Maternal body mass index

From: Jason Gardosi (jason.gardosi@nottingham.ac.uk)
Fri Mar 28 12:18:45 1997


I have a question about BMI as an indicator for maternal malnutrition during pregnancy in different racial/ethnic groups. What cut-off levels do you use?

Our tenth centile is 20.2 for our predominantly Anglo/European maternity population (assessed in second trimester - usually at 18 weeks). Asians from the Indian subcontinent as well as from the Far East and South East Asia have a lower BMI - which may be due to normal ethnic differences or due to malnutrition. Although, most mums living here seem to have an adequate economic and nutritional standard (though this may not necessarily be the case in London or other big cities). There are not many good references in the literature, and malnutrition may often be endemic and difficult to quantify, but I would be interested to hear what limits obstetricians and midwives in other countries use. Thanks in advance.

Jason

************************************************ Jason Gardosi OB/GYN, Queen's Medical Centre, Nottingham, U.K.

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