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The Importance of Early Weight Gain in the Intrauterine Growth and Birth Weight of Twins

Am J Obstet Gynecol 1998 Nov;179(5):1155-61

Luke B, Min SJ, Gillespie B, Avni M, Witter FR, Newman RB, Mauldin JG,
Salman FA, O'Sullivan MJ
Department of Obstetrics and Gynecology, University of Michigan Medical
School, University of Michigan, Ann Arbor, MI, USA.


OBJECTIVE: It was our objective to evaluate the association between early maternal weight gain (before 20 weeks),midpregnancy weight gain (20-28 weeks), and late pregnancy weight gain (28 weeks to birth) with fetal growth and birth weight in twins .

STUDY DESIGN: This historic cohort study was based on 1564 births of live twins >/=28weeks' gestation from Baltimore, Maryland, Miami, Florida, Charleston, South Carolina, and Ann Arbor, Michigan.

RESULTS: Early fetal growth was affected only by smoking and chorionicity. Factors in models of both mid and late fetal growth included maternal age, pregravid weight, parity, rates of early pregnancy and midpregnancy maternal weight gain, smoking, and pre-eclampsia. Increasedmidpregnancy fetal growth was associated with early maternal weight gain (10.91 g/wk per pound perweek) and midpregnancy maternal weight gain (15.89 g/wk per poundper week). Increased late fetal growth was associated withearly maternal weight gain (16.86 g/wk per pound per week)and midpregnancy maternal weight gain (23.88 g/wk perpound per week). Increased birth weight was associated withearly (283.02 g per pound per week), mid (163.58 g per pound per week), and late (69.76 g per pound per week)maternal weight gains.

CONCLUSIONS: These findings confirm the importance of early maternal weight gain in twin fetal growth and birth weight.
PMID: 9822493


Jordan and Joshua

Jordan and Joshua

Thank you so much for all of the information that you sent and the time you took talking to me on the phone. It was all so helpful, and helped me make the decision on what route to take. I had 1 amnio reduction at 24weeks, and from your suggestion started drinking three Boost protein drinks a day. I never had to have another thing done besides a cerclage! On November 13th, at 34 1/2 weeks, my beautiful twin boys were born. They spent 1 week in the NICU, and now are home with my husband and I. Joshua was the donor twin weighing 5lbs 13oz, and Jordan the recipient weighed 5lbs 15oz... This truly is a miracle; I thank the Lord every day for giving me this precious gift!

Erin
Mother to Jordan and Joshua

Joshua and Jordan
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