Maternal weight gain management during pregnancy: A scoping review

Authors

  • Metty Tsabitah Aziz Faculty of Health Sciences, Universitas ‘Aisyiyah Yogyakarta, Indonesia
  • Ismarwati Faculty of Health Sciences, Universitas ‘Aisyiyah Yogyakarta , Indonesia

DOI:

https://doi.org/10.31101/jhtam.4010

Keywords:

Maternal weight gain, Pregnancy, Management

Abstract

Background: Unhealthy weight gain during pregnancy can result in adverse outcomes for both mother and baby. Globally, there are 6,400 neonatal and 800 maternal deaths every day. To reduce maternal and neonatal mortality rates, it is imperative to enhance the health condition by effectively regulating weight gain throughout pregnancy. Objective: This study aimed to identify scientific evidence on managing maternal weight gain during pregnancy. Methods: This scoping review used the five steps outlined by Arksey and O'Malley and adhered to the Prisma-ScR checklist. This study used the population, concept, and context (PCC) framework. The article searches used EBSCO, Science Direct, and PubMed databases. The inclusion criteria applied were original studies written in English published from 2018 to 2023, full-text articles, and articles that discussed maternal weight gain management during pregnancy. The exclusion criteria applied were review articles and articles with research data collected before 2013. The critical appraisal tools used were the Joanna Briggs Institute (JBI) and Mix Methods Appraisal Tools (MMAT). Results: Based on this review, the authors identified that behavioral change interventions were crucial as a foundation for more extensive interventions to achieve standard maternal weight gain during pregnancy. Several interventions for managing weight gain during pregnancy include setting weight gain goals, daily weighing, exercise, counseling on healthy lifestyle, multi-interventions, and a combination of technologies. Conclusion: Behavior modification and some interventions can enhance success in achieving the standard weight gain during pregnancy. Integrating weight management into routine antenatal care is essential for strengthening maternal and fetal health.

Downloads

Download data is not yet available.

References

Arksey, & O’Malley. (2005). Scoping studies: towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19–32. https://doi.org/10.1080/1364557032000119616

Arthur, C., Di Corleto, E., Ballard, E., & Kothari, A. (2020). A randomized controlled trial of daily weighing in pregnancy to control gestational weight gain. BMC Pregnancy and Childbirth, 20(1), 223. https://doi.org/10.1186/s12884-020-02884-1

Arthur, Corleto, Ballard, & Kothari. (2020). A randomized controlled trial of daily weighing in pregnancy to control gestational weight gain. BMC Pregnancy and Childbirth, 20(1), 223. https://doi.org/10.1186/s12884-020-02884-1

Atkinson, S. A., Maran, A., Dempsey, K., Perreault, M., Vanniyasingam, T., Phillips, S. M., Hutton, E. K., Mottola, M. F., Wahoush, O., Xie, F., & Thabane, L. (2022). Be Healthy in Pregnancy (BHIP): A Randomized Controlled Trial of Nutrition and Exercise Intervention from Early Pregnancy to Achieve Recommended Gestational Weight Gain. Nutrients, 14(4). https://doi.org/10.3390/nu14040810

Barakat, R., Refoyo, I., Coteron, J., & Franco, E. (2019). Exercise during pregnancy has a preventative effect on excessive maternal weight gain and gestational diabetes. A randomized controlled trial. Brazilian Journal of Physical Therapy, 23(2), 148–155. https://doi.org/10.1016/j.bjpt.2018.11.005

Baran, J., Weres, A., Czenczek-Lewandowska, E., Leszczak, J., Kalandyk-Osinko, K., Łuszczki, E., Sobek, G., & Mazur, A. (2020). Excessive gestational weight gain: Long-term consequences for the child. Journal of Clinical Medicine, 9(12), 1–12. https://doi.org/10.3390/jcm9123795

Bayrampour, H., Ali, E., McNeil, D. A., Benzies, K., MacQueen, G., & Tough, S. (2016). Pregnancy-related anxiety: A concept analysis. International Journal of Nursing Studies, 55, 115–130. https://doi.org/10.1016/j.ijnurstu.2015.10.023

Bodnar, L. M., Abrams, B., Simhan, H. N., Scifres, C. M., Silver, R. M., Parry, S., Crosland, B. A., Chung, J., & Himes, K. P. (2021). The impact of setting a pregnancy weight gain goal on total weight gain. Paediatric & Perinatal Epidemiology, 35(2), 164–173.

