Table 2.
Associations between risk of recurrent large-for-gestational age (LGA) birth in the second pregnancy and change in maternal body mass index (BMI) between pregnancies as measured at the first antenatal visit of each pregnancy stratified by BMI category in the first pregnancy
| Full sample |
Normal weight at first
pregnancy |
Overweight at first
pregnancy |
Obese at first
pregnancy |
||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Maternal BMI change (categorised) | Total n, No of cases | Relative risk, (RR)* | 95% CI | Total n, No of cases | RR* | 95% CI | Total n, No of cases | RR* | 95% CI | Total n, No of cases | RR* | 95% CI | |
| Total unadjusted n, No of cases | 1109, 530 | 521, 234 | 338, 170 | 236, 122 | |||||||||
| Lost ≤ −1 kg/m2 from previous pregnancy | Unadjusted | 188, 83 | 0.89 | 0.74 to 1.08 | 45, 17 | 0.80 | 0.54 to 1.20 | 74, 30 | 0.68 | 0.50 to 0.94 | 69, 36 | 1.16 | 0.79 to 1.69 |
| Adjusted† | 178, 78 | 0.88 | 0.72 to 1.07 | 44, 16 | 0.79 | 0.54 to 1.17 | 68, 27 | 0.69 | 0.48 to 0.97 | 66, 35 | 1.21 | 0.79 to 1.83 | |
| Weight stable (> −1 to <1 kg/m2) | Unadjusted | 365, 181 | Ref | 212, 100 | Ref | 98, 58 | Ref | 51, 23 | Ref | ||||
| Adjusted† | 353, 176 | Ref | 204, 96 | Ref | 97, 57 | Ref | 49, 23 | Ref | |||||
| Gained 1–3 kg/m2 from previous pregnancy | Unadjusted | 313, 150 | 0.97 | 0.83 to 1.13 | 162, 74 | 0.97 | 0.78 to 1.21 | 90, 43 | 0.81 | 0.62 to 1.06 | 55, 31 | 1.25 | 0.85 to 1.83 |
| Adjusted† | 301, 142 | 0.98 | 0.84 to 1.15 | 156, 70 | 1.02 | 0.83 to 1.27 | 86, 40 | 0.81 | 0.61 to 1.08 | 53, 30 | 1.28 | 0.86 to 1.91 | |
| Gained ≥3 kg/m2 from previous pregnancy | Unadjusted | 243, 116 | 0.96 | 0.81 to 1.14 | 102, 43 | 0.89 | 0.68 to 1.17 | 76, 39 | 0.87 | 0.66 to 1.14 | 61, 32 | 1.16 | 0.79 to 1.71 |
| Adjusted† | 234, 111 | 1.00 | 0.83 to 1.20 | 96, 39 | 0.91 | 0.68 to 1.21 | 73, 38 | 0.91 | 0.67 to 1.25 | 61, 32 | 1.28 | 0.84 to 1.94 | |
Generalised linear model with log link and robust variance estimator used to derive RR.
Adjusted for maternal age, ethnicity, highest educational qualification, whether undergone infertility treatment, smoking status, employment status, baseline BMI, gestational diabetes in current pregnancy and interpregnancy interval.
Bold fonts indicate statistical significance at 0.05 level.