Abstract
Background: Appropriate gestational weight gain (GWG) is important for optimal pregnancy outcomes. Maternal pre-pregnancy body mass index (BMI) and anemia are listed as the main determinants of GWG. This study aimed to determine factors associated with gestational weight gain during second and third trimesters.
Subjects and method: This was a cohort study carried out in 5 sub-districts at Central Bogor, West Java, from 2012 to 2018. Secondary data from The Child Growth and Deve�lopment were used with a total 324 pregnant women included. The de�pen�d��ent variable was women\u2019s gestational weight. The independent variables were BMI status and ane�mia. Classification of GWG followed IOM recommendations. The data were analyzed using multinomial logistics.
Results: As many as 255 (78.7%), 62 (19.1%), and 7 (2.2%) women were classified as insufficient, sufficient, and excessive GWG in the second trimester, respectively. GWG was associated with overweight (RR=0.22; 95%CI=0.06 to 0.83; p=0.025), un�der�weight (RR=0.20; 95%CI= 0.04 to 0.98; p=0.048) and anemia (RR=2.49; 95%�CI��= 1.10 to 6.22; p = 0.049).
Conclusion: Overweight, underweight and anemia are associated with GWG.