Severe maternal morbidity in twin pregnancies: the impact of body mass index and gestational weight gain.

IF 1.4 4区 医学 Q3 OBSTETRICS & GYNECOLOGY Journal of Perinatal Medicine Pub Date : 2025-03-18 Print Date: 2025-05-26 DOI:10.1515/jpm-2024-0532
Nathan A Keller, Frank I Jackson, Insaf Kouba, Luis A Bracero, Matthew J Blitz
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Abstract

Objectives: The objective of this study was to determine whether body mass index (BMI) and gestational weight gain (GWG) are associated with severe maternal morbidity (SMM) in twin gestations.

Methods: This was a retrospective cohort of all twin pregnancies delivered at seven hospitals in New York from 2019 to 2023. Multivariable logistic regression modeled the probability of SMM as a function of BMI group, adjusting for excessive GWG, race-ethnicity, and obstetric comorbidity index. A total of 1,976 twin gestations were included.

Results: The SMM rate was 14.0 % (n=276).

Conclusions: Neither pre-pregnancy BMI nor GWG was associated with SMM, both before or after adjustment for covariates.

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双胎妊娠严重孕产妇发病率:体重指数和妊娠期体重增加的影响
目的:本研究的目的是确定体重指数(BMI)和妊娠体重增加(GWG)是否与双胎妊娠严重产妇发病率(SMM)相关。方法:这是一项回顾性队列研究,纳入了2019年至2023年在纽约7家医院分娩的所有双胞胎妊娠。多变量logistic回归将SMM的概率建模为BMI组的函数,调整了过高的GWG、种族和产科合并症指数。共纳入1976例双胎妊娠。结果:SMM率为14.0 % (n=276)。结论:孕前BMI和GWG均与SMM无关,无论是在协变量调整之前还是之后。
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来源期刊
Journal of Perinatal Medicine
Journal of Perinatal Medicine 医学-妇产科学
CiteScore
4.40
自引率
8.30%
发文量
183
审稿时长
4-8 weeks
期刊介绍: The Journal of Perinatal Medicine (JPM) is a truly international forum covering the entire field of perinatal medicine. It is an essential news source for all those obstetricians, neonatologists, perinatologists and allied health professionals who wish to keep abreast of progress in perinatal and related research. Ahead-of-print publishing ensures fastest possible knowledge transfer. The Journal provides statements on themes of topical interest as well as information and different views on controversial topics. It also informs about the academic, organisational and political aims and objectives of the World Association of Perinatal Medicine.
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