Collier AY, Molina RL. Maternal mortality in the United States: updates on trends, causes, and solutions. NeoReviews. 2019;20(10):e561–74. https://doi.org/10.1542/neo.20-10-e561.

Article  Google Scholar 

Kim SY, Dietz PM, England L, Morrow B, Callaghan WM. Trends in pre-pregnancy obesity in nine states, 1993–2003. Obesity (Silver Spring). 2007;15(4):986–93. https://doi.org/10.1038/oby.2007.621.

Article  Google Scholar 

Driscoll AK, Gregory ECW. Increases in prepregnancy obesity: United States, 2016–2019. NCHS Data Brief. 2020;392:1–8.

Google Scholar 

Wang MC, Freaney PM, Perak AM, et al. Trends in prepregnancy obesity and association with adverse pregnancy outcomes in the United States, 2013 to 2018. J Am Heart Assoc. Sep 7 2021;10(17):e020717. https://doi.org/10.1161/jaha.120.020717.

Kapadia MZ, Park CK, Beyene J, Giglia L, Maxwell C, McDonald SD. Weight loss instead of weight gain within the guidelines in obese women during pregnancy: a systematic review and meta-analyses of maternal and infant outcomes. PLoS One. 2015;10(7):e0132650. https://doi.org/10.1371/journal.pone.0132650.

ACOG Committee opinion no. 548: weight gain during pregnancy. Obstet Gynecol. 2013;121(1):210–2. https://doi.org/10.1097/01.aog.0000425668.87506.4c.

Article  Google Scholar 

•• Santos S, Voerman E, Amiano P, et al. Impact of maternal body mass index and gestational weight gain on pregnancy complications: an individual participant data meta-analysis of European. North American and Australian cohorts BJOG. 2019;126(8):984–95. https://doi.org/10.1111/1471-0528.15661. An individual patient data meta-analysis that demonstrates that pregnant people with obesity with excessive gestational weight gain are at the highest risk of adverse pregnancy outcomes.

Article  CAS  Google Scholar 

Kominiarek MA, Peaceman AM. Gestational weight gain. Am J Obstet Gynecol. 2017;217(6):642–51. https://doi.org/10.1016/j.ajog.2017.05.040.

Article  Google Scholar 

Institute of Medicine (US) and National Research Council (US) Committee to reexamine IOM pregnancy weight guidelines. The National Academies Collection: Reports funded by National Institutes of Health. In: Rasmussen KM, Yaktine AL, eds. Weight Gain During Pregnancy: Reexamining the Guidelines. National Academies Press. 2009.

Siega-Riz AM, Bodnar LM, Stotland NE, Stang J. The current understanding of gestational weight gain among women with obesity and the need for future research. NAM Perspect. 2020;2020. https://doi.org/10.31478/202001a.

Subhan FB, Shulman L, Yuan Y, McCargar LJ, Kong L, Bell RC. Association of pre-pregnancy BMI and gestational weight gain with fat mass distribution and accretion during pregnancy and early postpartum: a prospective study of Albertan women. BMJ Open. Jul 27 2019;9(7):e026908. https://doi.org/10.1136/bmjopen-2018-026908.

Faucher MA, Barger MK. Gestational weight gain in obese women by class of obesity and select maternal/newborn outcomes: a systematic review. Women Birth. 2015;28(3):e70–9. https://doi.org/10.1016/j.wombi.2015.03.006.

Article  Google Scholar 

Comstock SS. Time to change weight gain recommendations for pregnant women with obesity. J Clin Invest. 2019;129(11):4567–9. https://doi.org/10.1172/jci131932.

Article  Google Scholar 

•• Devlieger R, Ameye L, Nuyts T, Goemaes R, Bogaerts A. Reappraisal of gestational weight gain recommendations in obese pregnant women: a population-based study of 337,590 births. Obes Facts. 2020;13(4):333–48. https://doi.org/10.1159/000508975. An epidemiologic analysis that suggests more restrictive gestational weight gain in pregnant people with obesity is associated with improved perinatal outcomes.

Article  Google Scholar 

Most J, Amant MS, Hsia DS, et al. Evidence-based recommendations for energy intake in pregnant women with obesity. J Clin Invest. 2019;129(11):4682–90. https://doi.org/10.1172/jci130341.

