Weight Gain for Gestational‐Age Charts in Dichorionic Twins: Tool for Establishing Optimal Weight Gain in Twin Pregnancies

Widen, Elizabeth M.

doi:10.1111/ppe.12460

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…It is therefore difficult to analyze if preterm birth leads to low gestational weight or reduced weight of the mother contributes to premature birth. Despite high morbidity and mortality in twin pregnancies, few studies have examined the optimal gestational weight gain for such females and there have been no clear guidelines [12][13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Gestational weight gain charts for twin pregnancies in Southeast China

Lin

Mao

et al. 2020

BMC Pregnancy Childbirth

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Background: To establish age-standardized charts of weight gain for term twin pregnancies in Southeast China. Methods: We designed a retrospective study on data from women pregnant with twins, a gestational age beyond 36 weeks and an average weight ≥ 2500 g. We established hierarchical linear regression models to express gestational weight gain patterns. Results: We analyzed data from 884 women pregnant with twins (151 underweight, 597 normal weight, and 136 overweight). Our final models fit the crude weight measurement data well. The means of weight gain generally decreased as the pre-pregnancy BMI increased. For each BMI category, the mean weight gains increased with the gestational age and the standard deviation increased slightly. The mean weight gains were 18.82 ± 6.73, 18.53 ± 6.74, and 16.97 ± 6.95 kg at 37 weeks in underweight, normal weight, and overweight women, respectively. Conclusion: The weight gain chart can be used to estimate maternal weight gain to be gestational agestandardized z scores by pre-pregnancy BMI and may serve as an innovative tool for perinatal care providers to guide the weight gain of women pregnant with twins.

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Section: Introductionmentioning

confidence: 99%

Gestational weight gain charts for twin pregnancies in Southeast China

Lin

Mao

et al. 2020

BMC Pregnancy Childbirth

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“…The provision of guidelines for twin pregnancies was an important step given the association between adverse outcomes and both insufficient (e.g., preterm delivery [Lipworth et al, 2022 ; Zhong et al, 2021 ], gestational diabetes mellitus, low birthweight, neonatal intensive care unit admission [Zhong et al, 2021 ]) and excessive (e.g., Pre‐eclampsia [Lipworth et al, 2022 ], gestational hypertension, caesarean section, preterm birth [Zhong et al, 2021 ]) GWG in twin pregnancies. Furthermore, compared to singleton pregnancies, twin pregnancies have a higher incidence of poor obstetric and perinatal outcomes associated with insufficient GWG (e.g., foetal and neonatal death, small for gestational age [GA]) and of increased GWG and pregnancy complications associated with excessive GWG (e.g., Pre‐eclampsia, gestational diabetes, caesarean section [Bodnar et al, 2014 ; Hutcheon et al, 2018 ; Widen, 2018 ]).…”

Section: Introductionmentioning

confidence: 99%

Gestational weight gain adequacy among twin pregnancies in France

Amyx

Korb

Zeitlin

et al. 2022

Maternal & Child Nutrition

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The objective of this paper is to describe gestational weight gain (GWG), to assess the applicability of the 2009 Institute of Medicine (IOM) guidelines, and to derive a GWG adequacy classification within a French cohort. We included twins from the national, prospective, population-based JUmeaux MODe d'Accouchement (JUMODA) cohort study (2014)(2015). Following the IOM approach, we selected a 'standard' population of term pregnancies with 'optimal' birthweight (≥2500 g; n = 2562). GWG adequacy (insufficient; adequate; excessive) was defined using IOM recommendations (normal body mass index [BMI]: 16.8-24.5 kg [also utilized for underweight BMI]; overweight: 14.1-22.7 kg; obese: 11.4-19.1 kg).Additionally, using the IOM approach, we determined the 25th and 75th percentiles of GWG in our standard population to create a JUMODA-derived GWG adequacy classification. GWG and GWG adequacy were described, overall and by BMI and parity. In the JUMODA standard population of term twin livebirths with optimal birthweight, mean GWG was 16.1 kg (standard deviation 6.3). Using IOM recommendations, almost half (46.5%) of the women had insufficient and few (10.0%) had excessive GWG, with similar results regardless of BMI or parity. The 25th and 75th percentiles of GWG in the JUMODA standard population (underweight: 13-21 kg; normal weight: 13-20 kg; overweight: 11-19 kg; obese: 7-16 kg) were lower than the IOM recommendations.The IOM recommendations classified a relatively high percentage of French women as having insufficient and a low percentage as having excessive GWG.Additional research to evaluate recommendations in relation to adverse perinatal outcomes is needed to determine whether the IOM recommendations or the JUMODA-derived classification is more appropriate for French twin gestations.

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Weight Gain for Gestational‐Age Charts in Dichorionic Twins: Tool for Establishing Optimal Weight Gain in Twin Pregnancies

Cited by 2 publications

References 8 publications

Gestational weight gain charts for twin pregnancies in Southeast China

Gestational weight gain charts for twin pregnancies in Southeast China

Gestational weight gain adequacy among twin pregnancies in France

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