{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:40:50Z","timestamp":1791420050459,"version":"4.3.3"},"reference-count":67,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,12,12]],"date-time":"2018-12-12T00:00:00Z","timestamp":1544572800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Midwife Womens Health"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Excessive gestational weight gain (GWG) is associated with an increasing incidence of maternal and neonatal complications, including hypertensive disorders of pregnancy, fetal macrosomia, and increased cesarean birth rates. In the United States, it is recommended that health care providers use an individualized approach to counsel a woman about pregnancy weight gain goals that is based on the woman's initial body mass index (BMI) and to track GWG throughout the pregnancy by evaluating maternal weight at each visit. Studies have shown that women entering pregnancy with a higher BMI are at increased risk for excessive GWG and postpartum weight retention. Research also demonstrates an increased risk of childhood obesity in children born to women with excessive GWG. Specific counseling about exercise and diet, as well as technology and motivational interviewing, are some tools prenatal care providers can use that have been shown to be effective in reducing excessive GWG. This article reviews the current research regarding maternal and neonatal risks associated with excessive GWG, as well as the interventions that have demonstrated promise for addressing this problem.<\/jats:p>","DOI":"10.1111\/jmwh.12927","type":"journal-article","created":{"date-parts":[[2018,12,12]],"date-time":"2018-12-12T06:18:28Z","timestamp":1544595508000},"page":"46-54","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":115,"title":["Excessive Gestational Weight Gain"],"prefix":"10.1111","volume":"64","author":[{"given":"Megan","family":"McDowell","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary Ashley","family":"Cain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1036-9480","authenticated-orcid":false,"given":"Jessica","family":"Brumley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,12,12]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2017.05.040"},{"key":"e_1_2_9_3_1","doi-asserted-by":"crossref","first-page":"e112","DOI":"10.1097\/AOG.0000000000001211","article-title":"ACOG Practice Bulletin No. 156: Obesity in pregnancy","volume":"126","year":"2015","journal-title":"Obstet Gynecol"},{"key":"e_1_2_9_4_1","volume-title":"Health, United States, 2016: With Chartbook on Long\u2010Term Trends in Health","year":"2017"},{"issue":"21","key":"e_1_2_9_5_1","doi-asserted-by":"crossref","first-page":"3527","DOI":"10.3109\/14767058.2015.1137894","article-title":"Factors that influence excessive gestational weight gain: moving beyond assessment and counselling","volume":"29","author":"Campbell EE","year":"2016","journal-title":"J Matern Fetal Neonatal Med"},{"key":"e_1_2_9_6_1","volume-title":"Weight Gain During Pregnancy: Reexamining the Guidelines","author":"Rasmussen KM","year":"2009"},{"key":"e_1_2_9_7_1","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1097\/01.AOG.0000425668.87506.4c","article-title":"American College of Obstetricians and Gynecologists. ACOG Committee Opinion No. 548: Weight gain during pregnancy","volume":"121","year":"2013","journal-title":"Obstet Gynecol"},{"key":"e_1_2_9_8_1","unstructured":"World Health Organization.Obesity: Preventing and Managing the Global Epidemic. Report of a WHO Consultation. WHO Technical Report Series 894. Geneva Switzerland: World Health Organization;2000.http:\/\/www.who.int\/nutrition\/publications\/obesity\/WHO_TRS_894\/en. Accessed September 26 2018."},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1067\/S0002-9378(03)00596-9"},{"key":"e_1_2_9_10_1","volume-title":"Williams Obstetrics","author":"Cunningham FG","year":"2014"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2011.03.053"},{"key":"e_1_2_9_12_1","volume-title":"Guidelines for Perinatal Care. 8th ed","author":"American Academy of Pediatrics Committee on Fetus and Newborn; American College of Obstetricians and Gynecologists Committee on Obstetric Practice","year":"2017"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12238"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/NT.0b013e3181c29f79"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/131.10.2670"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-012-0979-x"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-012-1011-1"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41372-018-0196-6"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12538"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/148391"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-018-2514-1"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.j1"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/640291"},{"issue":"2","key":"e_1_2_9_24_1","first-page":"70","article-title":"The Dutch famine, 1944\u20101945, and the reproductive process. I. Effects on six indices at birth","volume":"9","author":"Stein Z","year":"1975","journal-title":"Pediatr Res"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tjog.2016.06.016"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc12-0741"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2013.168"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-14-201"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000553"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2016.05.047"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.3635"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc09-1848"},{"key":"e_1_2_9_33_1","doi-asserted-by":"crossref","first-page":"e49","DOI":"10.1097\/AOG.0000000000002501","article-title":"Committee on Practice Bulletins\u2014Obstetrics. ACOG Practice Bulletin No. 190: Gestational diabetes mellitus","volume":"131","year":"2018","journal-title":"Obstet Gynecol"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2014.964675"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318256cf1a"},{"key":"e_1_2_9_36_1","article-title":"Weight gain in early pregnancy and risk of gestational diabetes mellitus among Latinas [published online November 9, 2017]","author":"Moore Simas TA","journal-title":"Diabetes Metab"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1097\/EDE.0000000000000629"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-015-3686-5"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.20790"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2013.845657"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.2009.28950"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.111.015289"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2014.02.030"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.earlhumdev.2017.03.006"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.metabol.2017.01.019"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2014.12.038"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-0439"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.1177\/0890334417727716"},{"key":"e_1_2_9_49_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2015.5468"},{"key":"e_1_2_9_50_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13735"},{"key":"e_1_2_9_51_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-016-1207-2"},{"issue":"6","key":"e_1_2_9_52_1","first-page":"CD007145","article-title":"Diet or exercise, or both, for preventing excessive weight gain in pregnancy","author":"Muktabhant B","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_9_53_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000425667.10377.60"},{"key":"e_1_2_9_54_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12511"},{"key":"e_1_2_9_55_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S49422"},{"key":"e_1_2_9_56_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-014-1467-2"},{"key":"e_1_2_9_57_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-13-47"},{"key":"e_1_2_9_58_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-016-2054-5"},{"key":"e_1_2_9_59_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-016-1118-2"},{"issue":"7","key":"e_1_2_9_60_1","first-page":"e341","article-title":"Clinician self\u2010efficacy in initiating discussions about gestational weight gain","volume":"63","author":"Piccinini\u2010Vallis H","year":"2017","journal-title":"Can Fam Physician"},{"key":"e_1_2_9_61_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.21873"},{"key":"e_1_2_9_62_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-013-1413-8"},{"key":"e_1_2_9_63_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.12484"},{"key":"e_1_2_9_64_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2014.12.003"},{"key":"e_1_2_9_65_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2012.09.004"},{"key":"e_1_2_9_66_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12022"},{"key":"e_1_2_9_67_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181964254"},{"key":"e_1_2_9_68_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.1615"}],"container-title":["Journal of Midwifery &amp; Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jmwh.12927","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jmwh.12927","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jmwh.12927","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T11:46:03Z","timestamp":1775303163000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jmwh.12927"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12,12]]},"references-count":67,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,1]]}},"alternative-id":["10.1111\/jmwh.12927"],"URL":"https:\/\/doi.org\/10.1111\/jmwh.12927","archive":["Portico"],"relation":{},"ISSN":["1526-9523","1542-2011"],"issn-type":[{"value":"1526-9523","type":"print"},{"value":"1542-2011","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,12,12]]},"assertion":[{"value":"2017-10-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-09-27","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-12-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}