Pierre-Yves Robillard^1,2*

¹Service de Néonatologie, Centre Hospitalier Universitaire Sud Réunion, La Réunion, France
²Centre d’Etudes Périnatales Océan Indien (CEPOI), Centre Hospitalier Universitaire Sud Réunion, La Réunion, France

*Corresponding Author: Pierre-Yves Robillard, Service de Néonatologie, Centre Hospitalier Universitaire Sud Reunion, La Réunion, France.

Received: June 03, 2022; Published: July 27, 2022

Abstract

International IOM 2009 recommendations for gestational weight gain during pregnancy are highly contested in Asia by Indians and East-Asian scholars (China, Korea, Japan etc..). They even use “Asian adapted” overweight and obese classifications (e.g. obesity ≥ 27.5 kg/m² instead of 30 kg/m²).

 We have demonstrated 4 years ago that if we chose as perequisite rationale that the maternal optimal gestational weight in term pregnancies (optGWG) is to have Appropriate for Gestational Age (AGA) term newborns (by definition 80% of a neonatal population, with 10% of SGA -small for gestational age- as well as 10% of LGA -Large for gestational age-), there is an association with maternal PRE-pregnancy Body Mass Index (ppBMI), and that this association is a linear curve (y= ax+b).

We propose then an alternative solution for Indian scientists/epidemiologists to confirm in the Indian population our preceding findings and establish in India their specific linear equation knowing the specific SGA-LGA definitions of term newborns in India.

It will be easy to make this linear equation accessible everywhere on smartphones for health workers and women themselves. The Indian calculator will give therefore indispensable councils since the beginning of pregnancy to each pregnant woman, and should be useful also for the great “Indian diaspora” around the planet (e.g. Mauritius, Trinidad and Tobago, Fiji, French overseas territories etc…), where obesity is a huge rising problem in this community.

Keywords: Pregnancy; Epidemiology; Pre-pregnancy Body Mass Index; Gestational Weight Gain; Caesarean Section; Obesity; Maternal Fetal Corpulence Symbiosis

References

1. Robillard PY., et al. “Relationship between pre-pregnancy maternal BMI and optimal weight gain in singleton pregnancies”. Heliyon5 (2018): e00615.
2. Gestational weight gain calculator (English version) on smart phone. REPERE.RE (Reseau Perinatal REunion).
3. Weight gain during pregnancy: reexamining the Guidelines. Institute of Medicine (US), National Research Council (US), Committee to Reexamine IOM Pregnancy Weight Guidelines (2009).
4. Anand P., et al. “Which growths charts to use to classify neonates as small for gestational age at birth?” Indian Journal of Child Health (2019).
5. Singhai PK., et al. “Changing trends in intrauterine growth of North Indian babies”. Indian Pediatrics 28 (1991): 281-283.
6. Alexander AM., et al. “Birthweight centile charts from rural community-based data from Southern India”. Indian Pediatrics 50 (2013): 1020-1024.
7. Kinare AS., et al. “Patterns of fetal growth in a rural Indian cohort and comparison with a Western European population: data from the Pune maternal nutrition study”. Journal of Ultrasound in Medicine2 (2010): 215-222.
8. Sebastian T., et al. “Small for gestational age births among South Indian women: temporal trend and risk factors from 1996 to 2010”. BMC Pregnancy Childbirth 15 (2015): 7.
9. Guan P., et al. “Effect of maternal weight gain according to the Institute of Medicine recommendations on pregnancy outcomes in a Chinese population”. Journal of International Medical Research 9 (2019): 4397-4412.
10. Li C., et al. “Joint and Independent Associations of Gestational Weight Gain and Pre-Pregnancy Body Mass Index with Outcomes of Pregnancy in Chinese Women: A Retrospective Cohort Study”. PLoS One8 (2015): e0136850.
11. Morisaki N., et al. “Pre-pregnancy BMI-specific optimal gestational weight gain for women in Japan”. Journal of Epidemiology10 (2017): 492-498.
12. Choi SK., et al. “Determining optimal gestational weight gain in the Korean population: a retrospective cohort study”. Reproductive Biology and Endocrinology1 (2017): 67.
13. Goldstein RF., 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 16 (2018): 153.
14. Goldstein RF., et al. “Association of Gestational Weight Gain With Maternal and Infant Outcomes: A Systematic Review and Meta-analysis”. JAMA21 (2017): 2207-2225.
15. Laopaiboon M., et al. “An outcome-based definition of low birthweight for births in low- and middle-income countries: a secondary analysis of the WHO global survey on maternal and perinatal health”. BMC Pediatrics 19 (2019): 166.
16. Koyanagi A., et al. “Macrosomia in 23 developing countries: an analysis of a multicountry, facility-based, cross-sectional survey”. Lancet 9865 (2013): 476-483.
17. Robillard PY., et al. “The urgent need to optimize gestational weight gain in overweight/obese women to lower maternal-fetal moribidities: a retrospective analysis on 59,000 singleton term pregnancies”. Archives Women Health Care, in press.

Citation

Citation: Pierre-Yves Robillard. “It is Possible to Establish Quickly a Smart-phone Calculator for Optimal Gestational Weight Gain Specific for Indian Pregnant Women". Acta Scientific Women's Health 4.8 (2022): 61-63.

Copyright

Copyright: © 2022 Pierre-Yves Robillard. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.