Doctoral Defence of Swapna Deshpande on March 14th, 2025

M.Sc. Swapna Deshpande’s doctoral dissertation in the field of epidemiology titled Height, Weight, Gestational Weight Gain, and Their Impact on Gestational Diabetes and Neonatal Outcomes Among Women in India will be publicly examined at the Faculty of Social Sciences of Tampere University at 12 o’clock on 14 March 2025. The venue is auditorium F114 in the Arvo building. The Opponent is Dr Line Sletner from the University of Oslo, Norway, while Docent Tarja Kinnunen from the Faculty of Social Sciences, Tampere University, acts as the Custos.

In her doctoral dissertation, Swapna Deshpande researches the evolving trends of height, weight, and body mass index (BMI) among Indian women and uncovers how weight changes during pregnancy influence the risk of gestational diabetes mellitus (GDM) and neonatal outcomes. She also examines dietary intake and physical activity during pregnancy. The research offers crucial insights for enhancing maternal and child health in India, paving the way for better health policies and practices.

The study shows that while their weight has increased significantly over the years, height has not kept pace, leading to a rise in BMI among a nationally representative sample of young Indian women. This trend is consistent across rural and urban areas, and different marital and parity statuses. “Understanding these trends is essential for developing targeted interventions to improve maternal and child health outcomes,” Swapna Deshpande says.

One of the key findings is the association between pre-pregnancy weight, rate of weight gain and the risk of early onset GDM. The study, which was conducted in the city of Pune in the Maharashtra state, highlights that higher pre-pregnancy weight increases the risk of early GDM while maternal height is inversely associated with this risk. This insight is particularly relevant in the context of increasing obesity and GDM in India.

The research also investigates the dietary habits and physical activity levels of pregnant women in the urban slums of Pune. The findings indicate that a significant percentage of these women do not meet the recommended dietary intake, which can adversely affect pregnancy outcomes.

“Promoting healthy dietary practices and regular weight monitoring during pregnancy is crucial for ensuring favourable outcomes for babies,” emphasises Deshpande.

The dissertation not only contributes to the academic understanding of maternal health but also has practical implications for public health initiatives. By addressing the key drivers of weight changes during pregnancy, such as dietary intake and physical activity, the study provides a roadmap for improving maternal and neonatal health in India. The insights gained from this research may also be applicable to South Asian populations more generally, making it a valuable resource for policymakers and healthcare providers worldwide.

The doctoral dissertation is available online

The public defence can be followed via a remote connection