Article  Google Scholar 

Fryar C, Carroll M, Afful J. Prevalence of overweight, obesity, and severe obesity among adults aged 20 and over: United States, 1960–1962 through 2017–2018. NCHS Health E-Stats. 2020.

•• Voerman E, Santos S, Inskip H, et al. Association of gestational weight gain with adverse maternal and infant outcomes. JAMA. 2019;321(17):1702–15. https://doi.org/10.1001/jama.2019.3820. An individual patient data meta-analysis that observed more optimal perinatal outcomes with lower gestational weight gain in pregnant people with higher body mass index.

Article  Google Scholar 

Most J, Dervis S, Haman F, Adamo KB, Redman LM. Energy intake requirements in pregnancy. Nutrients. 2019;11(8). https://doi.org/10.3390/nu11081812.

Maternal Physiology. In: Cunningham F, Leveno K, Bloom S, et al. eds. Williams Obstetrics. 26 ed. McGraw Hill. 2022:chap 4.

Champion ML, Harper LM. Gestational weight gain: update on outcomes and interventions. Curr Diab Rep. Feb 27 2020;20(3):11. https://doi.org/10.1007/s11892-020-1296-1.

Bodnar L, Himes K. Maternal nutrition. In: Resnik R, Lockwood C, Moore T, Greene M, Copel J, Silver R, eds. Creasy and Resnik's Maternal-Fetal Medicine: Principles and Practice. 8th ed. Elsevier. 2019.

Berger D, West E. Nutrition during pregnancy. In: Landon M, Galan H, ERM J, al e, eds. Gabbe’s Obstetrics: Normal and Problem Pregnancies. 8th ed. Elsevier. 2021:chap 6.

Parrettini S, Caroli A, Torlone E. Nutrition and metabolic adaptations in physiological and complicated pregnancy: focus on obesity and gestational diabetes. Review. Frontiers in Endocrinology. 2020;11. https://doi.org/10.3389/fendo.2020.611929.

Grimes SB, Wild R. Effect of pregnancy on lipid metabolism and lipoprotein levels. In: Feingold KR, Anawalt B, Boyce A, et al, eds. Endotext. MDText.com, Inc. Copyright © 2000–2022, MDText.com, Inc. 2000.

Jarvie E, Hauguel-de-Mouzon S, Nelson SM, Sattar N, Catalano PM, Freeman DJ. Lipotoxicity in obese pregnancy and its potential role in adverse pregnancy outcome and obesity in the offspring. Clin Sci (Lond). 2010;119(3):123–9. https://doi.org/10.1042/cs20090640.

Article  CAS  Google Scholar 

Goldstein RF, Abell SK, Ranasinha S, et al. Association of gestational weight gain with maternal and infant outcomes: a systematic review and meta-analysis. JAMA. 2017;317(21):2207–25. https://doi.org/10.1001/jama.2017.3635.

Article  Google Scholar 

Hutcheon JA, Stephansson O, Cnattingius S, Bodnar LM, Wikström AK, Johansson K. Pregnancy weight gain before diagnosis and risk of preeclampsia: a population-based cohort study in nulliparous women. Hypertension. 2018;72(2):433–41. https://doi.org/10.1161/hypertensionaha.118.10999.

Article  CAS  Google Scholar 

Gathiram P, Moodley J. Pre-eclampsia: its pathogenesis and pathophysiolgy. Cardiovasc J Afr Mar-Apr. 2016;27(2):71–8. https://doi.org/10.5830/cvja-2016-009.

Article  CAS  Google Scholar 

Staff AC. The two-stage placental model of preeclampsia: an update. J Reprod Immunol. 2019;134–135:1–10. https://doi.org/10.1016/j.jri.2019.07.004.

Catalano PM, Shankar K. Obesity and pregnancy: mechanisms of short term and long term adverse consequences for mother and child. Bmj. 2017;356:j1. https://doi.org/10.1136/bmj.j1.

Simmons D, Devlieger R, van Assche A, et al. Association between gestational weight gain, gestational diabetes risk, and obstetric outcomes: a randomized controlled trial post hoc analysis. Nutrients. 2018;10(11). https://doi.org/10.3390/nu10111568.

Shrestha A, Prowak M, Berlandi-Short V-M, Garay J, Ramalingam L. Maternal obesity: a focus on maternal interventions to improve health of offspring. Review. Front cardiovasc med. 2021;8. https://doi.org/10.3389/fcvm.2021.696812.

