The association between gestational weight gain and perinatal outcomes among underweight women with twin pregnancy in Japan

The association between gestational weight gain and perinatal outcomes among underweight women with twin pregnancy in Japan
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DOI:
10.1002/ijgo.14122
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发表时间:
2022-02-23
影响因子:
3.8
通讯作者:
Sago, Haruhiko
Sago, Haruhiko
中科院分区:
医学4区
文献类型:
--
作者:
Maeda, Yuto;Ogawa, Kohei;Sago, Haruhiko

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目的探讨日本双胎妊娠体重不足妇女妊娠体重增加(GWG)与妊娠结局的关系。方法本研究来源于日本妇产科学会2007年至2015年间的围产儿数据库。我们纳入5049名体重不足(孕前体重指数[BMI]=18.5和0.35公斤/周)。未观察到GWG与剖宫产之间的关联。这些关联在正常体重组中类似。结论体重过轻的双胎妊娠妇女GWG与SGA或早产呈负相关。每周体重增加0.35公斤的女性患先兆子痫的风险更高。
Objective To clarify the association between gestational weight gain (GWG) and pregnancy outcomes in underweight women with twin pregnancies in Japan. Methods This retrospective study derived data from the Japan Society of Obstetrics and Gynecology perinatal database between 2007 and 2015. We included 5049 underweight (pre-pregnancy body mass index [BMI] = 18.5 and 0.35 kg/week. No association was observed between GWG and cesarean delivery. These associations were similar in the normal-weight group. Conclusion Underweight women with twin pregnancies showed an inverse association between GWG and SGA or preterm birth. The risk of preeclampsia was higher in women who gained >0.35 kg/week.