Brik, Fernández-Buhigas, Martin-Arias, Vargas-Terrones, Barakat, & Santacruz. (2019a). Does exercise during pregnancy impact on maternal weight gain and fetal cardiac function? A randomized controlled trial. Ultrasound in Obstetrics & Gynecology : The Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology, 53(5), 583–589. https://doi.org/10.1002/uog.20147

Brik, M., Fernández-Buhigas, I., Martin-Arias, A., Vargas-Terrones, M., Barakat, R., & Santacruz, B. (2019b). Does exercise during pregnancy impact on maternal weight gain and fetal cardiac function? A randomized controlled trial. Ultrasound in Obstetrics & Gynecology : The Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology, 53(5), 583–589. https://doi.org/10.1002/uog.20147

Buckingham-Schutt, Ellingson, Vazou, & Campbell. (2019a). The Behavioral Wellness in Pregnancy study: a randomized controlled trial of a multi-component intervention to promote appropriate weight gain. The American Journal of Clinical Nutrition, 109(4), 1071–1079. https://doi.org/10.1093/ajcn/nqy359

Buckingham-Schutt, L. M., Ellingson, L. D., Vazou, S., & Campbell, C. G. (2019b). The Behavioral Wellness in Pregnancy study: a randomized controlled trial of a multi-component intervention to promote appropriate weight gain. The American Journal of Clinical Nutrition, 109(4), 1071–1079. https://doi.org/10.1093/ajcn/nqy359

Cliffer, I., Darling, A. M., Madzorera, I., Wang, D., Perumal, N., Wang, M., Liu, E., Pembe, A. B., Urassa, W., & Fawzi, W. W. (2023). Associations of Diet Quality, Socioeconomic Factors, and Nutritional Status with Gestational Weight Gain among Pregnant Women in Dar es Salaam, Tanzania. Current Developments in Nutrition, 7(3), 100041. https://doi.org/10.1016/j.cdnut.2023.100041

Criss, S., Oken, E., Guthrie, L., & Hivert, M. F. (2016). A qualitative study of gestational weight gain goal setting. BMC Pregnancy and Childbirth, 16(1), 1–8. https://doi.org/10.1186/s12884-016-1118-2

Cunningham, K., Pries, A., Erichsen, D., Manohar, S., & Nielsen, J. (2020). Adolescent girls’ nutritional status and knowledge, beliefs, practices, and access to services: An assessment to guide intervention design in nepal. Current Developments in Nutrition, 4(7), nzaa094. https://doi.org/10.1093/cdn/nzaa094

Dolatian, Sharifi, Mahmoodi, Elahe, & Rashidian. (2020). Weight gain during pregnancy and its associated factors : A Path analysis. https://doi.org/10.1002/nop2.539

Fealy, S. M., Taylor, R. M., Foureur, M., Attia, J., Ebert, L., Bisquera, A., & Hure, A. J. (2017). Weighing as a stand-alone intervention does not reduce excessive gestational weight gain compared to routine antenatal care: a systematic review and meta-analysis of randomised controlled trials. BMC Pregnancy and Childbirth, 17(1), 36. https://doi.org/10.1186/s12884-016-1207-2

Ferrara, A., Hedderson, M. M., Brown, S. D., Ehrlich, S. F., Tsai, A.-L., Feng, J., Galarce, M., Marcovina, S., Catalano, P., & Quesenberry, C. P. (2020). A telehealth lifestyle intervention to reduce excess gestational weight gain in pregnant women with overweight or obesity (GLOW): a randomised, parallel-group, controlled trial. The Lancet. Diabetes & Endocrinology, 8(6), 490–500. https://doi.org/10.1016/S2213-8587(20)30107-8

Ge, J., Zhao, S., Peng, X., Walker, A. N., Yang, N., Zhou, H., Wang, L., Zhang, C., Zhou, M., & You, H. (2022). Analysis of the Weight Management Behavior of Chinese Pregnant Women: An Integration of the Protection Motivation Theory and the Information-Motivation-Behavioral Skills Model. Frontiers in Public Health, 10(February), 1–10. https://doi.org/10.3389/fpubh.2022.759946

Geiker, Magkos, Zingenberg, Svare, Chabanova, Thomsen, H., Ritz, & Astrup. (2022a). A high-protein low-glycemic index diet attenuates gestational weight gain in pregnant women with obesity: the “An optimized programming of healthy children” (APPROACH) randomized controlled trial. The American Journal of Clinical Nutrition, 115(3), 970–979.

