Gestational Weight Gain and Pregnancy Outcomes in Relation to Body Mass Index in Asian Indian Women.

However, the risk of preterm birth and low birth weight was higher in all the groups although this did not reach statistical significance.

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The initial guidelines by the IOM in 1930 recommended that pregnant women should gain 6.8 kg irrespective of weight status.[ 19 ] Subsequently, with increasing prevalence of obesity and an increasing trend in birth of macrosomic infants, these guidelines were revised in 1990 and 2009.[ 9 , 20 ] With overweight and obesity significantly contributing to the growing prevalence of large for gestational age infants and increasing the risk of pregnancy-related complications,[ 21 ] the IOM published new guidelines in 2009.[ 9 ] This new recommendation was based on WHO BMI categories and included a more restrictive range for weight gain for obese women.

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