Evaluation of gestational weight gain in women with twin pregnancies and its relationship to neonatal birth weight. A pilot study

• Autorzy: Wierzejska R.
• Języki publikacji: EN

Abstrakty

EN

Background. To date, there have been no studies in Poland on weight gain in women with twin pregnancies in relation to recommendations. Objectives. The aim of this study was to analyze the gestational weight gain of women with twin pregnancies depending on their body weight before pregnancy, and to assess the relationship between the observed weight gain and the neonatal birth weight. Material and Methods. The study was conducted among 50 women in twin pregnancies and their 100 newborns delivered after 36 weeks of gestation. Gestational weight gain was assessed based on the American Institute of Medicine guidelines for women in twin pregnancies. Data on the pre-pregnancy body weight and gestational weight gain were collected by interviewing the patients. Neonatal data were obtained from the hospital medical records. Results. Normal gestational weight gain was observed only in 38% of the women. In women with monochorionic pregnancy, too low body weight gain occurred almost 3 times more often than in women with dichorionic pregnancy (74% vs. 26%), (p<0.001). Women with monochorionic pregnancies also gave birth to statistically significantly more newborns with low birth weight (<2500 g), compared to women with dichorionic pregnancies (62.5% vs. 37.5%) (p=0.007). The mean birth weight of newborns born to mothers with excessive weight gain was 151 g higher than children born to mothers with normal weight gain (2727 g vs. 2576 g) (p=0.035). Conclusions. In the majority of studied women in twin pregnancies, gestational weight gain was not compliant with the current recommendations. The risk of insufficient weight gain is higher in women with monochorionic pregnancies compared to women with dichorionic pregnancies.

• Wydawca: -
• Czasopismo: Roczniki Państwowego Zakładu Higieny
• Rocznik: 2024
• Tom: 75
• Numer: 3
• Opis fizyczny: p.275-282,fig.,ref.

Twórcy

autor

Wierzejska R.

• Department of Nutrition and Nutritional Value of Food, National Institute of Public Health NIH - National Research Institute, Chocimska St. 24, 00-791 Warsaw, Poland

