29/194/full/.
[15]	Pourette D, Pierlovisi C, Randriantsara R, Rakotomanana E, Mattern C. Avoiding a «big» baby: Local perceptions and social responses toward childbirth-related complications in Menabe, Madagascar. Social Science & Medicine. 2018; 218: 52-61.

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APA Style

Lantonirina Ravaoarisoa, Julio Rakotonirina, Abdallah Chanfi Zalihata, Maminiaina Patricia Ratsimbazafy, Hery Rakotovao Andrianampanalinarivo, et al. (2020). Weight Gain During Pregnancy in Antananarivo, Madagascar: Determinants and Outcome. Journal of Food and Nutrition Sciences, 8(1), 1-5. https://doi.org/10.11648/j.jfns.20200801.11

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ACS Style

Lantonirina Ravaoarisoa; Julio Rakotonirina; Abdallah Chanfi Zalihata; Maminiaina Patricia Ratsimbazafy; Hery Rakotovao Andrianampanalinarivo, et al. Weight Gain During Pregnancy in Antananarivo, Madagascar: Determinants and Outcome. J. Food Nutr. Sci. 2020, 8(1), 1-5. doi: 10.11648/j.jfns.20200801.11

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AMA Style

Lantonirina Ravaoarisoa, Julio Rakotonirina, Abdallah Chanfi Zalihata, Maminiaina Patricia Ratsimbazafy, Hery Rakotovao Andrianampanalinarivo, et al. Weight Gain During Pregnancy in Antananarivo, Madagascar: Determinants and Outcome. J Food Nutr Sci. 2020;8(1):1-5. doi: 10.11648/j.jfns.20200801.11

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@article{10.11648/j.jfns.20200801.11,
  author = {Lantonirina Ravaoarisoa and Julio Rakotonirina and Abdallah Chanfi Zalihata and Maminiaina Patricia Ratsimbazafy and Hery Rakotovao Andrianampanalinarivo and Justin Rasolofomanana Ranjalahy and Jean de Dieu Marie Rakotomanga},
  title = {Weight Gain During Pregnancy in Antananarivo, Madagascar: Determinants and Outcome},
  journal = {Journal of Food and Nutrition Sciences},
  volume = {8},
  number = {1},
  pages = {1-5},
  doi = {10.11648/j.jfns.20200801.11},
  url = {https://doi.org/10.11648/j.jfns.20200801.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfns.20200801.11},
  abstract = {Weight gain during pregnancy has effects on growth and development during intrauterine life. Data for this subject is not available for Madagascar. This study aims to measure the weight gain during pregnancy, to identify its determinants and to assess its effect on the baby's weight at birth. A retrospective cohort study was carried out on pregnant women who gave birth in three maternity wards in the city of Antananarivo. The study included women who followed the first early prenatal consultation and who had their weight noted in the pregnancy notebook, during this prenatal consultation. Weight gain during pregnancy was assessed by using the difference in weight during the early prenatal visit and the weight before delivery. Recommendations from the Institute of Medicine were used to classify weight gain during pregnancy. Of the 380 pregnant women included in the study, 76.3% did not obtain the needed weight gain during pregnancy, 20% obtained normal weight gain and 3.7% obtained excess weight gain. In a multivariate analysis, the good nutritional status of women (body mass index <18.5 kg / m²) at the beginning of pregnancy (ORa (95% CI): 3.11 (1.06 - 9.10)) and their level of secondary education (ORa (95% CI): 5.96 (2.07 - 17.18)) and university education (ORa (95% CI): 6.45 (2.63 - 23.43)), were retained as predictors of sufficient weight gain during pregnancy. In a linear regression, the baby's weight increased significantly with the increase in weight gain during pregnancy, coefficient ß (ES) = 91 (7), p<0.001. Most women did not obtain the weight gain recommended during pregnancy and had a risk of giving birth to a low-weight baby. It is necessary to identify the other determinants of this weight gain.},
 year = {2020}
}