Geiker, N. R. W., Magkos, F., Zingenberg, H., Svare, J., Chabanova, E., Thomsen, H. S., Ritz, C., & Astrup, A. (2022b). A high-protein low-glycemic index diet attenuates gestational weight gain in pregnant women with obesity: the “An optimized programming of healthy children” (APPROACH) randomized controlled trial. The American Journal of Clinical Nutrition, 115(3), 970–979. https://doi.org/10.1093/ajcn/nqab405

Goldstein, Boyle, Teede, & Harrison. (2021). Facilitators and barriers to behaviour change within a lifestyle program for women with obesity to prevent excess gestational weight gain: a mixed methods evaluation. BMC Pregnancy and Childbirth, 21(1), 569. https://doi.org/10.1186/s12884-021-04034-7

Goldstein, R. F., Boyle, J. A., Lo, C., Teede, H. J., & Harrison, C. L. (2021). Facilitators and barriers to behaviour change within a lifestyle program for women with obesity to prevent excess gestational weight gain: a mixed methods evaluation. BMC Pregnancy and Childbirth, 21(1), 569. https://doi.org/10.1186/s12884-021-04034-7

Gonzalez-Plaza, E., Bellart, J., Arranz, Á., Luján-Barroso, L., Crespo Mirasol, E., & Seguranyes, G. (2022). Effectiveness of a Step Counter Smartband and Midwife Counseling Intervention on Gestational Weight Gain and Physical Activity in Pregnant Women With Obesity (Pas and Pes Study): Randomized Controlled Trial. JMIR MHealth and UHealth, 10(2), e28886. https://doi.org/10.2196/28886

Greyson, & Johnson, . (2015). The Role of Information in Health Behavior: A Scoping Study and Discussion of Major Public Health Models. Journal of the Association for Information Science and Technology, 11(2). https://doi.org/Doi:10.1002/Asi.23392.

Hajian, Aslani, Sarbakhsh, & Fathnezhad-Kazemi. (2020a). The effectiveness of healthy lifestyle interventions on weight gain in overweight pregnant women: A cluster-randomized controlled trial. Nursing Open, 7(6), 1876–1886. https://doi.org/10.1002/nop2.577

Hajian, S., Aslani, A., Sarbakhsh, P., & Fathnezhad-Kazemi, A. (2020b). The effectiveness of healthy lifestyle interventions on weight gain in overweight pregnant women: A cluster-randomized controlled trial. Nursing Open, 7(6), 1876–1886. https://doi.org/10.1002/nop2.577

IOM. (2009). Weight Gain During Pregnancy Reexamining The Guidelines. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 15(6). https://doi.org/10.1111/j.1552-6909.1986.tb01420.x

Kunath, J., Günther, J., Rauh, K., Hoffmann, J., Stecher, L., Rosenfeld, E., Kick, L., Ulm, K., & Hauner, H. (2019). Effects of a lifestyle intervention during pregnancy to prevent excessive gestational weight gain in routine care - the cluster-randomised GeliS trial. BMC Medicine, 17(1), 5. https://doi.org/10.1186/s12916-018-1235-z

Luo, Y., Yao, L., Zhou, L., Yuan, F., & Zhong, X. (2020). Factors influencing health behaviours during the coronavirus disease 2019 outbreak in China: an extended information-motivation-behaviour skills model. Public Health, 185, 298–305. https://doi.org/10.1016/j.puhe.2020.06.057

Martin, H., Thevenet-morrison, K., & Dozier, A. (2020). Maternal pre-pregnancy body mass index , gestational weight gain and breastfeeding outcomes : a cross-sectional analysis. 8, 1–10.

Maula, A., Kendrick, D., Kai, J., & Griffiths, F. (2021). Evidence generated from a realist synthesis of trials on educational weight loss interventions in type 2 diabetes mellitus. Diabetic Medicine, 38(1), e14394. https://doi.org/https://doi.org/10.1111/dme.14394

Molloy, M., Shaw, R. J., Vaughn, J., & Hueckel, R. (2016). An Innovative Use of Telepresence Robots for Educating Healthcare Professional. Studies in Health Technology and Informatics, 225, 989–990.

