Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2024-12-24T03:29:12.623Z Has data issue: false hasContentIssue false
  • English
  • Français

Prenatal Weight Gain and the Birthweight of Triplets

Published online by Cambridge University Press:  01 August 2014

B. Luke ,
E. Bryan ,
C. Sweetland ,
S. Leurgans  and
L. Keith
B. Luke*
Affiliation:
Division of Health Services Research, Department of Obstetrics and Gynecology, and Centre for Human Growth and Development, University of Michigan Medical School, Ann Arbor, Michigan
E. Bryan
Affiliation:
Multiple Births Foundation, London, United Kingdom
C. Sweetland
Affiliation:
Multiple Births Foundation, London, United Kingdom
S. Leurgans
Affiliation:
Section of Biostatistics, Department of Preventive Medicine, Rush Medical College, Rush-Presbyterian-St Luke's Medical Center, Chicago, Illinois
L. Keith
Affiliation:
Department of Obstetrics and Gynecology, Northwestern University Medical Schooland Prentice Women's Hospital and Maternity Center, Chicago, Illinois
*
Dept Obstetrics and Gynecology, University of Michigan Medical School, F4866 Mott, 1500 East Medical Center Drive, Ann Arbor, Michigan 48109-0264, USA

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

The objective of this study was to evaluate the association between maternal factors, including rates of gestational weight gain before and after 24 weeks' gestation, and adequacy of intrauterine growth for gestational age at birth of triplets, as a mean Z-score of the triplet set. The study design was a retrospective, anonymous, pilot telephone survey of mothers of triplets and an historical cohort analysis of their prenatal weight gain records. The statistical analyses performed included multiple regression analysis to formulate a model for mean triplet Z-score (a measure of birthweight-for-gestational age) and analysis of variance to confirm and simplify the components of this model. Factors significant in the final model and their beta coefficients included weeks' gestation (-0.124, p <0.0001), rate of gain before 24 weeks' gestation (0.606, p = 0.005), and induced conception (−0.404, p = 0.01). Rate of gain > 1.5 lbs/week before 24 weeks was significant in the analysis of variance (p = 0.009). Better intrauterine growth for gestational age is achieved in triplet gestations with maternal weight gains of >1.5 lbs/week before 24 weeks' gestation.

Keywords

Triplet birthweightMaternal weight gain
Type
Research Article
Information
Acta geneticae medicae et gemellologiae: twin research , Volume 44 , Issue 2 , April 1995 , pp. 93 - 101
Copyright
Copyright © The International Society for Twin Studies 1995

