It is Possible to Establish Quickly a Smart-phone Calculator for Optimal Gestational Weight Gain Specific for Indian Pregnant Women
1Service de Néonatologie, Centre Hospitalier Universitaire Sud Réunion, La Réunion, France
2Centre d’Etudes Périnatales Océan Indien (CEPOI), Centre Hospitalier Universitaire Sud Réunion, La Réunion, France
*Corresponding Author: Pierre-Yves Robillard, Service de Néonatologie, Centre Hospitalier Universitaire Sud Reunion, La Réunion, France.
June 03, 2022; Published: July 27, 2022
International IOM 2009 recommendations for gestational weight gain during pregnancy are highly contested in Asia by Indians and East-Asian scholars (China, Korea, Japan etc..). They even use “Asian adapted” overweight and obese classifications (e.g. obesity ≥ 27.5 kg/m² instead of 30 kg/m²).
We have demonstrated 4 years ago that if we chose as perequisite rationale that the maternal optimal gestational weight in term pregnancies (optGWG) is to have Appropriate for Gestational Age (AGA) term newborns (by definition 80% of a neonatal population, with 10% of SGA -small for gestational age- as well as 10% of LGA -Large for gestational age-), there is an association with maternal PRE-pregnancy Body Mass Index (ppBMI), and that this association is a linear curve (y= ax+b).
We propose then an alternative solution for Indian scientists/epidemiologists to confirm in the Indian population our preceding findings and establish in India their specific linear equation knowing the specific SGA-LGA definitions of term newborns in India.
It will be easy to make this linear equation accessible everywhere on smartphones for health workers and women themselves. The Indian calculator will give therefore indispensable councils since the beginning of pregnancy to each pregnant woman, and should be useful also for the great “Indian diaspora” around the planet (e.g. Mauritius, Trinidad and Tobago, Fiji, French overseas territories etc…), where obesity is a huge rising problem in this community.
Keywords: Pregnancy; Epidemiology; Pre-pregnancy Body Mass Index; Gestational Weight Gain; Caesarean Section; Obesity; Maternal Fetal Corpulence Symbiosis
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