Gestational weight gain according to number of fetuses in Japanese women

Morikawa, Mamoru; Yamada, Takahiro; Akaishi, Rina; Yamada, Takashi; Nishida, Ryutaro; Sato, Shoji; Kaneuchi, Masanori; Minakami, Hisanori

doi:10.1515/jpm-2013-0211

Cited by 14 publications

(18 citation statements)

References 10 publications

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“…The net weight gains of 4.2 and 3.1 kg in the last 2 weeks and 1 week in women with P-PE accounted for approximately 34% and 25% of the total weight gain of 12.2 kg in pregnancy, respectively, while respective values of 1.6 and 1.3 kg in women with O-PE accounted for 12% and 9.6% of the total weight gain of 13.6 kg. As the mean±SD weekly weight gain, defined as (maternal weight at delivery−pre-pregnancy maternal weight)/(GW at delivery−2), is 0.26±0.12 kg for Japanese women with singleton pregnancies not complicated with pregnancy-induced hypertension,17 and weight gain in the last antenatal 2 weeks is 0.9±0.9 kg for otherwise healthy Japanese women with singleton pregnancies18; these results indicated that although oedema due to the accumulation of excess water in the interstitial space occurred in late pregnancy in P-PE and O-PE, its degree was greater in women with P-PE than in those with O-PE.…”

Section: Discussionmentioning

confidence: 99%

Clinical features of isolated gestational proteinuria progressing to pre-eclampsia: retrospective observational study

et al. 2014

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ObjectivesSome women with isolated gestational proteinuria (IGP) later develop hypertension and are diagnosed with pre-eclampsia (PE). This study was performed to determine whether clinical features of such proteinuria preceding PE (P-PE) differ from those of other PE (O-PE).DesignRetrospective observational study after approval of the institutional review board of ethics.SettingA single university hospital. Proteinuria was defined as a protein-to-creatinine ratio (mg/mg; P/Cr) of ≥0.27 in the spot urine specimen. IGP was defined as proteinuria in the absence of hypertension. P-PE was defined as PE in which proteinuria preceded hypertension by more than 2 days.ParticipantsAll of 10 and 18 consecutive women with P-PE and O-PE, respectively, who gave birth between January 2008 and August 2013.ResultsProteinuria appeared earlier (at 30.2±3.0 vs 35.3±4.3 weeks, p=0.001), the P/Cr level was greater at birth (7.28±2.14 vs 3.19±2.49, p<0.001), net maternal weight gain during the last antenatal 1 week was greater (3.1±1.8 vs 1.3±1.7 kg, p=0.023) and length of pregnancy was shorter (32.5±1.9 vs 36.1±3.6 weeks, p=0.001) in women with P-PE than in O-PE. The duration of IGP was 10.0±5.9 days (range 3–20), and the time interval until delivery after diagnosis of PE was 6.1±8.2 days (range 0–23) in 10 women with P-PE. The P/Cr levels at birth were significantly inversely correlated with the antenatal lowest antithrombin activity and fibrinogen levels among the 28 women with PE.ConclusionsWomen with P-PE were likely to exhibit greater proteinuria in the urine, greater water retention in the interstitial space and more enhanced coagulation–fibrinolysis, thus suggesting that they may constitute a more severe form of PE than women with O-PE do.

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Section: Discussionmentioning

confidence: 99%

Clinical features of isolated gestational proteinuria progressing to pre-eclampsia: retrospective observational study

et al. 2014

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“…GWG may vary according to ethnicity. However, among 128838 and 5573 Japanese women with singleton and twin pregnancies, respectively, the numbers of women with GWG>20 kg, >25 kg and >30 kg were 1.1%, 0.20% and 0.06% for women with singleton pregnancies and 3.2%, 0.43%, and 0.09% for twin pregnancies, respectively [13]. Thus, three PPCM cases, including one in a previous pregnancy of the present case, were associated with greater GWG.…”