References

REFERENCES

1.Abrams, B, Newman, V, Key, T, Parker, J (1989): Maternal weight gain and preterm delivery. Obstet Gynecol 74:577–583.Google Scholar
2.Bissenden, JG, Scott, PH, Hallum, J, Mansfield, HN, Scott, P, Wharton, BA (1981): Anthropo-metric and biochemical changes during pregnancy in Asian and European mothers having well grown babies. Br J Obstet Gynaecol 88:992–8.Google Scholar
3.Bissenden, JG, Scott, PH, King, J, Hallum, J, Mansfield, HN, Wharton, BA (1981): Anthropo-metric and biochemical changes during pregnancy in Asian and European mothers having light-for-gestational-age babies. Br J Obstet Gynaecol 88:999–1008.Google Scholar
4.Botting, BJ, Macfarlane, AJ, Price, FV, eds (1990): Three, Four and More: A Study of Triplet and Higher Order Births. London: HMSO.Google Scholar
5.Brown, JE, Schloesser, P (1990): Pre-pregnancy weight status, prenatal weight gain, and the outcome of term twin gestations. Am J Obstet Gynecol 162:182–6.CrossRefGoogle Scholar
6.Collins, MS, Bleyl, JL (1990): Seventy-one quadruplet pregnancies: management and outcome. Am J Obstet Gynecol 162:1384–1392.CrossRefGoogle ScholarPubMed
7.Crowther, CA, Verkuyl, DAA, Ashworth, MF, Bannerman, C, Ashurst, HM (1991): The effects of hospitalization for bed rest on duration of gestation, fetal growth and neonatal morbidity in triplet pregnancy. Acta Genet Med Gemellol 40:63–8.Google ScholarPubMed
8.Dibley, MJ, Staehling, N, Nieburg, P, Trowbridge, FL (1987): Interpretation of Z-score anthropometric indicators derived from the international growth reference. Am J Clin Nutr 46:749–62.Google Scholar
9.Elster, AD, Bleyl, JL, Craven, TE (1991): Birthweight standards for triplets under modern obstetric care in the United States, 1984-1989. Obstet Gynecol 77:387–393.Google Scholar
10.Gallagher, MW, Gegor, C, Luke, B, Paine, L (1991): A team approach to management of multifetal pregnancy. Abstract presented at the annual armed forces section of the American College of Obstetricians and Gynecologists, Bethesda, Maryland.Google Scholar
11.Hediger, ML, Scholl, TO, Belsky, DH, Ances, IG, Salmon, RW (1989): Patterns of weight gain in adolescent pregnancy: effects on birthweight and preterm delivery. Obstet Gynecol 74:6–12.Google Scholar
12.Institute of Medicine, National Academy of Sciences (1990): Nutrition During Pregnancy. Washington, DC: National Academy Press.Google Scholar
13.Lawton, FG, Mason, GC, Kelly, KA, Ramsay, IN, Morewood, GA (1988): Poor maternal weight gain between 28 and 32 weeks gestation may predict small-for-gestational age infants. Br J Obstet Gynecol 95:884–7.Google Scholar
14.Luke, B (1987): Twin births: influence of maternal weight on intrauterine growth and prematurity. Fed Proc 46:1015 (abstr).Google Scholar
15.Luke, B (1994): The changing pattern of multiple births in the United States: maternal and infant characteristics, 1973 and 1990. Obstet Gynecol 84:101–6.Google ScholarPubMed
16.Luke, B, Keith, LG (1992): The contribution of singletons, twins, and triplets to low birth-weight, infant mortality and handicap in the United States. J Reprod Med 37:661–6.Google ScholarPubMed
17.Luke, B, Minogue, J, Abbey, H, Keith, L, Witter, FR, Feng, TI, Johnson, TRB (1992): The association between maternal weight gain and the birthweight of twins. J Maternal-Fetal Med 1:267–276.Google Scholar
18.Luke, B, Minogue, J, Witter, FR, Keith, L, Johnson, TRB (1993): The ideal twin pregnancy: patterns of weight gain, discordancy, and length of gestation. Am J Obstet Gynecol 169:588–97.CrossRefGoogle ScholarPubMed
19.Luke, B, Minogue, J (1994): Contribution of gestational age and birthweight to perinatal viability in singletons vs twins. J Maternal-Fetal Med 3:263–74.Google Scholar
20.Luke, B, Minogue, J, Witter, FR (1993): The role of fetal growth restriction and gestational age on length of hospital stay in twin infants. Obstet Gynecol 81:949–53.Google ScholarPubMed
21.Newman, RB, Hamer, C, Miller, MC (1989): Outpatient triplet management: a contemporary review. Am J Obstet Gynecol 161:547–555.CrossRefGoogle ScholarPubMed
22.Pederson, AL, Worthington-Roberts, B, Hickok, DE (1989): Weight gain patterns during twin gestation. J Am Dietet Assoc 89:642–6.Google Scholar
23.Scholl, TO, Hediger, ML, Ances, IG, Belsky, DH, Salmon, RW (1990): Weight gain during pregnancy in adolescence: predictive ability of early weight gain. Obstet Gynecol 75:948–53.Google ScholarPubMed
24.Seoud, MAF, Toner, JP, Kruithoff, C, Muasher, SJ (1992): Outcome of twin, triplet, and quadruplet in vitro fertilization pregnancies: the Norfolk experience. Fertility and Sterility 57:825–834.Google Scholar
25.Taffel, SM (1980): Factors associated with low birthweight, United States, 1976. Vital and Health Statistics, Series 21, No. 37. DHHS Pub. No. (PHS) 80-1915. Hyattsville, MD: National Center for Health Statistics.Google Scholar
26. US Dept Health, Education, and Welfare (1976): Vital Statistics of the United States, 1972. Vol. I: Natality. Public Health Service, Rockville, MD: Health Resources Administration, National Center for Health Statistics. (HRA) 76:1100.Google Scholar
27.Ventura, SJ, Martin, JA, Taffel, SM, Mathews, TJ, Clarke, SC (1994): Advance report of final natality statistics, 1992. Monthly Vital Statistics Report 43; 5. Suppl. Hyattsville, MD: National Center for Health Statistics.Google Scholar