Waring, Molly E.Moore Simas, Tiffany ALiao, Xun2022-08-232022-08-232013-05-012012-11-21Midwifery. 2013 May;29(5):550-6. doi: 10.1016/j.midw.2012.04.014. <a href="http://dx.doi.org/10.1016/j.midw.2012.04.014" target="_blank">Link to article on publisher's site</a>1532-309910.1016/j.midw.2012.04.01423103319https://hdl.handle.net/20.500.14038/46601OBJECTIVE: to examine whether, among parous women, adherence to gestational weight gain (GWG) recommendations in the most recent previous pregnancy is associated with adherence to GWG recommendations in the current pregnancy. DESIGN: retrospective cohort study. SETTING: review of labour and delivery records from a Massachusetts tertiary-care centre. PARTICIPANTS: 1,325 women who delivered two consecutive singletons from April 2006 to March 2010. MEASUREMENTS: pre-pregnancy weight status and adherence to GWG recommendations were categorised using 1990 Institute of Medicine (IOM) guidelines. Analyses were stratified by weight status before the second pregnancy. FINDINGS: 56% and 46% of women gained more than 1990 IOM recommendations during the first and second of consecutive pregnancies; 57% gained within the same adherence category in both pregnancies. Excessive GWG during the first pregnancy was strongly associated with excessive gain during the second pregnancy (adjusted odds ratio [AOR]=5.4 [95% CI: 1.7-16.4] for underweight, 3.7 [95% CI: 2.4-5.5] for normal weight, 3.0 [95% CI: 1.2-7.6] for overweight, and 5.3 [95% CI: 2.4-11.7] for obese women). Inadequate gain in the first of consecutive pregnancies was strongly associated with subsequent inadequate GWG for underweight women (AOR=13.7; 95% CI: 3.9-48.0), normal weight women (AOR=2.9; 95% CI: 1.7-5.1), and obese women (AOR=3.6; 95% CI: 1.4-9.3). Results were similar in sensitivity analyses using IOM 2009 guidelines. KEY CONCLUSIONS: adherence to GWG recommendations in consecutive pregnancies is highly concordant. IMPLICATIONS FOR PRACTICE: consideration of GWG during previous pregnancies may facilitate discussions about GWG during prenatal care.en-USPregnancyWeight GainEpidemiologyMaternal and Child HealthObstetrics and GynecologyJournal Articlehttps://escholarship.umassmed.edu/qhs_pp/10653483621qhs_pp/1065