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Fig 1.

Flow diagram of study selection process.

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Table 1.

Characteristics of included cohort studies in systematic review of gestational weight loss in obese women and adverse pregnancy outcomes.

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Table 2.

Quality assessment using the modified Newcastle-Ottawa scale of included cohort studies in systematic review of gestational weight loss in obese women and adverse pregnancy outcomes.

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Fig 2.

Summary of multivariable pooled odds ratios (95% confidence intervals) for the association between gestational weight loss and adverse pregnancy outcomes in obese women, compared to gestational weight gain within the 2009 Institute of Medicine guideline.

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Fig 3.

Pooled results of the studies that reported the odds of infants being small for gestational age (<10th percentile, multivariable) for obese mothers with gestational weight loss compared to gestational weight gain within the 2009 Institute of Medicine guideline.

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Table 3.

Summary of primary and secondary outcomes in systematic review of gestational weight loss in obese women and adverse pregnancy outcomes.

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Fig 4.

Pooled results of the studies that reported the odds of infants being large for gestational age (>90th percentile, multivariable) for obese mothers with gestational weight loss compared to gestational weight gain within the 2009 Institute of Medicine guideline.

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Fig 5.

Funnel plots for effect of weight loss with SGA (<10th percentile multivariable), in a systematic review of gestational weight loss in obese women and adverse pregnancy outcomes.

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Fig 6.

Funnel plots for effect of weight loss with LGA (>90th percentile multivariable), in a systematic review of gestational weight loss in obese women and adverse pregnancy outcomes.

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