Which complication can result from low adherence to recommended pregnancy weight guidelines?

The option indicating an increased risk of neonatal complications is accurate because inadequate adherence to recommended weight guidelines during pregnancy can lead to several adverse outcomes for the newborn. Women who gain too little weight during pregnancy may give birth to infants who are smaller than expected for their gestational age, which can increase the risk of complications such as low birth weight, respiratory distress, and developmental issues. Conversely, gaining excessive weight may lead to higher risks of complications for both the fetus and the mother.

In contrast, reduced need for cesarean sections and improved pregnancy outcomes are more likely associated with adherence to healthy weight gain guidelines rather than low adherence. A lack of adherence does not typically lead to lower maternal weight gain, as it usually signifies either inadequate weight gain or excessive weight gain instead. This highlights the importance of following weight recommendations to optimize health outcomes for both the mother and baby during pregnancy.