Maternal and neonatal outcomes according to gestational weight gain in twin pregnancies: Are the American IOM guidelines associated with better issues in Europe?

Pécheux, Océane; Garabédian, Charles; Drumez, Élodie; Mizrahi, Sarah; Cordiez, Sophie; Deltombe, Sophie; Deruelle, Philippe

doi:10.1016/j.ejogrb.2018.08.256

Cited by 5 publications

(4 citation statements)

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“…The twin newborn weight was higher in women with adequate GWG according to the IOM guidelines than in women with low GWG 3‐9 . Furthermore, excessive GWG, as determined according to IOM guidelines, was associated with increased prevalence of HDP compared with adequate GWG 6‐8 . The results that led to the IOM guidelines were from studies conducted in Western women.…”

Section: Discussionmentioning

confidence: 99%

Are the Institute of Medicine guidelines for optimal gestational weight gain in twin pregnancies applicable to Japanese women?

Shimura

Obata

Misumi

et al. 2020

J of Obstet and Gynaecol

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AimsTo investigate whether the Institute of Medicine (IOM) guidelines for optimal gestational weight gain (GWG) in twin pregnancies are applicable to Japanese women.MethodsThis was a retrospective study involving women who delivered full‐term twins at our tertiary center diagnosed with a normal prepregnancy body mass index. The women were divided into two groups, according to the optimal GWG recommended by the IOM (16.8–24.5 kg): the adequate GWG (AGWG) group with GWG meeting the guidelines and the low GWG (LGWG) group with GWG below the guidelines. Next, the women were divided into two groups according to birthweight: a group with both twins born appropriate for gestational age (AGA group) and a group with one or both twins born small for gestational age (SGA group). Their GWG as well as their pregnancy outcomes were compared.ResultsA total of 265 women were included. The AGWG group had a significantly higher proportion of hypertensive disorders of pregnancy than the LGWG group. There was no significant difference in the proportion of women with both twins born AGA or the rate of admission to the neonatal intensive care unit. Meanwhile, the median GWG in the AGA group was 13.6 kg, which was significantly higher than 12.0 kg in the SGA group. And even the median GWG in the AGA group was below the lower limit of the IOM guidelines.ConclusionThe optimal GWG for Japanese women with twin pregnancies may be below the IOM guidelines.

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Section: Discussionmentioning

confidence: 99%

Are the Institute of Medicine guidelines for optimal gestational weight gain in twin pregnancies applicable to Japanese women?

Shimura

Obata

Misumi

et al. 2020

J of Obstet and Gynaecol

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“…Most of the available literature on this topic focuses on fetal growth and has shown a positive association between GWG and birth weight [11,[15][16][17][18][19][20][21]. However, this effect has not shown constant statistical results, mainly due to small sample sizes, especially when the results are stratified by prepregnancy BMI.…”

Section: Introductionmentioning

confidence: 99%

Maternal and neonatal outcomes according to gestational weight gain in twin pregnancies: Are the Institute of Medicine guidelines associated with better outcomes?

Pécheux

Garabédian

Drumez

et al. 2019

European Journal of Obstetrics & Gynecology and Reproductiv

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“…Excessive GWG increases the risk of macrosomia 1 and childhood obesity 6 . While inadequate GWG increases the risk for low birth weight (LBW), preterm birth, and small for gestational age (SGA) among singletons 1 , 7 , 8 , these outcomes are especially risky in twin pregnancies 9 , 10 .…”

Section: Introductionmentioning

confidence: 99%

Gestational Weight Gain per Pre-Pregnancy Body Mass Index and Birth Weight in Twin Pregnancies: A Cohort Study in Wuhan, China

Chen

Liu

Zhang

et al. 2018

Sci Rep

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To assess the relationship between gestational weight gain (GWG) of twin-pregnancy women and twin birth weights, as well as to evaluate whether pre-pregnancy body mass index (BMI) influences this relationship. A cohort study was conducted in Wuhan, China, between 1/01/2011 and 8/31/2017. Women with twin pregnancies who delivered live and non-malformed twins were included (6,925 women and 13,850 infants), based on the Wuhan Maternal and Child Health Management Information System. Logistic regression models were employed to examine the association between GWG and paired small for gestational age (SGA, defined as birth weight <10th percentile for gestational age and sex)/SGA and linear regression models were utilized to explore the relationship between GWG and sum of birth weights. The associations of GWG based on both the IOM and Chinese recommendations and SGA/SGA pairs were obtained, as well as the stratified analyses by pre-pregnancy BMI. Additionally, the sum birth weight of one twin pair increased by 15.88 g when the GWG increased by 1 kg. GWG below the IOM and Chinese recommendations was associated with an increased risk of SGA/SGA pairs in all pre-pregnancy BMI categories. However, in underweight, overweight, and obese women, the association between GWG above the IOM and Chinese recommendations and SGA/SGA pairs changed with adjustment.

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Maternal and neonatal outcomes according to gestational weight gain in twin pregnancies: Are the American IOM guidelines associated with better issues in Europe?

Cited by 5 publications

References 0 publications

Are the Institute of Medicine guidelines for optimal gestational weight gain in twin pregnancies applicable to Japanese women?

Are the Institute of Medicine guidelines for optimal gestational weight gain in twin pregnancies applicable to Japanese women?

Maternal and neonatal outcomes according to gestational weight gain in twin pregnancies: Are the Institute of Medicine guidelines associated with better outcomes?

Gestational Weight Gain per Pre-Pregnancy Body Mass Index and Birth Weight in Twin Pregnancies: A Cohort Study in Wuhan, China

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