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Correlation between weight, assisted reproduction situation, and pregnancy complications of twin pregnant women and their maternal and infant outcomes |
Zhejiang University of Chinese Medicine,Jiaxing Maternal and child Health Hospital, Zhejiang Province, 310053 |
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Abstract To analyze the correlation of pregnancy mode, pre-pregnancy weight, weight gain during pregnancy, and pregnancy complications of twin pregnant women and their maternal and infant outcomes. Methods: 212 twin pregnant women from January 2019 to December 2020 were selected retrospectively. These women were divided into diffrent groups according to the pregnancy mode, pre-pregnancy weight, and weight gain during pregnancy. The situations of pregnancy complications of the women and the maternal and infant outcomes were compared among these groups, and the correlation between the pregnancy complications of the women and the maternal and infant outcomes was analyzed. Results:Pre-pregnancy weight of the women were positively correlated with their gestational hypertension (r=0.952), with their gestational diabetes mellitus (r=0.806), with their fetal distress (r=0.825), and with their cesarean section rate (r=0.838). Weight gain during pregnancy of the women was positively correlated with their gestational diabetes mellitus (r=0.865). The assisted reproductive technology used (conception mode) of the women were moderately positively correlated with their gestational hypertension (r=0.583), gestational diabetes mellitus (r=0.622), and postpartum hemorrhage (r=0.556). Pre-pregnancy weight of the women was moderately correlated with their threatened abortion/preterm birth (r=-0.798). Weight gain during pregnancy of the women were moderately positively correlated with their gestational hypertension (r=0.644), cesarean section rate (r=0.629), but which was moderately negatively correlated with their low birth rate (r=-0.613). Conclusion: The over or less than normal prepregnancy weight, and the abnormal weight gain during pregnancy of the twin pregnant women after assisted reproductive technology can lead to the increase of the incidences of pregnancy complications and adverse outcomes of mother and child. For protecting the maternal and child health, the intervention of pregnant women with high-risk should be focused on.
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