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Does maternal height affect triplets' birth weight?

Zeev Blumenfeld1, Lior Lowenstein, Olga Brook

  • 1Reproductive Endocrinology & Infertility, Department of Obstetrics and Gynecology, Rambam Medical Center, Technion Faculty of Medicine, Haifa, Israel 31096. z_blumenfeld@rambam.health.gov.il

Medical Science Monitor : International Medical Journal of Experimental and Clinical Research
|December 22, 2005
PubMed
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Maternal height is a significant predictor of outcomes in triplet pregnancies. Taller mothers (over 165 cm) tend to have heavier babies and face lower risks of premature delivery compared to shorter mothers.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Reproductive Endocrinology

Background:

  • Identifying predictive factors for triplet gestation outcomes is crucial when multifetal pregnancy reduction is declined.
  • Maternal height is a potential factor influencing gestational age and neonatal birth weight in multiple gestations.

Purpose of the Study:

  • To investigate the association between maternal height and Body Mass Index (BMI) with pregnancy outcomes in triplet gestations.
  • To determine if maternal anthropometrics can predict neonatal weight, delivery timing, and neonatal intensive care unit (NICU) hospitalization.

Main Methods:

  • Retrospective evaluation of 102 triplet gestations.
  • Comparison and correlation of maternal height and BMI with neonatal birth weight, week of delivery, and NICU stay.

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Main Results:

  • Mothers taller than 165 cm delivered significantly heavier neonates compared to shorter mothers.
  • A positive correlation was observed between maternal height and individual/mean total triplet neonatal weights.
  • No significant correlation was found between preconceptional maternal BMI and neonatal weight, delivery week, or NICU hospitalization.

Conclusions:

  • Taller mothers (>165 cm) appear to have a lower risk of very low birth weight neonates and extreme prematurity in triplet pregnancies.
  • Maternal height should be considered during consultations for multiple gestation pregnancies.
  • Limiting embryo transfer to two in in vitro fertilization (IVF) programs for smaller women may significantly reduce triplet pregnancy risks.