Assessing Weight Gain by the 2009 Institute of Medicine Guidelines and Perinatal Outcomes in Twin Pregnancy
| Autor: | Christopher Glantz, Seyhan Sagcan, Tulin Ozcan, Paula Zozzaro-Smith, Neil S. Seligman, Stephen J Bacak, Dongmei Li |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty Percentile Epidemiology Birth weight New York Twins Guidelines as Topic Weight Gain Body Mass Index 03 medical and health sciences 0302 clinical medicine Pregnancy Risk Factors Odds Ratio medicine Birth Weight Humans 030212 general & internal medicine Twin Pregnancy National Academies of Science Engineering and Medicine U.S. Health and Medicine Division 030219 obstetrics & reproductive medicine Obstetrics business.industry Public Health Environmental and Occupational Health Obstetrics and Gynecology medicine.disease United States Gestational diabetes Diabetes Gestational Low birth weight Pediatrics Perinatology and Child Health Pregnancy Twin Female medicine.symptom business Weight gain Body mass index |
| Zdroj: | Maternal and Child Health Journal. 21:509-515 |
| ISSN: | 1573-6628 1092-7875 |
| Popis: | Objective The objective is to estimate the impact of maternal weight gain outside the 2009 Institute of Medicine recommendations on perinatal outcomes in twin pregnancies. Study Design Twin pregnancies with two live births between January 1, 2004 and December 31, 2014 delivered after 23 weeks Finger Lakes Region Perinatal Data System (FLRPDS) and Central New York Region Perinatal Data System were included. Women were classified into three groups using pre-pregnancy body mass index (BMI). Perinatal outcomes in women with low or excessive weekly maternal weight gain were assessed using normal weekly weight gain as the referent in each BMI group. Results Low weight gain increased the risk of preterm delivery, birth weight less than the 10th percentile for one or both twins and decreased risk of macrosomia across all BMI groups. There was a decreased risk of hypertensive disorders in women with normal pre-pregnancy weight and an increased risk of gestational diabetes with low weight gain in obese women. Excessive weight gain increased the risk of hypertensive disorders and macrosomia across all BMI groups and decreased the risk of birth weight less than 10th percentile one twin in normal pre-pregnancy BMI group. Conclusion Among twin pregnancies, low weight gain is associated with low birth weight and preterm delivery in all BMI groups and increased risk of gestational diabetes in obese women. Our study did not reveal any benefit from excessive weekly weight gain with potential harm of an increase in risk of hypertensive disorders of pregnancy. Normal weight gain per 2009 IOM guidelines should be encouraged to improve pregnancy outcome in all pre-pregnancy BMI groups. |
| Databáze: | OpenAIRE |
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