Weight Gain During Pregnancy in Antananarivo, Madagascar: Determinants and Outcome
Journal of Food and Nutrition Sciences
Volume 8, Issue 1, January 2020, Pages: 1-5
Received: Dec. 29, 2019; Accepted: Jan. 9, 2020; Published: Jan. 23, 2020
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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
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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
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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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