ArticleActa obstetricia et gynecologica Scandinavica2023
Impact of maternal body mass index and gestational weight gain on maternal and neonatal outcomes in twin pregnancies.
Article in Acta obstetricia et gynecologica Scandinavica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 19 citations in OpenAlex.
- Association of gestational weight gain with adverse pregnancy outcomes across body mass index categories for twins in China.Frontiers in reproductive health · 2026Article
- Diet in Pregnancy: A Review of Current Challenges and Recommendations. A British Nutrition Foundation Briefing Paper.Nutrition bulletin · 2025Review
- Association of gestational weight gain with pregnancy complications and delivery outcomes in twins: a study in Northern China.BMC pregnancy and childbirth · 2025Article
- The effect of maternal pre-pregnancy body mass index on hypertensive disorders of pregnancy (HDP): a systematic review and dose-response meta-analysis of cohort studies involving 50 million pregnancies.EClinicalMedicine · 2025Article
- Neonatal and maternal morbidity rates in low-risk nulliparous women across different gestational ages.iScience · 2025Article
- Association between obesity in women with multiple gestations and adverse obstetric outcomes: a study of an American population database with over 136,000 unique deliveries.Archives of gynecology and obstetrics · 2025Article
- Impact of pre-pregnancy maternal body mass index on neonatal outcomes in twin delivery: A retrospective cohort study.Pakistan journal of medical sciences · 2025Article
- The impact of gestational weight gain on fetal and neonatal outcomes: the Araraquara Cohort Study.BMC pregnancy and childbirth · 2024Article
- Maternal prepregnancy overweight/obesity increase the risk of low Apgar scores in twins: a population-based cohort study in China.Frontiers in pediatrics · 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
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionTo date, there have only been provisional recommendations about the appropriate gestational weight gain in twin pregnancies. This study aimed to contribute evidence to this gap of knowledge. MATERIAL AND
methodsUsing a cohort of 10 603 twin pregnancies delivered between 2000 and 2015 in the state of Hessen, Germany, the individual and combined impact of maternal body mass index and gestational weight gain on maternal and neonatal outcomes was analyzed using uni- and multivariable logistic regression models. The analysis used newly defined population-based quartiles of gestational weight gain in women carrying twin pregnancies (Q1: <419.4 g/week [low weight gain], Q2-Q3: 419.4-692.3 g/week [optimal weight gain], Q4: >692.3 g/week [high weight gain]) and the World Health Organization body mass index classification.
resultsPre-pregnancy body mass index ≥25 kg/m
conclusionsIn twin pregnancies, nonoptimal weekly maternal weight gain seems to be strongly associated with maternal and neonatal adverse outcomes. Since gestational weight gain is a modifiable risk factor, health care providers have the opportunity to counsel pregnant women with twins and target their care accordingly. Additional research to confirm the validity and generalizability of our findings in different populations is warranted.
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