Bibliografia

• 1. Committee on Practice Bulletins - Obstetrics; Society for Maternal-Fetal Medicine. Practice Bulletin No. 169: Multifetal Gestations: Twin, Triplet, and Higher-Order Multifetal Pregnancies. Obstet Gynecol. 2016;128(4):e131-e146. doi: 10.1097/AOG.0000000000001709.
• 2. Esteves-Pereira AP, da Cunha AJLA, Nakamura-Pereira M, Moreira ME, Domingues RM, Viellas EF, et al. Twin pregnancy and perinatal outcomes: Data from ‘Birth in Brazil Study’. PLoS One. 2021;16(1):e0245152. doi: 10.1371/journal.pone.0245152.
• 3. Statistics Poland. Demographic Yearbook of Poland 2022. Warsaw: Statistics Poland; 2022. [cited 2024 Sep 14] Available from: https://stat.gov.pl/obszary-tematyczne/roczniki-statystyczne/rocznikistatystyczne/rocznik-demograficzny-2022,3,16.html.
• 4. Santana DS, Surita FG, Cecatti JG. Multiple pregnancy: epidemiology and association with maternal and perinatal morbidity. Rev Bras Ginecol Obstet. 2018;40(9):554–562. doi: 10.1055/s-0038-1668117.
• 5. Obata S, Shimura M, Misumi T, Nakanishi S, Shindo R, Miyagi E, Aoki S. Weight gain during twin pregnancy with favorable pregnancy outcomes in Japan: A retrospective investigation for new criteria based on perinatal registry data. PLoS One. 2021;16(7):e0253596.doi: 10.1371/journal.pone.0253596.
• 6. Pécheux O, Garabedian C, Drumez E, Mizrahi S, Cordiez S, Deltombe S, Deruelle P. Maternal and neonatal outcomes according to gestational weight gain in twin pregnancies: Are the Institute of Medicine guidelines associated with better outcomes? Eur J Obstet Gynecol Reprod Biol. 2019;234:190–194. doi: 10.1016/j.ejogrb.2019.01.010.
• 7. Amyx M, Korb D, Zeitlin J, Schmitz T, Le Ray C. Gestational weight gain adequacy among twin pregnancies in France. Matern Child Nutr. 2023;19(1):e13436. doi: 10.1111/mcn.13436.
• 8. Goldstein RF, Abell SK, Ranasinha S, Misso ML, Boyle JA, Harrison CL, et al. Gestational weight gain across continents and ethnicity: Systematic review and meta-analysis of maternal and infant outcomes in more than one million women. BMC Med. 2018;16(1):153.doi: 10.1186/s12916-018-1128-1.
• 9. Roselló-Soberon ME, Fuentes-Chaparro L, Casanueva E. Twin pregnancies: eating for three? Maternal nutrition update. Nutr Rev. 2005;63(9):295–302. doi: 10.1111/j.1753-4887.2005.tb00144.x.
• 10. Hutcheon JA, Platt RW, Abrams B, Braxter BJ, Eckhardt CL, Himes KP, Bodnar LM. Pregnancy weight gain by gestational age in women with uncomplicated dichorionic twin pregnancies. Paediatr Perinat Epidemiol. 2018;32(2):172–180. doi: 10.1111/ppe.12446.
• 11. Alberta Health Services. Nutrition Guideline Pregnancy: Multiples. 2018. [cited 2024 Sep 14] Available from: https://www.albertahealthservices.ca/assets/info/nutrition/if-nfs-ng-pregnancy-multiples.pdf.
• 12. Hinkle SN, Hediger ML, Kim S, Albert PS, Grobman W, Newman RB, et al. Maternal weight gain and associations with longitudinal fetal growth in dichorionic twin pregnancies: A prospective cohort study. Am J Clin Nutr. 2017;106(6):1449–1455. doi: 10.3945/ajcn.117.158873.
• 13. Luke B. Nutrition for multiples. Clin Obstet Gynecol. 2015;58(7):585–609. doi: 10.1097/GRF.0000000000000117.
• 14. Institute of Medicine and National Research Council. Weight gain during pregnancy: reexamining the guidelines; Washington, DC: National Academies Press; 2009. [cited 2024 May 8] Available from: https://www.ncbi.nlm.nih.gov/books/NBK32813/.
• 15. Wierzejska R, Wojda B. Pre-pregnancy nutritional status versus maternal weight gain and neonatal size. Roczn Państw Zakl Hig. 2019;70(4):377–384. doi:10.32394/rpzh.2019.0089.
• 16. Most M, Dervis S, Haman F, Adamo KB, Redman LM. Energy intake requirements in pregnancy. Nutrients. 2019;11(8):1812. doi: 10.3390/nu11081812.
• 17. Bomba-Opoń D, Drews K, Huras H, Laudański P, Paszkowski T, Wielgoś M. Rekomendacje Polskiego Towarzystwa Ginekologów i Położników dotyczące indukcji porodu. Aktualizacja 2021. Ginekol Perinatol Prakt. 2020;5(4):86–99.
• 18. Lal AK, Kominiarek MA. Weight gain in twin gestations: Are the Institute of Medicine guidelines optimal for neonatal outcomes? J Perinatol. 2015;35(6):405–410. doi: 10.1038/jp.2014.237.
• 19. Lin D, Huang X, Fan D, Chen G, Li P, Rao J, et al. Association of optimal gestational weight gain ranges with perinatal outcomes across body mass index categories in twin pregnancies. JAMA Netw Open. 2022;5(7):e2222537. doi: 10.1001/jamanetworkopen.2022.22537.