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TY  - JOUR
T1  - Weight Gain During Pregnancy in Antananarivo, Madagascar: Determinants and Outcome
AU  - Lantonirina Ravaoarisoa
AU  - Julio Rakotonirina
AU  - Abdallah Chanfi Zalihata
AU  - Maminiaina Patricia Ratsimbazafy
AU  - Hery Rakotovao Andrianampanalinarivo
AU  - Justin Rasolofomanana Ranjalahy
AU  - Jean de Dieu Marie Rakotomanga
Y1  - 2020/01/23
PY  - 2020
N1  - https://doi.org/10.11648/j.jfns.20200801.11
DO  - 10.11648/j.jfns.20200801.11
T2  - Journal of Food and Nutrition Sciences
JF  - Journal of Food and Nutrition Sciences
JO  - Journal of Food and Nutrition Sciences
SP  - 1
EP  - 5
PB  - Science Publishing Group
SN  - 2330-7293
UR  - https://doi.org/10.11648/j.jfns.20200801.11
AB  - Weight gain during pregnancy has effects on growth and development during intrauterine life. Data for this subject is not available for Madagascar. This study aims to measure the weight gain during pregnancy, to identify its determinants and to assess its effect on the baby's weight at birth. A retrospective cohort study was carried out on pregnant women who gave birth in three maternity wards in the city of Antananarivo. The study included women who followed the first early prenatal consultation and who had their weight noted in the pregnancy notebook, during this prenatal consultation. Weight gain during pregnancy was assessed by using the difference in weight during the early prenatal visit and the weight before delivery. Recommendations from the Institute of Medicine were used to classify weight gain during pregnancy. Of the 380 pregnant women included in the study, 76.3% did not obtain the needed weight gain during pregnancy, 20% obtained normal weight gain and 3.7% obtained excess weight gain. In a multivariate analysis, the good nutritional status of women (body mass index <18.5 kg / m²) at the beginning of pregnancy (ORa (95% CI): 3.11 (1.06 - 9.10)) and their level of secondary education (ORa (95% CI): 5.96 (2.07 - 17.18)) and university education (ORa (95% CI): 6.45 (2.63 - 23.43)), were retained as predictors of sufficient weight gain during pregnancy. In a linear regression, the baby's weight increased significantly with the increase in weight gain during pregnancy, coefficient ß (ES) = 91 (7), p<0.001. Most women did not obtain the weight gain recommended during pregnancy and had a risk of giving birth to a low-weight baby. It is necessary to identify the other determinants of this weight gain.
VL  - 8
IS  - 1
ER  -

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Author Information

Lantonirina Ravaoarisoa

National Institute of Public and Community Health, Antananarivo, Madagascar
Julio Rakotonirina

National Institute of Public and Community Health, Antananarivo, Madagascar
Abdallah Chanfi Zalihata

Faculty of Medicine, University of Antananarivo, Antananarivo, Madagascar
Maminiaina Patricia Ratsimbazafy

Faculty of Medicine, University of Antananarivo, Antananarivo, Madagascar
Hery Rakotovao Andrianampanalinarivo

University Hospital Center of Gynecology-Obstetrics of Befelatanana, Antananarivo, Madagascaar
Justin Rasolofomanana Ranjalahy

National Institute of Public and Community Health, Antananarivo, Madagascar
Jean de Dieu Marie Rakotomanga

National Institute of Public and Community Health, Antananarivo, Madagascar

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APA Style

Lantonirina Ravaoarisoa, Julio Rakotonirina, Abdallah Chanfi Zalihata, Maminiaina Patricia Ratsimbazafy, Hery Rakotovao Andrianampanalinarivo, et al. (2020). Weight Gain During Pregnancy in Antananarivo, Madagascar: Determinants and Outcome. Journal of Food and Nutrition Sciences, 8(1), 1-5. https://doi.org/10.11648/j.jfns.20200801.11

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ACS Style

Lantonirina Ravaoarisoa; Julio Rakotonirina; Abdallah Chanfi Zalihata; Maminiaina Patricia Ratsimbazafy; Hery Rakotovao Andrianampanalinarivo, et al. Weight Gain During Pregnancy in Antananarivo, Madagascar: Determinants and Outcome. J. Food Nutr. Sci. 2020, 8(1), 1-5. doi: 10.11648/j.jfns.20200801.11

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AMA Style

Lantonirina Ravaoarisoa, Julio Rakotonirina, Abdallah Chanfi Zalihata, Maminiaina Patricia Ratsimbazafy, Hery Rakotovao Andrianampanalinarivo, et al. Weight Gain During Pregnancy in Antananarivo, Madagascar: Determinants and Outcome. J Food Nutr Sci. 2020;8(1):1-5. doi: 10.11648/j.jfns.20200801.11