Section: Discussionmentioning

confidence: 55%

“…Average GWG reaches a pre-pregnancy body weight of approximately 20% [13], while the circulating blood volume physiologically increases in pregnancy by approximately 40% [14] and this natural volume overload leads to physiological cardiac hypertrophy [15]. However, in a mouse model, pathological hypertrophy (remodeling showing relative lack of capillary density with contractile dysfunction) can occur in the presence of sustained overload [16].…”

Section: Discussionmentioning

confidence: 99%

“…Cardiac biomarkers, such as NT-proBNP and high-sensitive troponin I (TnI), increase significantly during the late stage of pregnancy even in uncomplicated pregnancies, especially in women with well-known risk factors for PPCM, such as preeclampsia and multifetal pregnancy [17]. Both pre-eclampsia and multifetal pregnancy are associated with greater GWG [13,18]. Patients diagnosed with PPCM exhibit high levels of both NT-proBNP and TnI when tested [19].…”

Section: Discussionmentioning

confidence: 99%

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Gestational Weight Gain in a Woman with Peripartum Cardiomyopathy

Sakamoto¹,

Umazume²,

Morikawa³

et al. 2016

Crit Care Obst & Gyne

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Greater gestational weight gain (GWG) may be a risk factor for peripartum cardiomyopathy (PPCM). In counseling, women with a prior history of PPCM associated with greater GWG should be advised to avoid excessive GWG in subsequent pregnancies. The third pregnancy occurred in a 36-year-old Japanese woman with height of 1.48 m and left ventricular ejection fraction (LVEF) of 62% following the first and second pregnancies complicated with PPCM and spontaneous abortion, respectively. She exhibited GWG of 14.7 kg (from 37.0 to 51.7 kg) and normal or nearly normal plasma B-type natriuretic peptide levels and LVEF (>55%) throughout the current pregnancy. In her first pregnancy at the age of 33 years, extraordinary GWG of 30 kg (from 38.5 to 69.1 kg) preceded PPCM with nadir LVEF of 22% at 6 weeks postpartum followed by more than 18-month LVEF of <55%.

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“…3 Gestational weight gain may vary according to ethnicity. However, among 128,838 Japanese women with singleton pregnancies, 10 the mean (SD) weekly weight gain was 0.26 (0.12) kg and total gestational weight gain was approximately 9.6 (4.4) kg. Median (2.…”

Section: Discussionmentioning

confidence: 99%

Echocardiography findings in a case with Ballantyne syndrome

Suzuki

Yamamura

Kikuchi

et al. 2016

J of Obstet and Gynaecol

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Marked fluid retention occurs in Ballantyne syndrome, but few reports are available on changes in cardiac morphology in this syndrome. A woman with generalized edema, dyspnea, fetal hydrops (skin edema and ascites), thickened placenta, and elevated plasma BNP level (344 pg/mL) was admitted to our hospital at gestational week (GW) 20-3/7. Blood pressure remained within the normal range. However, acute increases in left atrial volume index, pulmonary artery systolic pressure, and hyperdynamic left ventricular function (as evidenced by increased left ventricular ejection fraction to 74% with cardiac index of 5.1 L/min/m 2 ) occurred preceding fetal death at GW 21-4/7 in the presence of increased inferior vena cava diameter (23 mm) and relatively low systemic vascular resistance of 752 dyn·s/cm 5 . These findings suggested life-threatening heart failure and required cesarean delivery at GW 21-5/7 resulting in complete recovery. The placenta suggested cytomegalovirus infection.

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Gestational weight gain according to number of fetuses in Japanese women

Abstract: Weekly maternal weight gain increases with increasing number of fetuses. Our figures may be useful for advising Japanese women with multifetal pregnancies regarding gestational weight gain.

Cited by 14 publications

References 10 publications

Clinical features of isolated gestational proteinuria progressing to pre-eclampsia: retrospective observational study

Clinical features of isolated gestational proteinuria progressing to pre-eclampsia: retrospective observational study

Gestational Weight Gain in a Woman with Peripartum Cardiomyopathy

Echocardiography findings in a case with Ballantyne syndrome

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