Feghali MN, Catov JM, Zantow E, Mission J, Caritis SN, Scifres CM. Timing of gestational weight gain and adverse perinatal outcomes in overweight and obese women. Obstet Gynecol. 2019;133(5):962–70. https://doi.org/10.1097/aog.0000000000003234.

Article  Google Scholar 

Durst JK, Sutton AL, Cliver SP, Tita AT, Biggio JR. Impact of gestational weight gain on perinatal outcomes in obese women. Am J Perinatol. 2016;33(9):849–55. https://doi.org/10.1055/s-0036-1579650.

Article  Google Scholar 

Brunner S, Stecher L, Ziebarth S, et al. Excessive gestational weight gain prior to glucose screening and the risk of gestational diabetes: a meta-analysis. Diabetologia. 2015;58(10):2229–37. https://doi.org/10.1007/s00125-015-3686-5.

Article  Google Scholar 

MacDonald SC, Bodnar LM, Himes KP, Hutcheon JA. Patterns of gestational weight gain in early pregnancy and risk of gestational diabetes mellitus. Epidemiology. 2017;28(3):419–27. https://doi.org/10.1097/ede.0000000000000629.

Article  Google Scholar 

Gilmore LA, Klempel-Donchenko M, Redman LM. Pregnancy as a window to future health: excessive gestational weight gain and obesity. Semin Perinatol. 2015;39(4):296–303. https://doi.org/10.1053/j.semperi.2015.05.009.

Article  Google Scholar 

Practice Bulletin No. 173: Fetal Macrosomia. Obstet Gynecol. 2016;128(5):e195–209. https://doi.org/10.1097/aog.0000000000001767.

Article  Google Scholar 

Catalano PM, McIntyre HD, Cruickshank JK, et al. The hyperglycemia and adverse pregnancy outcome study: associations of GDM and obesity with pregnancy outcomes. Diabetes Care. 2012;35(4):780–6. https://doi.org/10.2337/dc11-1790.

Article  CAS  Google Scholar 

Faucher MA, Hastings-Tolsma M, Song JJ, Willoughby DS, Bader SG. Gestational weight gain and preterm birth in obese women: a systematic review and meta-analysis. BJOG. 2016;123(2):199–206. https://doi.org/10.1111/1471-0528.13797.

Article  CAS  Google Scholar 

Leonard SA, Hutcheon JA, Bodnar LM, Petito LC, Abrams B. Gestational weight gain-for-gestational age Z-score charts applied across U.S. populations. Paediatr Perinat Epidemiol. 2018;32(2):161–171. https://doi.org/10.1111/ppe.12435.

Endres LK, Straub H, McKinney C, et al. Postpartum weight retention risk factors and relationship to obesity at 1 year. Obstet Gynecol. 2015;125(1):144–52. https://doi.org/10.1097/aog.0000000000000565.

Article  Google Scholar 

Edwards M. The Barker hypothesis. In: Preedy V, Patel VB, editors. Handbook of Famine, Starvation, and Nutrient Deprivation: From Biology to Policy. Springer International Publishing; 2017. p. 1–21.

Google Scholar 

Dutton H, Borengasser SJ, Gaudet LM, Barbour LA, Keely EJ. Obesity in pregnancy: optimizing outcomes for mom and baby. Med Clin North Am. 2018;102(1):87–106. https://doi.org/10.1016/j.mcna.2017.08.008.

Article  Google Scholar 

Cantor AG, Jungbauer RM, Chou R. Systematic review of counseling and behavioral interventions for healthy weight and weight gain in pregnancy from the US preventive services task force-reply. JAMA. 2021;326(16):1635–6. https://doi.org/10.1001/jama.2021.13995.

Article  Google Scholar 

Peaceman AM, Clifton RG, Phelan S, et al. Lifestyle interventions limit gestational weight gain in women with overweight or obesity: LIFE-moms prospective meta-analysis. Obesity (Silver Spring). 2018;26(9):1396–404. https://doi.org/10.1002/oby.22250.

Article  Google Scholar 

Craemer KA, Sampene E, Safdar N, Antony KM, Wautlet CK. Nutrition and exercise strategies to prevent excessive pregnancy weight gain: a meta-analysis. AJP Rep. 2019;9(1):e92–120. https://doi.org/10.1055/s-0039-1683377.

