{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T06:21:56Z","timestamp":1784614916894,"version":"3.55.0"},"reference-count":26,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T00:00:00Z","timestamp":1763337600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","ejog.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Obstetrics & Gynecology and Reproductive Biology"],"published-print":{"date-parts":[[2026,1]]},"DOI":"10.1016\/j.ejogrb.2025.114839","type":"journal-article","created":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T11:48:32Z","timestamp":1763639312000},"page":"114839","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Beyond Obesity, The impact of excessive gestational weight gain on obstetrical Outcomes: A Belgian retrospective study"],"prefix":"10.1016","volume":"316","author":[{"given":"Mehroz","family":"Khan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9790-6774","authenticated-orcid":false,"given":"Violaine","family":"Mincke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Donner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clotilde","family":"Lamy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ejogrb.2025.114839_b0005","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.ejogrb.2022.01.019","article-title":"Overweight, obesity and assisted reproduction: a systematic review and meta-analysis","volume":"271","author":"Ribeiro","year":"2022","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"10.1016\/j.ejogrb.2025.114839_b0010","unstructured":"World Health Organization. Obesity and overweight: key facts [Internet]. Geneva: World Health Organization; 2024 [cited 2025 May 18]. Available from: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/obesity-and-overweight."},{"key":"10.1016\/j.ejogrb.2025.114839_b0015","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/j.ejogrb.2024.05.009","article-title":"Gestational weight gain: toward best practices in managing gestational weight gain in patients with obesity: comparison of recommendations","volume":"298","author":"Grandfils","year":"2024","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"10.1016\/j.ejogrb.2025.114839_b0020","unstructured":"Leroy C, Van Leeuw V. Sant\u00e9 p\u00e9rinatale en Wallonie \u2013 Ann\u00e9e 2023 [Internet]. Namur: Centre d\u2019\u00c9pid\u00e9miologie P\u00e9rinatale (CepiP); 2023 [cited 2025 May 18]. Available from: https:\/\/www.cepip.be\/rapport.php?LG=fr."},{"key":"10.1016\/j.ejogrb.2025.114839_b0025","article-title":"Obesity and pregnancy: mechanisms of short term and long term adverse consequences for mother and child","volume":"8","author":"Catalano","year":"2017","journal-title":"BMJ"},{"issue":"8","key":"10.1016\/j.ejogrb.2025.114839_b0030","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1111\/obr.12288","article-title":"Risks associated with obesity in pregnancy, for the mother and baby: a systematic review of reviews","volume":"16","author":"Marchi","year":"2015","journal-title":"Obes Rev"},{"key":"10.1016\/j.ejogrb.2025.114839_b0035","doi-asserted-by":"crossref","unstructured":"Dalfra\u2019 MG, Burlina S, Lapolla A. Weight gain during pregnancy: a narrative review on the recent evidences. Diabetes Res Clin Pract. 2022 Jun;188:109913. doi:10.1016\/j.diabres.2022.109913.","DOI":"10.1016\/j.diabres.2022.109913"},{"issue":"2","key":"10.1016\/j.ejogrb.2025.114839_b0040","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0211278","article-title":"Maternal and perinatal outcomes in pregnant women with BMI > 50: an international collaborative study","volume":"14","author":"McCall","year":"2019","journal-title":"PLoS One"},{"key":"10.1016\/j.ejogrb.2025.114839_b0045","doi-asserted-by":"crossref","unstructured":"Institute of Medicine (US); National Research Council (US) Committee to Reexamine IOM Pregnancy Weight Guidelines. Weight gain during pregnancy: reexamining the guidelines. Washington (DC): National Academies Press; 2009. doi:10.17226\/12584.","DOI":"10.17226\/12584"},{"key":"10.1016\/j.ejogrb.2025.114839_b0050","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2014\/524939","article-title":"Maternal weight gain in pregnancy and risk of obesity among offspring: a systematic review","volume":"2014","author":"Lau","year":"2014","journal-title":"J Obes"},{"issue":"1","key":"10.1016\/j.ejogrb.2025.114839_b0055","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1186\/s12916-025-03992-5","article-title":"Reconsideration of lowering gestational weight gain guidelines in pregnant women diagnosed with gestational diabetes: evidence from a Belgian study","volume":"23","author":"Benhalima","year":"2025","journal-title":"BMC Med"},{"issue":"5","key":"10.1016\/j.ejogrb.2025.114839_b0060","doi-asserted-by":"crossref","DOI":"10.1016\/j.ajogmf.2022.100682","article-title":"Gestational weight gain below instead of within the guidelines per class of maternal obesity: a systematic review and meta-analysis of obstetrical and neonatal outcomes","volume":"4","author":"Mustafa","year":"2022","journal-title":"Am J Obstet Gynecol MFM"},{"issue":"9542","key":"10.1016\/j.ejogrb.2025.114839_b0065","doi-asserted-by":"crossref","first-page":"1164","DOI":"10.1016\/S0140-6736(06)69473-7","article-title":"Interpregnancy weight change and risk of adverse pregnancy outcomes: a