|January 2013 · Vol. 25, No. 01
ACOG Committee Opinion: Use IOM’s gestation weight gain guide in clinical practice
Individualized care advised for overweight and obese women gaining less weight with appropriate fetal growth
The Institute of Medicine’s (IOM) 2009 guidelines on gestational weight gain should serve as a basis for clinical practice, according to a Committee Opinion published by the American College of Obstetricians and Gynecologists (ACOG) in Obstetrics & Gynecology.
Noting that some physicians have expressed concern that the 2009 updated IOM weight gain targets are too high, especially for overweight and obese women, researchers from the ACOG Committee on Obstetric Practice issued Committee Opinion No. 548 regarding appropriate gestational weight gain.
According to the report, the IOM’s guidelines should serve as a basis for clinical practice. At the initial prenatal visit, health-care providers should determine a woman’s body mass index and counsel her accordingly at the initial visit and thereafter regarding the benefits of appropriate weight gain, diet, and exercise, and the need to limit excessive weight gain to optimize pregnancy outcomes. For overweight or obese women who are gaining (or wish to gain) less weight than recommended but have an appropriately growing fetus, individualized care and clinical judgment are necessary.
“The IOM gestational weight gain guidelines provide clinicians with a basis for practice,” the authors write. “Balancing the risks of fetal growth (in the large-for-gestational-age fetus and the small-for-gestational age fetus), obstetric complications, and maternal weight retention is essential but will remain challenging until research provides evidence to further refine the recommendations for gestational weight gain, especially among women with high degrees of obesity.”
To read the abstract of “ACOG Committee Opinion No. 548: Weight Gain During Pregnancy,” click here.
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