Gestational weight gain in twin pregnancies and maternal and child health: a systematic review.

Gestational weight gain in twin pregnancies and maternal and child health: a systematic review.
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DOI:
10.1038/jp.2013.177
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发表时间:
2014-04
影响因子:
2.9
通讯作者:
Hutcheon, J. A.
Hutcheon, J. A.
中科院分区:
医学3区
文献类型:
--
作者:
Bodnar, L. M.;Pugh, S. J.;Abrams, B.;Himes, K. P.;Hutcheon, J. A.

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我们的目的是系统地回顾有关双胎妊娠妇女妊娠期体重增加(GWG)与母婴健康之间关系的数据。我们确定了15篇双胎妊娠的文章,这些文章研究了GWG与孕产妇、围产期或儿童健康结局的关系,并控制了分娩胎龄和孕前体重指数。GWG与胎儿大小呈正相关。关于早产和妊娠并发症的证据并不一致。现有的研究存在严重的方法学缺陷,包括没有适当地解释妊娠期和GWG之间的强相关性,也没有控制时间性。此外,没有研究严重的围产期结局,也没有关于GWG与出生后结局之间关系的研究。我们的系统综述强调,双胎妊娠的GWG是一个被忽视的研究领域。需要严格的研究来为未来的循证指南提供信息。
Our objective was to systematically review the data interrogating the association between gestational weight gain (GWG) and maternal and child health among women with twin gestations. We identified 15 articles of twin gestations that studied GWG in relation to a maternal, perinatal, or child health outcome and controlled for gestational age at delivery and prepregnancy body mass index. A positive association between GWG and fetal size was consistently found. Evidence on preterm birth and pregnancy complications was inconsistent. The existing studies suffer from serious methodological weaknesses, including not properly accounting for the strong correlation between gestational duration and GWG and not controlling for chorionicity. In addition, serious perinatal outcomes were not studied, and no research is available on the association between GWG and outcomes beyond birth. Our systematic review underscores that GWG in twin gestations is a neglected area of research. Rigorous studies are needed to inform future evidence-based guidelines.
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