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Is Adherence to the Provisional Institute of Medicine Guidelines of Weight Gain Associated With Better Perinatal Outcomes? A Retrospective Cohort Study of Twin Pregnancies in Southwest China.
- Source :
- Asia-Pacific Journal of Public Health; Jan2022, Vol. 34 Issue 1, p44-50, 7p
- Publication Year :
- 2022
-
Abstract
- 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 three 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. [ABSTRACT FROM AUTHOR]
- Subjects :
- WEIGHT gain in pregnancy
STATISTICS
PREMATURE infants
NEONATAL intensive care
CONFIDENCE intervals
RETROSPECTIVE studies
DISEASE incidence
VERY low birth weight
NEONATAL intensive care units
FISHER exact test
TERTIARY care
MEDICAL protocols
PREGNANCY outcomes
PREECLAMPSIA
DESCRIPTIVE statistics
CHI-squared test
BIRTH weight
RESEARCH funding
LOGISTIC regression analysis
ODDS ratio
DATA analysis software
MULTIPLE pregnancy
LONGITUDINAL method
EDUCATIONAL attainment
Subjects
Details
- Language :
- English
- ISSN :
- 10105395
- Volume :
- 34
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Asia-Pacific Journal of Public Health
- Publication Type :
- Academic Journal
- Accession number :
- 154066238
- Full Text :
- https://doi.org/10.1177/10105395211026071