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@article{10.11648/j.jfns.20200801.11,
  author = {Lantonirina Ravaoarisoa and Julio Rakotonirina and Abdallah Chanfi Zalihata and Maminiaina Patricia Ratsimbazafy and Hery Rakotovao Andrianampanalinarivo and Justin Rasolofomanana Ranjalahy and Jean de Dieu Marie Rakotomanga},
  title = {Weight Gain During Pregnancy in Antananarivo, Madagascar: Determinants and Outcome},
  journal = {Journal of Food and Nutrition Sciences},
  volume = {8},
  number = {1},
  pages = {1-5},
  doi = {10.11648/j.jfns.20200801.11},
  url = {https://doi.org/10.11648/j.jfns.20200801.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfns.20200801.11},
  abstract = {Weight gain during pregnancy has effects on growth and development during intrauterine life. Data for this subject is not available for Madagascar. This study aims to measure the weight gain during pregnancy, to identify its determinants and to assess its effect on the baby's weight at birth. A retrospective cohort study was carried out on pregnant women who gave birth in three maternity wards in the city of Antananarivo. The study included women who followed the first early prenatal consultation and who had their weight noted in the pregnancy notebook, during this prenatal consultation. Weight gain during pregnancy was assessed by using the difference in weight during the early prenatal visit and the weight before delivery. Recommendations from the Institute of Medicine were used to classify weight gain during pregnancy. Of the 380 pregnant women included in the study, 76.3% did not obtain the needed weight gain during pregnancy, 20% obtained normal weight gain and 3.7% obtained excess weight gain. In a multivariate analysis, the good nutritional status of women (body mass index <18.5 kg / m²) at the beginning of pregnancy (ORa (95% CI): 3.11 (1.06 - 9.10)) and their level of secondary education (ORa (95% CI): 5.96 (2.07 - 17.18)) and university education (ORa (95% CI): 6.45 (2.63 - 23.43)), were retained as predictors of sufficient weight gain during pregnancy. In a linear regression, the baby's weight increased significantly with the increase in weight gain during pregnancy, coefficient ß (ES) = 91 (7), p<0.001. Most women did not obtain the weight gain recommended during pregnancy and had a risk of giving birth to a low-weight baby. It is necessary to identify the other determinants of this weight gain.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Weight Gain During Pregnancy in Antananarivo, Madagascar: Determinants and Outcome
AU  - Lantonirina Ravaoarisoa
AU  - Julio Rakotonirina
AU  - Abdallah Chanfi Zalihata
AU  - Maminiaina Patricia Ratsimbazafy
AU  - Hery Rakotovao Andrianampanalinarivo
AU  - Justin Rasolofomanana Ranjalahy
AU  - Jean de Dieu Marie Rakotomanga
Y1  - 2020/01/23
PY  - 2020
N1  - https://doi.org/10.11648/j.jfns.20200801.11
DO  - 10.11648/j.jfns.20200801.11
T2  - Journal of Food and Nutrition Sciences
JF  - Journal of Food and Nutrition Sciences
JO  - Journal of Food and Nutrition Sciences
SP  - 1
EP  - 5
PB  - Science Publishing Group
SN  - 2330-7293
UR  - https://doi.org/10.11648/j.jfns.20200801.11
AB  - Weight gain during pregnancy has effects on growth and development during intrauterine life. Data for this subject is not available for Madagascar. This study aims to measure the weight gain during pregnancy, to identify its determinants and to assess its effect on the baby's weight at birth. A retrospective cohort study was carried out on pregnant women who gave birth in three maternity wards in the city of Antananarivo. The study included women who followed the first early prenatal consultation and who had their weight noted in the pregnancy notebook, during this prenatal consultation. Weight gain during pregnancy was assessed by using the difference in weight during the early prenatal visit and the weight before delivery. Recommendations from the Institute of Medicine were used to classify weight gain during pregnancy. Of the 380 pregnant women included in the study, 76.3% did not obtain the needed weight gain during pregnancy, 20% obtained normal weight gain and 3.7% obtained excess weight gain. In a multivariate analysis, the good nutritional status of women (body mass index <18.5 kg / m²) at the beginning of pregnancy (ORa (95% CI): 3.11 (1.06 - 9.10)) and their level of secondary education (ORa (95% CI): 5.96 (2.07 - 17.18)) and university education (ORa (95% CI): 6.45 (2.63 - 23.43)), were retained as predictors of sufficient weight gain during pregnancy. In a linear regression, the baby's weight increased significantly with the increase in weight gain during pregnancy, coefficient ß (ES) = 91 (7), p<0.001. Most women did not obtain the weight gain recommended during pregnancy and had a risk of giving birth to a low-weight baby. It is necessary to identify the other determinants of this weight gain.
VL  - 8
IS  - 1
ER  -

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