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Table 2 Outcomes of twins according to mothers’ gestational weight gain

From: Examining the provisional guidelines for weight gain in twin pregnancies: a retrospective cohort study

Neonatal Outcome

All Participants

(N = 1482)

Below IOM aGWG

(N = 402)

Within IOM aGWG

(N = 640)

Above IOM aGWG

(N = 440)

 
 

N (%) b

N (%) b

N (%) b

N (%) b

P value c

SGA <10th percentile

343 (23.2)

121 (30.1)

135 (21.1)

87 (19.8)

0.004

SGA <5th percentile

193 (13.0)

69 (17.2)

85 (13.3)

39 (8.9)

0.005

LBW <2500 g

603 (40.7)

204 (50.8)

244 (38.1)

155 (35.2)

<0.001

LGA >90th percentile

31 (2.1)

5 (1.2)

11 (1.7)

15 (3.4)

0.22

Birth weight, g, median (IQR)

2603 (2260, 2885)

2475 (2100, 2765)

2653 (2290, 2905)

2637 (2356, 2910)

<0.001

Apgar score < 7 at 5 min

39 (2.6)

13 (3.3)

10 (1.6)

16 (3.7)

0.16

Umbilical cord pH <7.10

33 (2.7)

10 (2.9)

15 (2.8)

8 (2.2)

0.84

Respiratory distress

148 (10.0)

46 (11.4)

53 (8.3)

49 (11.1)

0.27

Hypoglycemia

160 (10.8)

43 (10.7)

71 (11.1)

46 (10.5)

0.96

NICU admission

555 (37.5)

170 (42.3)

230 (35.9)

155 (35.2)

0.21

NICU length of stay, days, median (IQR)

11 (2, 20)

13 (2, 23)

10 (2, 19)

11 (1, 20)

0.10

  1. Abbreviations: BMI, body mass index; GWG, gestational weight gain; IOM, Institute of Medicine; IQR, inter-quartile range; LBW, low birth weight; LGA, large for gestational age (and sex); N, number; NICU, neonatal intensive care unit; SGA, small for gestational age (and sex)
  2. a Gestational weight gain categories (below, within, and above IOM GWG) are based on the 2nd and 3rd trimester weekly rates of GWG
  3. b Outcomes are mostly reported as N (%), unless otherwise specified (i.e., median (IQR))
  4. c P values are based on the analysis of generalized estimating equations parameter estimates