ArticleBMC pregnancy and childbirth2019
The effect of gestational weight gain on perinatal outcomes among Chinese twin gestations based on Institute of Medicine guidelines.
Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Gestational Weight Gain and Its Effects on Maternal and Neonatal Outcome in Women With Twin Pregnancies: A Systematic Review and Meta-Analysis.Frontiers in pediatrics · 2021Pooled it
- Gestational weight gain and perinatal outcomes in twin pregnancies: evidence-based insights from a Chinese population cohort.Annals of medicine · 2026Observational
- Investigation of optimal range of gestational weight gain for twin pregnancies according to Chinese specific body mass index categories.BMC pregnancy and childbirth · 2026Article
- Gestational weight gain and adverse pregnancy outcomes among pregnant women attending primary health centres in Puducherry: Results from the JANMAM pregnancy cohort.The Indian journal of medical research · 2026Article
- Association of gestational weight gain with adverse pregnancy outcomes across body mass index categories for twins in China.Frontiers in reproductive health · 2026Article
- Impact of early pregnancy body mass index and gestational weight gain on birth outcomes: Findings from a pregnancy cohort in South Delhi, India.PLOS global public health · 2026Article
- Combined counseling based on the Fogg behavior model for managing weight gain in pregnant women: A randomized controlled trial protocol.Journal of education and health promotion · 2026Article
- Association Between Birth Outcomes and Gestational Weight Gain Among Forcibly Displaced Rohingya and Nearby Host Community, in Cox's Bazar, Bangladesh.Life (Basel, Switzerland) · 2025Article
- Association of gestational weight gain with pregnancy complications and delivery outcomes in twins: a study in Northern China.BMC pregnancy and childbirth · 2025Article
- The Impact of Excessive Gestational Weight Gain on Adverse Perinatal Outcomes: A Systematic Review.Journal of clinical medicine · 2025Review
- Association between birthweight discordance and extrauterine growth restriction among preterm twins: a national multi-center study in China.Frontiers in pediatrics · 2025Article
- Article
- Obstetric and neonatal outcomes in the management of twin pregnancies with gestational diabetes using the IADPSG criteria for singleton pregnancies.BMC pregnancy and childbirth · 2024Article
- Impact of maternal body mass index and gestational weight gain on maternal and neonatal outcomes in twin pregnancies.Acta obstetricia et gynecologica Scandinavica · 2023Article
- Associations between gestational weight gain and adverse neonatal outcomes: a comparison between the US and the Chinese guidelines in Chinese women with twin pregnancies.BMC public health · 2023Article
- Gestational weight gain adequacy among twin pregnancies in France.Maternal & child nutrition · 2023Article
- Association of Optimal Gestational Weight Gain Ranges With Perinatal Outcomes Across Body Mass Index Categories in Twin Pregnancies.JAMA network open · 2022Article
- Article
- Assessment of different thresholds of birthweight discordance for early neonatal outcomes: retrospective analysis of 2348 twin pregnancies.BMC pregnancy and childbirth · 2022Article
- Gestational weight gain in the REVAMP pregnancy cohort in Western India: Comparison with international and national references.Frontiers in medicine · 2022Article
Corrections and comments
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Authors and funding
13 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGestational weight gain (GWG) has implications for perinatal outcomes, the guidelines for maternal weight gain, however, remain understudied among twin pregnancies. This study aimed to assess the associations between perinatal outcomes and GWG among twin pregnancies, based on the US institute of Medicine (IOM) 2009 guidelines.
methodsA retrospective cohort study of pregnant women with viable twins ≥26 weeks of gestation, was conducted in Foshan, China, during July 2015 and June 2018. Maternal BMI was categorized based on Chinese standard and GWG was categorized as below, within and above the IOM 2009 recommendations. Underweight women were excluded for analysis. Perinatal outcomes were compared among these groups. To assess the independent impact of GWG on the perinatal outcomes, conventional multivariable regression and general estimated equation (GEE) were utilized for maternal outcomes and neonatal outcomes, respectively.
resultsA total of 645 mothers with twin pregnancies were included, of whom 15.0, 41.4 and 43.6% gained weight below, within and above guidelines, respectively. Compared to weight gain within guidelines, inadequate weight gain was associated with increased risks in spontaneous preterm birth < 37 weeks (aOR:3.55; 95% CI: 1.73-7.28) and < 35 weeks (aOR:2.63; 95% CI: 1.16-5.97). Women who gained weight above guidelines were more likely to have gestational hypertension disorder (aOR: 2.36; 95% CI: 1.32-4.21), pre-eclampsia (aOR: 2.59; 95% CI: 1.29-5.21) and have fetuses weighted >90th percentile and less likely to have fetuses weighted < 2500 g and < 1500 g.
conclusionsMaintenance of gestational weight gain within the normal range could decrease the risk of adverse perinatal outcomes. However, the causality between pre-eclampsia and gestational weight gain requires further investigations.
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