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Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, MD, FRCOG, Joachim W.

Ed. by Bancalari, Eduardo / Chappelle, Joseph / Chervenak, Frank A. / D'Addario , Vincenzo / Genc, Mehmet R. / Greenough, Anne / Grunebaum, Amos / Konje, Justin C. / Kurjak M.D., Asim / Romero, Roberto / Zalud, MD PhD, Ivica


IMPACT FACTOR 2018: 1.361
5-year IMPACT FACTOR: 1.578

CiteScore 2018: 1.29

SCImago Journal Rank (SJR) 2018: 0.522
Source Normalized Impact per Paper (SNIP) 2018: 0.602

Online
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1619-3997
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Volume 33, Issue 5

Issues

Early adequate maternal weight gain is associated with fewer small for gestational age triplets

Orna Flidel-Rimon
  • Department of Neonatology, Kaplan Medical Center, Rehovot and the Hadassah-Hebrew University School of Medicine, Jerusalem, Israel
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Debbie J. Rhea / Louis G. Keith
  • Department of Obstetrics and Gynecology, The Feinberg School of Medicine, Northwestern University, and the Center for Study of Multiple Birth, Chicago, IL, USA
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Eric S. Shinwell
  • Department of Neonatology, Kaplan Medical Center, Rehovot and the Hadassah-Hebrew University School of Medicine, Jerusalem, Israel
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Isaac Blickstein
  • Obstetrics and Gynecology, Kaplan Medical Center, Rehovot and the Hadassah-Hebrew University School of Medicine, Jerusalem, Israel
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2005-09-13 | DOI: https://doi.org/10.1515/JPM.2005.069

Abstract

Objective: To examine whether the recommended weight gain during the first 24 weeks reduces the frequency of SGA triplets.

Study design: We used data collected by the Women's Health Division of Matria Healthcare, Inc (Marietta, GA). We studied the frequency of SGA triplets (birth weight <10th percentile by triplet standards) by weight gain, parity, and pregravid BMI category. Adequate weight gain was defined as >16.2 kg at 24 weeks and BMI categories were defined as underweight (<19.8), normal (19.8–26), and obese (BMI>26).

Results: We studied 2890 triplet sets. Adequate weight gain reduces the frequency of SGA triplets, irrespective of pregravid BMI category and parity, except for obese nulliparous women. However, the reduced frequency of SGA infants was significant only in underweight nulli-paras (OR 0.3, 95% CI 0.1, 0.9).

Conclusion: Higher pregravid BMI and parity seem to reduce the occurrence of SGA triplets. However, lean mothers, especially nulliparas, may be the most important target population for nutritional intervention in triplet pregnancies.

Keywords: Triplets; weight gain; pre-gravid BMI; SGA

About the article

Corresponding author: Isaac Blickstein, MD Dept. of Obstetrics and Gynecology Kaplan Medical Center 76100 Rehovot Israel Tel.: +972-8-9441930 Fax: +972-8-9411944


Received: February 25, 2005

Revised: April 20, 2005

Accepted: April 23, 2005

Published Online: 2005-09-13

Published in Print: 2005-10-01


Citation Information: Journal of Perinatal Medicine, Volume 33, Issue 5, Pages 379–382, ISSN (Online) 1619-3997, ISSN (Print) 0300-5577, DOI: https://doi.org/10.1515/JPM.2005.069.

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