• 20. Liu LY, Zafman KB, Fox NS. Weight gain and pregnancy outcomes in underweight women with twin gestations. J Matern Fetal Neonatal Med. 2020;33(17):2877–2881. doi: 10.1080/14767058.2018.1562544.
• 21. Ashtree DN, Osborne DA, Lee A, Umstad MP, Craig JM, Scurrah KJ. Three trajectories of gestational weight gain identified in an Australian twin study. Eur J Obstet Gynecol Reprod Biol. 2022;275:24–30. doi: 10.1016/j. ejogrb.2022.06.005.
• 22. Lutsiv O, Hulman A, Woolcott C, Beyene J, Giglia L, Armson A, et al. Examining the provisional guidelines for weight gain in twin pregnancies: A retrospective cohort study. BMC Pregnancy Childbirth. 2017;17(1):330. doi: 10.1186/s12884-017-1530-2.
• 23. Lipworth H, Barrett J, Murphy KE, Redelmeier D, Melamed N. Gestational weight gain in twin gestations and pregnancy outcomes: a systematic review and metaanalysis. BJOG. 2022129(6):868–879. doi: 10.1111/1471- 0528.17011.
• 24. Bodnar LM, Pugh SJ, Abrams B, Himes KP, Hutcheon JA. Gestational weight gain in twin pregnancies and maternal and child health: a systematic review. J Perinatol. 2014;34(4):252–263 doi: 10.1038/jp.2013.177.
• 25. Wierzejska R, Jarosz M, Klemińska-Nowak M, Tomaszewska M, Sawicki W, Bachanek M, Siuba-Strzelińska M. Maternal and cord blood vitamin D status and anthropometric measurements in term newborns at birth. Front Endocrinol (Lausanne). 2018;9:9. doi:10.3389/fendo.2018.00009.
• 26. Hack K, Derks JB, Elias SG, Franx A, Roos EJ, Voerman SK, et al. Increased perinatal mortality and morbidity in monochorionic versus dichorionic twin pregnancies: clinical implications of a large Dutch cohort study. BJOG. 2008;115(6):58–67. doi: 10.1111/j.1471-0528.2007.01556.x.
• 27. Kosińska-Kaczyńska K, Szymusik I, Bomba-Opoń D, Olejek A, Sławska H, Zimmer M, et al. Perinatal outcome according to chorionicity in twins – a Polish multicenter study. Ginekol Pol. 2016;87(5):384–389. doi: 10.5603/GP.2016.0009.
• 28. Rissanen AS, Gissler M, Nupponen IK, Nuutila ME, Jernman RM. Perinatal outcome of dichorionic and monochorionic-diamniotic Finnish twins: a historical cohort study. Acta Obstet Gynecol Scand. 2022;101(1):153–162. doi: 10.1111/aogs.14285.
• 29. Seetho S, Kongwattanakul K, Saksiriwuttho P, Thepsuthammarat K. Epidemiology and factors associated with preterm births in multiple pregnancy: a retrospective cohort study. BMC Pregnancy Childbirth. 2023;23(1):872. doi: 10.1186/s12884-023-06186-0.
• 30. Masalin S, Laine MK, Kautiainen H, Gissler M, Raina M, Pennanen P, Eriksson JG. Impact of maternal height and gestational diabetes mellitus on offspring birthweight. Diabetes Res Clin Pract. 2019;148:110–118. doi: 10.1016/j.diabres.2019.01.004.
• 31. Pickett KE, Abrams B, Selvin S. Maternal height, pregnancy weight gain, and birthweight. Am J Hum Biol. 2000;12(5):682–687. doi: 10.1002/1520-6300(200009/10)12:5<682::AIDAJHB13> 3.0.CO;2-X.
• 32. Pölzlberger E, Hartmann B, Hafner E, Stümpflein I, Kirchengast S. Maternal height and pre-pregnancy weight status are associated with fetal growth patterns and newborn size. J Biosoc Sci. 2017;49(3):392–407. doi: 10.1017/S0021932016000493.
• 33. Han Z, Lutsiv O, Mulla S, McDonald SD. Maternal height and the risk of preterm birth and low birth weight: a systematic review and meta-analyses. J Obstet Gynaecol Can. 2012;34(8):721–746. doi: 10.1016/S1701-2163(16)35337-3.
• 34. Grzeszczak K, Kapczuk P, Kupnicka P, Cecerska-Heryć E, Kwiatkowski S, Chlubek D, Kosik-Bogacka D. Calcium, potassium, sodium, and magnesium concentrations in the placenta, umbilical cord, and fetal membrane from women with multiple pregnancies. Life (Basel). 2023;13(1):153. doi: 10.3390/life13010153.
• 35. Holovatska MM, Moore Simas TA, Rudin LR, Waring ME. Gestational weight gain in uncomplicated twin pregnancies by pre-pregnancy body mass index. Sex Reprod Healthc. 2022;32:100719. doi: 10.1016/j.srhc.2022.100719.
• 36. Bannon AL, Waring ME, Leung K, Masiero JV, Stone JM, Scannell EC, Moore Simas TA. Comparison of self-reported and measured pre-pregnancy weight: implications for gestational weight gain counseling. Matern Child Health J. 2017;21(7):1469–1478. doi:10.1007/s10995-017-2266-3.

Identyfikatory

DOI

10.32394/rpzh/195562