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The effects of cigarette smoking and gestational weight change on birth outcomes in obese and normal-weight women

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  • Hellerstedt, W.L.
  • Hirnes, J.H.
  • Story, M.
  • Alton, I.R.
  • Edwards, L.E.

Abstract

Objectives. The associations of infant birth outcomes with maternal pregravid obesity, gestational weight gain, and prenatal cigarette smoking were examined. Methods. A retrospective analysis of 1343 obese and normal- weight gravidas evaluated the associations of cigarette smoking, gestational weight change, and pregravid body mass index with birthweight, low birthweight, and small- and large-for-gestational-age births. Results. Smoking was associated with the delivery of lower-birthweight infants for both obese and normal-weight women, and gestational weight gain did not eliminate the birthweight-lowering effects of smoking. Women at highest risk of delivering lower-birthweight infants were obese smokers whose gestational gains were less than 7 kg and normal-weight smokers whose gestational gains were less than 11.5 kg. Conclusions. To balance the risks of small and large- size infants, gains of 7 to 11.5 kg for obese women and 11.5 to 16 kg for normal-weight women appear appropriate.

Suggested Citation

  • Hellerstedt, W.L. & Hirnes, J.H. & Story, M. & Alton, I.R. & Edwards, L.E., 1997. "The effects of cigarette smoking and gestational weight change on birth outcomes in obese and normal-weight women," American Journal of Public Health, American Public Health Association, vol. 87(4), pages 591-596.
    • Handle: RePEc:aph:ajpbhl:1997:87:4:591-596_3
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    Cited by:

    1. Sajeevika S. Daundasekara & Daniel P. O’Connor & Jodi Berger Cardoso & Tracey Ledoux & Daphne C. Hernandez, 2020. "Risk of Excess and Inadequate Gestational Weight Gain among Hispanic Women: Effects of Immigration Generational Status," IJERPH, MDPI, vol. 17(18), pages 1-13, September.

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