Maternal and neonatal outcomes in women with twin pregnancies with excessive gestational weight gain

Kate E. Pettit, Daphne Y. Lacoursiere, David B Schrimmer, Hedaya Alblewi, Thomas R. Moore, Gladys A. Ramos

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objective: To determine if an excessive rate of gestational weight gain (GWG) in twin pregnancies is associated with adverse obstetric outcomes.Methods: Retrospective cohort study of twin pregnancies delivered at the University of California, San Diego 2001-2014. Women were included if they had adequate or excessive rates of GWG as determined by Institute of Medicine guidelines. Demographic and outcome variables were collected by chart review.Results: Four hundred and eighty-nine twin pregnancies met inclusion criteria. Of which, 40.5% had adequate rates of GWG and 41.5% had excessive rates of GWG. The rates of preterm birth and gestational diabetes were similar between the two groups. Gestational hypertension and preeclampsia were more common in women with excessive GWG (37.9% versus 19.7%; p < 0.01). This finding persisted in multivariate analysis. The mean birth weight percentiles were higher in the excessive GWG group and these women were also less likely to have an infant with a birth weight <10th percentile (21.4% versus 35.9%, p < 0.01).Conclusions: Excessive GWG is associated with a higher risk for gestational hypertension and preeclampsia, but no other adverse perinatal outcomes. Infants born to mothers with excessive GWG are less likely to be small for gestational age than those born to women with adequate GWG.

Original languageEnglish (US)
Pages (from-to)2182-2185
Number of pages4
JournalJournal of Maternal-Fetal and Neonatal Medicine
Volume29
Issue number13
DOIs
StatePublished - Jul 2 2016

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Twin Pregnancy
Weight Gain
Mothers
Pregnancy Induced Hypertension
Pre-Eclampsia
Birth Weight
National Academies of Science, Engineering, and Medicine (U.S.) Health and Medicine Division
Gestational Diabetes
Premature Birth
Gestational Age
Obstetrics
Cohort Studies
Multivariate Analysis
Retrospective Studies
Demography
Guidelines

Keywords

  • Gestational hypertension
  • gestational weight gain
  • institute of medicine
  • preeclampsia
  • twin pregnancy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

Maternal and neonatal outcomes in women with twin pregnancies with excessive gestational weight gain. / Pettit, Kate E.; Lacoursiere, Daphne Y.; Schrimmer, David B; Alblewi, Hedaya; Moore, Thomas R.; Ramos, Gladys A.

In: Journal of Maternal-Fetal and Neonatal Medicine, Vol. 29, No. 13, 02.07.2016, p. 2182-2185.

Research output: Contribution to journalArticle

Pettit, Kate E. ; Lacoursiere, Daphne Y. ; Schrimmer, David B ; Alblewi, Hedaya ; Moore, Thomas R. ; Ramos, Gladys A. / Maternal and neonatal outcomes in women with twin pregnancies with excessive gestational weight gain. In: Journal of Maternal-Fetal and Neonatal Medicine. 2016 ; Vol. 29, No. 13. pp. 2182-2185.
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