Article  Google Scholar 

Lau Y, Klainin-Yobas P, Htun TP, et al. Electronic-based lifestyle interventions in overweight or obese perinatal women: a systematic review and meta-analysis. Obes Rev. 2017;18(9):1071–87. https://doi.org/10.1111/obr.12557.

Article  CAS  Google Scholar 

Herring SJ. Do mHealth interventions prevent excessive gestational weight gain? BJOG. 2017;124(11):1728. https://doi.org/10.1111/1471-0528.14693.

Yee LM, Leziak K, Jackson J, et al. Patient and provider perspectives on a novel mobile health intervention for low-income pregnant women with gestational or type 2 diabetes mellitus. J Diabetes Sci Technol. 2021;15(5):1121–33. https://doi.org/10.1177/1932296820937347.

Article  Google Scholar 

Hill B, Skouteris H, Fuller-Tyszkiewicz M. Interventions designed to limit gestational weight gain: a systematic review of theory and meta-analysis of intervention components. Obes Rev. 2013;14(6):435–50. https://doi.org/10.1111/obr.12022.

Article  CAS  Google Scholar 

Vallis M, Piccinini-Vallis H, Sharma AM, Freedhoff Y. Clinical review: modified 5 As: minimal intervention for obesity counseling in primary care. Can Fam Physician. 2013;59(1):27–31.

Google Scholar 

System UWWR. Pregnancy weight gain guidelines: webinar and toolkit. U.S. Department of Agriculture. Accessed May 21, 2022. https://wicworks.fns.usda.gov/resources/pregnancy-weight-gain-guidelines-webinar-and-toolkit.

Simmons D, Jelsma JGM, Galjaard S, et al. Results from a European multicenter randomized trial of physical activity and/or healthy eating to reduce the risk of gestational diabetes mellitus: the DALI lifestyle pilot. Diabetes Care. 2015;38(9):1650–6. https://doi.org/10.2337/dc15-0360.

Article  CAS  Google Scholar 

Simmons D, Devlieger R, van Assche A, et al. Effect of physical activity and/or healthy eating on GDM risk: the DALI lifestyle study. J Clin Endocrinol Metab. 2017;102(3):903–13. https://doi.org/10.1210/jc.2016-3455.

Article  Google Scholar 

Jelsma JGM, Simmons D, Gobat N, et al. Is a motivational interviewing based lifestyle intervention for obese pregnant women across Europe implemented as planned? Process evaluation of the DALI study. BMC Pregnancy Childbirth. 2017;17(1):293. https://doi.org/10.1186/s12884-017-1471-9.

Kunath J, Günther J, Rauh K, et al. Effects of a lifestyle intervention during pregnancy to prevent excessive gestational weight gain in routine care - the cluster-randomised GeliS trial. BMC Med. 2019;17(1):5. https://doi.org/10.1186/s12916-018-1235-z.

Ferrara A, Hedderson MM, Brown SD, et al. A telehealth lifestyle intervention to reduce excess gestational weight gain in pregnant women with overweight or obesity (GLOW): a randomised, parallel-group, controlled trial. Lancet Diabetes Endocrinol. 2020;8(6):490–500. https://doi.org/10.1016/s2213-8587(20)30107-8.

Article  Google Scholar 

Dodd JM, Turnbull D, McPhee AJ, et al. Antenatal lifestyle advice for women who are overweight or obese: LIMIT randomised trial. BMJ. 2014;348:g1285. https://doi.org/10.1136/bmj.g1285.

Cahill AG, Haire-Joshu D, Cade WT, et al. Weight control program and gestational weight gain in disadvantaged women with overweight or obesity: a randomized clinical trial. Obesity (Silver Spring). 2018;26(3):485–91. https://doi.org/10.1002/oby.22070.

Article  Google Scholar 

Poston L, Bell R, Croker H, et al. Effect of a behavioural intervention in obese pregnant women (the UPBEAT study): a multicentre, randomised controlled trial. Lancet Diabetes Endocrinol. 2015;3(10):767–77. https://doi.org/10.1016/s2213-8587(15)00227-2.

Article  Google Scholar 

Phelan S, Wing RR, Brannen A, et al. Randomized controlled clinical trial of behavioral lifestyle intervention with partial meal replacement to reduce excessive gestational weight gain. Am J Clin Nutr. 2018;107(2):183–94. https://doi.org/10.1093/ajcn/nqx043.

Article