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Weight gain patterns during twin gestation.

A L Pederson1, B Worthington-Roberts, D E Hickok

  • 1Department of Epidemiology, University of Washington, Seattle 98195.

Journal of the American Dietetic Association
|May 1, 1989
PubMed
Summary
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Achieving a 20 kg weight gain during twin gestation is linked to optimal pregnancy outcomes. Weight gain patterns in twin pregnancies differ from singleton pregnancies, especially after the first trimester.

Area of Science:

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

Background:

  • Limited data exist on recommended weight gain for twin pregnancies.
  • Optimal maternal weight gain is crucial for twin gestation outcomes.

Purpose of the Study:

  • To determine the optimal total weight gain for twin pregnancies.
  • To establish an ideal weight gain pattern throughout twin gestation.

Main Methods:

  • Retrospective analysis of 217 twin pregnancies.
  • Comparison of weight gain curves for twin versus singleton gestations.

Main Results:

  • A mean total weight gain of 20 kg was associated with optimal outcomes (term delivery, healthy infants).

Related Experiment Videos

  • Twin gestation weight gain mirrors singleton curves initially but accelerates in the second trimester.
  • Suboptimal weight gain patterns were observed in pregnancies with less-than-optimal outcomes.
  • Conclusions:

    • A 20 kg weight gain is recommended for optimal twin pregnancy outcomes.
    • Weight gain in twin pregnancies should increase significantly after the first trimester.
    • Monitoring weight gain patterns is essential for identifying high-risk twin gestations.