ArticleBMC pregnancy and childbirth2023
Effect of gestational weight gain on postpartum pelvic floor function in twin primiparas: a single-center retrospective study in China.
Article in BMC pregnancy and childbirth, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 7 citations in OpenAlex.
- Twin pregnancy and early postpartum pelvic floor surface electromyographic activity: a single-center retrospective observational study using the glazer sEMG protocol.Frontiers in medicine · 2026Article
- Association between neonatal birthweight and maternal vaginal wall prolapse: a retrospective analysis of postpartum women.Frontiers in medicine · 2026Article
- Effect of gestational weight gain on adverse birth outcomes in twin pregnancies: a prospective cohort study in Chinese women.BMC pregnancy and childbirth · 2025Article
- Association Between Weight Change Pelvic Organ Prolapse and Weight Change During the Perinatal Period Among Chinese Women.International journal of women's health · 2025Article
- Establishment and validation of a clinical prediction model for predicting early postpartum pelvic floor muscle weakness among primiparous women after vaginal delivery: a retrospective study.Frontiers in medicine · 2025Article
- Risk factors for pelvic organ prolapse in postpartum women: a retrospective cross-sectional study in Southwest China.Frontiers in medicine · 2025Article
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6 authors at 3 institutions in 1 country.
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Abstract
backgroundThe effect of gestational weight gain (GWG) as a controllable factor during pregnancy pelvic floor function has rarely been investigated, and studies on twin primiparas are even less frequent. The objective of the present study was to explore the effect of GWG on postpartum pelvic floor function in twin primiparas.
methodsWe retrospectively analyzed the clinical data of 184 twin primiparas in the pelvic floor rehabilitation system of the First Affiliated Hospital of Chongqing Medical University from January 2020 to October 2021. Based on the GWG criteria recommended by the Institute of Medicine, the study subjects were classified into two groups: adequate GWG and excessive GWG. Univariate and multivariate logistic regression models were applied to explore the relationship between GWG and pelvic floor function.
resultsAmong the 184 twin primiparas, 20 (10.87%) had excessive GWG. The rates of abnormal vaginal dynamic pressure (95% vs. 74.39%), injured type I muscle fibers (80% vs. 45.73%), anterior vaginal wall prolapse (90% vs. 68.90%), and stress urinary incontinence (50% vs. 20.12%) of twin primiparas with excessive GWG were significantly higher than those with adequate GWG. There was no significant difference between the total score of the Pelvic Floor Distress Inventory-Short Form 20 (PFDI-20) or the scores of the Pelvic Organ Prolapse Distress Inventory 6 (POPDI-6), the Colorectal-Anal Distress Inventory 8 (CRADI-8), and the Urinary Distress Inventory 6 (UDI-6) in the two groups (P > 0.05). After adjusting for potential confounding factors, the results showed that excessive GWG was positively associated with abnormal vaginal dynamic pressure (OR = 8.038, 95% CI: 1.001-64.514), injured type I muscle fibers (OR = 8.654, 95% CI: 2.462-30.416), anterior vaginal wall prolapse (OR = 4.705, 95% CI: 1.004-22.054), and stress urinary incontinence (OR = 4.424, 95% CI: 1.578-12.403).
conclusionExcessive GWG in twin primiparas was positively correlated with the prevalence of pelvic floor dysfunction but did not exacerbate pelvic floor symptoms in twin primiparas. Controlling GWG within a reasonable range is recommended for reducing the risk of PFDs in pregnant women with twins.
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