Correlation between second trimester weight gain and perinatal outcomes in dichorionic twin pregnancies: The LoTiS cohort study

Author(s):  
Li Wen ◽  
Xiyao Liu ◽  
Lan Wang ◽  
Yangxi Zheng ◽  
Jie Li ◽  
...  
2016 ◽  
Vol 7 ◽  
pp. JCM.S38895 ◽  
Author(s):  
Shunji Suzuki

We examined the prevalence of specific perinatal complications of monochorionic-diamniotic twin pregnancies in cases without any abnormal findings until the second trimester of pregnancy. This was a retrospective cohort study performed at a tertiary perinatal center in Tokyo, Japan. There were 88 cases of uncomplicated monochorionic-diamniotic twin pregnancies at 28 weeks of gestation. In five of them (5.7%), there were serious complications associated with placental circulatory imbalance between the twins during the third trimester of pregnancy. Two cases were complicated by twin–twin transfusion syndrome, two cases were complicated by twin anemia–polycythemia sequence, and one case was complicated by acute twin–twin transfusion syndrome. In the five cases, no abnormal ultrasonographic findings or symptoms were recognized one or two weeks prior to the diagnosis. Fifty-eight cases (65.9%) were delivered at term uneventfully. Serious complications due to placental circulatory imbalance between twins occurred in about 6% of cases during the third trimester of pregnancy.


2021 ◽  
pp. 101053952110260
Author(s):  
Jie Yan ◽  
Li Tang ◽  
Min Xu

The applicability of the Institute of Medicine (IOM) recommendations of gestational weight gain (GWG) for Chinese twin gestations is uncertain. In this article, we aimed to investigate the associations between GWG among twin gestations, as categorized according to the 2009 IOM guidelines and perinatal outcomes in Chengdu, China. A retrospective cohort study of pregnant women delivering live twins ≥28 weeks at a tertiary maternal and child hospital was conducted. The incidences of perinatal outcomes were compared across 3 groups—that is, women with low, adequate, and excessive GWG. Logistic regression analyses were next performed to confirm the associations while taking into account potential confounders. Results showed that low GWG was associated with a higher risk of preterm birth, low and very low birthweight, neonatal intensive care unit admission, and gestational diabetes, whereas preeclampsia was more frequent among excessive GWG women. In conclusion, adherence to the 2009 IOM guidelines for twin pregnancies are associated with improved perinatal outcomes. This has the potential to improve short- and long-term public health outcomes.


2012 ◽  
Vol 119 (12) ◽  
pp. 1493-1502 ◽  
Author(s):  
N Micali ◽  
B De Stavola ◽  
I dos-Santos-Silva ◽  
J Steenweg-de Graaff ◽  
PW Jansen ◽  
...  

2013 ◽  
Vol 27 (6) ◽  
pp. 552-556 ◽  
Author(s):  
Amirhoushang A. Shamshirsaz ◽  
Sina Haeri ◽  
Samadh F. Ravangard ◽  
Haleh Sangi-Haghpeykar ◽  
Manisha Gandhi ◽  
...  

2014 ◽  
Vol 33 (9) ◽  
pp. 1573-1578 ◽  
Author(s):  
M. Baraa Allaf ◽  
Winston A. Campbell ◽  
Anthony M. Vintzileos ◽  
Sina Haeri ◽  
Pouya Javadian ◽  
...  

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