• Resmiye Ozdilek, Yilda Arzu Aba, Sena Dilek Aksoy, Bulat Aytek Sik, and Yasam Kemal Akpak.
• Resmiye Ozdilek, Department of Midwifery, Faculty of Health Science, Kocaeli University, Izmit, Turkey.
• Pak J Med Sci. 2019 Sep 1; 35 (5): 1204-1209.

ObjectiveTo investigate the adaptation of pregnant women to the recommended weight gain range according to body mass index (BMI) and to determine the factors affecting them.MethodsThis cross-sectional study was performed in a university hospital's obstetrics and gynecology unit (tertiary center) in Turkey. This study was conducted between March 2018 and August 2018 (6 months) in pregnant women. Pregnant women with chronic disease and receiving treatment during antenatal follow-up, with twin pregnancy, with a fetus with a congenital abnormality, and nutritional disturbance were excluded from the study. Eight hundred twelve pregnant women with normal antenatal follow-up and who volunteered to participate were included in the study.ResultsThe mean age of the participants was 27.66 ± 5.05 years. The mean weight and BMI before pregnancy were near standard in all participants. The group with the highest rate of recommended weight gain according to BMI before pregnancy was the group with low weight pregnant women. The ideal weight gain rate in all groups was 32%.ConclusionsThe groups with overweight and obese pregnant women according to BMI before pregnancy had the highest rates of weight gain, above the recommended limits. BMI before pregnancy directly affects weight gain during pregnancy and the importance of pre-pregnancy counseling and weight loss is emphasized once again.

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