Volume 8, Issue 1, January 2020, Page: 1-5
Weight Gain During Pregnancy in Antananarivo, Madagascar: Determinants and Outcome
Lantonirina Ravaoarisoa, National Institute of Public and Community Health, Antananarivo, Madagascar
Julio Rakotonirina, National Institute of Public and Community Health, Antananarivo, Madagascar; Faculty of Medicine, University of Antananarivo, 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; Faculty of Medicine, University of Antananarivo, Antananarivo, Madagascar
Received: Dec. 29, 2019;       Accepted: Jan. 9, 2020;       Published: Jan. 23, 2020
DOI: 10.11648/j.jfns.20200801.11      View  313      Downloads  100
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.
Birth Weight, Determinant, Madagascar, Weight Gain, Pregnancy
To cite this article
Lantonirina Ravaoarisoa, Julio Rakotonirina, Abdallah Chanfi Zalihata, Maminiaina Patricia Ratsimbazafy, Hery Rakotovao Andrianampanalinarivo, Justin Rasolofomanana Ranjalahy, Jean de Dieu Marie Rakotomanga, Weight Gain During Pregnancy in Antananarivo, Madagascar: Determinants and Outcome, Journal of Food and Nutrition Sciences. Vol. 8, No. 1, 2020, pp. 1-5. doi: 10.11648/j.jfns.20200801.11
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This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Mason JB, Shrimpton R, Saldanha LS, Ramakrishnan U, Victora CG, Girard AW, et al. The first 500 days of life: policies to support maternal nutrition. Global Health Action. 2014; 7 (1): 23623.
Wrottesley SV, Lamper C, Pisa PT. Review of the importance of nutrition during the first 1000 days: maternal nutritional status and its associations with fetal growth and birth, neonatal and infant outcomes among African women. Journal of Developmental Origins of Health and Disease. 2016; 7 (02): 144-62.
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.
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.
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.
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
Black RE, Allen LH, Bhutta ZA, Caulfield LE, de Onis M, Ezzati M, et al. Maternal and child undernutrition: global and regional exposures and health consequences. The Lancet. 2008; 371 (9608): 243-60.
Lee AC, Katz J, Blencowe H, Cousens S, Kozuki N, Vogel JP, et al. National and regional estimates of term and preterm babies born small for gestational age in 138 low-income and middle-income countries in 2010. The Lancet Global Health. 2013; 1 (1): e26-36.
Ravaoarisoa L, Ratianarivelo M, Rakotondrazanany E, Rakotonirina J, Rakotomanga JDM, Andrianasolo R. Situation nutritionnelle des femmes enceintes en milieu rural à Madagascar. Médecine d’ Afrique Noire. 2010; 57 (5): 281-6.
World Health Organization. Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. Technical Report Series No: 854. Geneva: WHO; 1995.
INSTAT. Enquête nationale de suivi des objectifs du millénaire pour le développement à Madagascar, 2012-2013. Antananarivo: Instat; 2014.
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.
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.
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/.
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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