Nilsson, M., From, I., & Lindwall, L. (2019). The significance of patient participation in nursing care – a concept analysis. Scandinavian Journal of Caring Sciences, 33(1), 244–251. https://doi.org/10.1111/scs.12609

Pantha, S., Jones, M., & Gray, R. (2020). Inter-Professional Collaboration and Patient Mortality: Protocol for a Systematic Review and Meta-Analysis. Nursing Reports, 10(1), 15–22. https://doi.org/10.3390/nursrep10010003

Pollock, Peters, Khalil, McInerney, Alexander, Tricco, Evans, Moraes, D., Godfrey, C. M., Stern, & Munn. (2023). Recommendations for the extraction, analysis, and presentation of results in scoping reviews. JBI Evidence Synthesis, 21(3), 520–532.

Ruchat, S.-M., Mottola, M. F., Skow, R. J., Nagpal, T. S., Meah, V. L., James, M., Riske, L., Sobierajski, F., Kathol, A. J., Marchand, A.-A., Nuspl, M., Weeks, A., Gray, C. E., Poitras, V. J., Garcia, A. J., Barrowman, N., Slater, L. G., Adamo, K. B., Davies, G. A., … Davenport, M. H. (2018). Effectiveness of exercise interventions in the prevention of excessive gestational weight gain and postpartum weight retention: a systematic review and meta-analysis. British Journal of Sports Medicine, 52(21), 1347 LP – 1356. https://doi.org/10.1136/bjsports-2018-099399

Santosa, A., Kep, S., Kep, M., Arif, E. N., Kep, S., Ghoni, D. A., & Kep, S. (2022). Effect of maternal and child factors on stunting : partial least squares structural equation modeling. 65(2), 90–97.

Sartorelli, Crivellenti, Baroni, Miranda, de A., Santos, da S., Carvalho, & , de Lima, M. C., Carreira, N. P., Chaves, A. V. L., Manochio-Pina, M. G., Franco, L. J., & Diez-Garcia, R. W. (2023). Effectiveness of a minimally processed food-based nutritional counselling intervention on weight gain in overweight pregnant women: a randomized controlled trial. European Journal of Nutrition, 62(1), 62(1), 443–454.

Sartorelli, D. S., Crivellenti, L. C., Baroni, N. F., de Andrade Miranda, D. E. G., da Silva Santos, I., Carvalho, M. R., de Lima, M. C., Carreira, N. P., Chaves, A. V. L., Manochio-Pina, M. G., Franco, L. J., & Diez-Garcia, R. W. (2023). Effectiveness of a minimally processed food-based nutritional counselling intervention on weight gain in overweight pregnant women: a randomized controlled trial. European Journal of Nutrition, 62(1), 443–454. https://doi.org/10.1007/s00394-022-02995-9

Shieh, C., Cullen, D. L., Pike, C., & Pressler, S. J. (2018). Intervention strategies for preventing excessive gestational weight gain: systematic review and meta-analysis. Obesity Reviews, 19(8), 1093–1109. https://doi.org/https://doi.org/10.1111/obr.12691

UNICEF. (2023). Neonatal Mortality.

Voerman, E., Santos, S., Inskip, H., Amiano, P., Barros, H., Charles, M. A., Chatzi, L., Chrousos, G. P., Corpeleijn, E., Crozier, S., Doyon, M., Eggesbø, M., Fantini, M. P., Farchi, S., Forastiere, F., Georgiu, V., Gori, D., Hanke, W., Hertz-Picciotto, I., … Gaillard, R. (2019). Association of Gestational Weight Gain With Adverse Maternal and Infant Outcomes. Jama, 321(17), 1702–1715. https://doi.org/10.1001/jama.2019.3820

WHO. (2023). Maternal Mortality.

Xu, M.-Y., Guo, Y.-J., Zhang, L.-J., & Lu, Q.-B. (2022). Effect of individualized weight management intervention on excessive gestational weight gain and perinatal outcomes: a randomized controlled trial. In PeerJ (Vol. 10, p. e13067). https://doi.org/10.7717/peerj.13067

You, H., Wang, Y.-Y., Zhang, C., Walker, A. N., Ge, J.-J., Zhao, S.-Q., & Peng, X.-Q. (2023). Empirical validation of the information-motivation-behavioral skills model of gestational weight management behavior: a framework for intervention. BMC Public Health, 23(1), 1–10.

Downloads

Published

2025-05-23

How to Cite

Metty Tsabitah Aziz, & Ismarwati. (2025). Maternal weight gain management during pregnancy: A scoping review. Journal of Health Technology Assessment in Midwifery, 8(1), 15–26. https://doi.org/10.31101/jhtam.4010

Issue

Section

Articles

Citation Check

Similar Articles

1 2 3 4 5 > >> 

You may also start an advanced similarity search for this article.