population-based study","volume":"368","author":"Villamor","year":"2006","journal-title":"Lancet"},{"issue":"3","key":"10.1016\/j.ejogrb.2025.114839_b0070","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1007\/s11892-020-1296-1","article-title":"Gestational weight gain: update on outcomes and interventions","volume":"20","author":"Champion","year":"2020","journal-title":"Curr Diab Rep"},{"issue":"4","key":"10.1016\/j.ejogrb.2025.114839_b0075","first-page":"358","article-title":"Weight management during pregnancy, what is new?","volume":"28","author":"Dib","year":"2025","journal-title":"Curr Opin Clin Nutr Metab Care"},{"issue":"6","key":"10.1016\/j.ejogrb.2025.114839_b0080","doi-asserted-by":"crossref","first-page":"2315","DOI":"10.1007\/s00404-023-07349-2","article-title":"Maternal and long-term offspring outcomes of obesity during pregnancy","volume":"309","author":"Alves","year":"2024","journal-title":"Arch Gynecol Obstet"},{"issue":"2","key":"10.1016\/j.ejogrb.2025.114839_b0085","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1002744","article-title":"Maternal body mass index, gestational weight gain, and the risk of overweight and obesity across childhood: an individual participant data meta-analysis","volume":"16","author":"Voerman","year":"2019","journal-title":"PLoS Med"},{"issue":"4","key":"10.1016\/j.ejogrb.2025.114839_b0090","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1159\/000508975","article-title":"Reappraisal of gestational weight gain recommendations in obese pregnant women: a population-based study of 337,590 births","volume":"13","author":"Devlieger","year":"2020","journal-title":"Obes Facts"},{"issue":"16","key":"10.1016\/j.ejogrb.2025.114839_b0095","first-page":"276","article-title":"The risks associated with obesity in pregnancy","volume":"115","author":"Stubert","year":"2018","journal-title":"Dtsch Arztebl Int"},{"issue":"2","key":"10.1016\/j.ejogrb.2025.114839_b0100","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1111\/jhn.12999","article-title":"Overweight, obesity and excessive weight gain in pregnancy as risk factors for adverse pregnancy outcomes: a narrative review","volume":"35","author":"Langley-Evans","year":"2022","journal-title":"J Hum Nutr Diet"},{"key":"10.1016\/j.ejogrb.2025.114839_b0105","doi-asserted-by":"crossref","unstructured":"LifeCycle Project-Maternal Obesity and Childhood Outcomes Study Group; Voerman E, Santos S, Inskip H, Amiano P, Barros H, et al. Association of gestational weight gain with adverse maternal and infant outcomes. JAMA. 2019 May 7;321(17):1702\u20131715. doi:10.1001\/jama.2019.3820.","DOI":"10.1001\/jama.2019.3820"},{"issue":"2","key":"10.1016\/j.ejogrb.2025.114839_b0110","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1097\/AOG.0b013e3182245d49","article-title":"Effect of prepregnancy maternal overweight and obesity on pregnancy outcome","volume":"118","author":"Ovesen","year":"2011","journal-title":"Obstet Gynecol"},{"issue":"7","key":"10.1016\/j.ejogrb.2025.114839_b0115","doi-asserted-by":"crossref","first-page":"924","DOI":"10.3109\/00016341003657884","article-title":"Maternal super-obesity (body mass index \u2265 50) and adverse pregnancy outcomes","volume":"89","author":"Alanis","year":"2010","journal-title":"Acta Obstet Gynecol Scand"},{"key":"10.1016\/j.ejogrb.2025.114839_b0120","article-title":"Association of gestational weight gain with adverse pregnancy outcomes in individuals with obesity","author":"Onishi","year":"2025","journal-title":"Am J Perinatol"},{"key":"10.1016\/j.ejogrb.2025.114839_b0125","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1016\/j.ejogrb.2016.04.005","article-title":"Maternal obesity in Europe: where do we stand and how to move forward?","volume":"201","author":"Devlieger","year":"2016","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"1","key":"10.1016\/j.ejogrb.2025.114839_b0130","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1038\/s43856-024-00491-1","article-title":"Effective interventions in preventing gestational diabetes mellitus: a systematic review and meta\u2013analysis","volume":"4","author":"Grieger","year":"2024","journal-title":"Communications Medicine"}],"container-title":["European Journal of Obstetrics & Gynecology and Reproductive Biology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0301211525011157?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0301211525011157?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T22:32:25Z","timestamp":1771540345000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0301211525011157"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":26,"alternative-id":["S0301211525011157"],"URL":"https:\/\/doi.org\/10.1016\/j.ejogrb.2025.114839","relation":{},"ISSN":["0301-2115"],"issn-type":[{"value":"0301-2115","type":"print"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Beyond Obesity, The impact of excessive gestational weight gain on obstetrical Outcomes: A Belgian retrospective study","name":"articletitle","label":"Article Title"},{"value":"European Journal of Obstetrics & Gynecology and Reproductive Biology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ejogrb.2025.114839","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier B.V.","name":"copyright","label":"Copyright"}],"article-number":"114839"}}