Table 5 Associations of GWG patterns with PTB subtypes stratified by pre-pregnacy BMI in the adjusted model.

From: Association of gestational weight gain patterns with preterm birth subtypes in a population based cohort study from China

Variables

PTB

Spontaneous PTB

PPROM

Medically indicated PTB

n (%)

Adjusted OR

(95% CI)

P

n (%)

Adjusted OR

(95% CI)

P

n (%)

Adjusted OR

(95% CI)

P

n (%)

Adjusted OR

(95% CI)

P

Total GWG in the first and second trimesters

Underweight

(< 18.5 kg/m2)

Insufficient

31 (2.7)

1.27 (0.82–1.97)

0.281

12 (1.1)

1.51 (0.73–3.10)

0.263

5 (0.4)

0.72 (0.27–1.96)

0.523

14 (1.2)

1.47 (0.76–2.85)

0.258

Adequate

61 (2.2)

1.00 (Reference)

-

20 (0.7)

1.00 (Reference)

-

17 (0.6)

1.00 (Reference)

-

24 (0.9)

1.00 (Reference)

-

Excessive

306 (4.7)

2.19 (1.66–2.90)

< 0.001

97 (1.5)

2.18 (1.34–3.54)

0.002

86 (1.3)

2.17 (1.29–3.66)

0.004

123 (1.9)

2.12 (1.37–3.30)

0.001

Normal

(18.5–23.9 kg/m2)

Insufficient

157 (5.4)

2.09 (1.73–2.54)

< 0.001

46 (1.6)

1.98 (1.40–2.79)

< 0.001

39 (1.3)

1.66 (1.15–2.40)

0.007

72 (2.5)

2.43 (1.82–3.23)

< 0.001

Adequate

374 (2.7)

1.00 (Reference)

-

113 (0.8)

1.00 (Reference)

-

114 (0.8)

1.00 (Reference)

-

147 (1.0)

1.00 (Reference)

-

Excessive

955 (3.6)

1.35 (1.20–1.52)

< 0.001

265 (1.0)

1.25 (1.00-1.56)

0.048

271 (1.0)

1.24 (0.99–1.54)

0.059

419 (1.6)

1.49 (1.24–1.81)

< 0.001

Overweight/obesity

(≥ 24 kg/m2)

Insufficient

19 (8.3)

2.43 (1.32–4.48)

0.005

7 (3.1)

3.75 (1.23–11.43)

0.020

7 (3.1)

3.80 (1.25–11.49)

0.018

5 (2.2)

1.12 (0.40–3.14)

0.829

Adequate

27 (3.9)

1.00 (Reference)

-

6 (0.9)

1.00 (Reference)

-

6 (0.9)

1.00 (Reference)

-

15 (2.1)

1.00 (Reference)

-

Excessive

69 (3.1)

0.82 (0.52–1.29)

0.381

11 (0.5)

0.58 (0.21–1.58)

0.287

22 (1.0)

1.17 (0.47–2.90)

0.739

36 (1.6)

0.77 (0.42–1.42)

0.408

Average weekly eGWG (g/week)

Underweight

(< 18.5 kg/m2)

Class I (< 100 g)

29 (2.6)

1.02 (0.68–1.52)

0.931

9 (0.8)

0.82 (0.41–1.66)

0.582

9 (0.8)

1.30 (0.63–2.69)

0.475

11 (1.0)

1.03 (0.54–1.97)

0.919

Class II (100–399 g)

173 (2.6)

1.00 (Reference)

-

65 (1.0)

1.00 (Reference)

-

41 (0.6)

1.00 (Reference)

-

67 (1.0)

1.00 (Reference)

-

Class III (≥ 400 g)

193 (8.2)

3.31 (2.68–4.09)

< 0.001

54 (2.3)

2.45 (1.70–3.53)

< 0.001

57 (2.4)

3.97 (2.65–5.95)

< 0.001

82 (3.5)

3.39 (1.44–4.70)

< 0.001

Normal

(18.5–23.9 kg/m2)

Class I (< 100 g)

313 (4.8)

1.84 (1.61–2.10)

< 0.001

97 (1.5)

1.80 (1.42–2.28)

< 0.001

87 (1.3)

1.86 (1.45–2.39)

< 0.001

129 (2.0)

1.78 (1.45–2.18)

< 0.001

Class II (100–399 g)

794 (2.7)

1.00 (Reference)

-

242 (0.8)

1.00 (Reference)

-

213 (0.7)

1.00 (Reference)

-

339 (1.2)

1.00 (Reference)

-

Class III (≥ 400 g)

337 (5.3)

1.99 (1.75–2.27)

< 0.001

76 (1.2)

1.47 (1.14–1.91)

0.004

109 (1.7)

2.34 (1.85–2.95)

< 0.001

152 (2.4)

2.05 (1.69–2.49)

< 0.001

Overweight/obesity

(≥ 24 kg/m2)

Class I (< 100 g)

37 (4.7)

1.30 (0.86–1.97)

0.208

10 (1.3)

1.94 (0.83–4.53)

0.127

12 (1.5)

1.44 (0.70–2.97)

0.320

15 (1.9)

1.00 (0.54–1.84)

0.990

Class II (100–399 g)

68 (3.6)

1.00 (Reference)

-

12 (0.6)

1.00 (Reference)

-

20 (1.1)

1.00 (Reference)

-

36 (1.9)

1.00 (Reference)

-

Class III (≥ 400 g)

10 (2.7)

0.75 (0.38–1.47)

0.394

2 (0.5)

0.86 (0.19–3.89)

0.848

3 (0.8)

0.73 (0.21–2.46)

0.605

5 (1.3)

0.73 (0.28–1.88)

0.516

  1. Models were adjusted for maternal age at delivery, education level, parity, and offspring gender.
  2. BMI body mass index, PTB preterm birth, GWG gestational weight gain, eGWG early GWG, OR odds ratio, CI confidence interval.