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Optimizing Gestational Weight Gain in Twin Pregnancies.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Optimizing Gestational Weight Gain in Twin Pregnancies./
Author:	Lipworth, Hayley Bianca.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2021,
Description:	110 p.
Notes:	Source: Masters Abstracts International, Volume: 83-06.
Contained By:	Masters Abstracts International83-06.
Subject:	Obstetrics. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28648952
ISBN:	9798496553704

Optimizing Gestational Weight Gain in Twin Pregnancies.
Lipworth, Hayley Bianca.

Optimizing Gestational Weight Gain in Twin Pregnancies. - Ann Arbor : ProQuest Dissertations & Theses, 2021 - 110 p.

Source: Masters Abstracts International, Volume: 83-06.

Thesis (M.Sc.)--University of Toronto (Canada), 2021.

This item must not be sold to any third party vendors.

INTRODUCTION: Data on the optimal gestational weight gain (GWG) in twin pregnancies and the implications of inadequate GWG on pregnancy complications in this population are limited. OBJECTIVE: To evaluate the implications of inadequate GWG in twin pregnancies, identify the optimal range of GWG, and develop and implement a new care pathway aimed at optimizing GWG in this population. METHODS: We conducted the following separate (but strongly related) projects to address the objectives described above: (1) A systematic review and meta-analysis; (2) A retrospective cohort study; (3) A national survey among Canadian maternal-fetal-medicine specialists; (4) A new care pathway aimed at optimizing GWG in twins. RESULTS: (1) The meta-analysis revealed that over half (56.8%) of women with twins experience GWG outside of recommendations. Low-GWG was associated with preterm birth, while high-GWG was associated with preeclampsia. (2) Our retrospective study confirmed the findings of the meta-analysis in our local population. In addition, we identified new, outcome-based optimal GWG range in twins, which had better correlation with outcomes compared with current guidelines. (3) Through the survey we identified considerable inconsistencies and potential barriers for optimal GWG in twins; (4) We designed and implemented a new care pathway to optimize GWG in our Twins Clinic at Sunnybrook. CONCLUSIONS: GWG is an important and modifiable risk factor for preterm birth and other pregnancy complications in twin gestations, making its optimization an important goal of antenatal care in this population.

ISBN: 9798496553704Subjects--Topical Terms:

634501
Obstetrics.
Subjects--Index Terms:

Gestational weight gain

Optimizing Gestational Weight Gain in Twin Pregnancies.
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100 1 $a Lipworth, Hayley Bianca. $0 (orcid)0000-0002-4889-3472 $3 3685802
245 1 0 $a Optimizing Gestational Weight Gain in Twin Pregnancies.
260 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 2021
300 $a 110 p.
500 $a Source: Masters Abstracts International, Volume: 83-06.
500 $a Advisor: Melamed, Nir.
502 $a Thesis (M.Sc.)--University of Toronto (Canada), 2021.
506 $a This item must not be sold to any third party vendors.
520 $a INTRODUCTION: Data on the optimal gestational weight gain (GWG) in twin pregnancies and the implications of inadequate GWG on pregnancy complications in this population are limited. OBJECTIVE: To evaluate the implications of inadequate GWG in twin pregnancies, identify the optimal range of GWG, and develop and implement a new care pathway aimed at optimizing GWG in this population. METHODS: We conducted the following separate (but strongly related) projects to address the objectives described above: (1) A systematic review and meta-analysis; (2) A retrospective cohort study; (3) A national survey among Canadian maternal-fetal-medicine specialists; (4) A new care pathway aimed at optimizing GWG in twins. RESULTS: (1) The meta-analysis revealed that over half (56.8%) of women with twins experience GWG outside of recommendations. Low-GWG was associated with preterm birth, while high-GWG was associated with preeclampsia. (2) Our retrospective study confirmed the findings of the meta-analysis in our local population. In addition, we identified new, outcome-based optimal GWG range in twins, which had better correlation with outcomes compared with current guidelines. (3) Through the survey we identified considerable inconsistencies and potential barriers for optimal GWG in twins; (4) We designed and implemented a new care pathway to optimize GWG in our Twins Clinic at Sunnybrook. CONCLUSIONS: GWG is an important and modifiable risk factor for preterm birth and other pregnancy complications in twin gestations, making its optimization an important goal of antenatal care in this population.
590 $a School code: 0779.
650 4 $a Obstetrics. $3 634501
653 $a Gestational weight gain
653 $a High risk pregnancy
653 $a Multiple pregnancy
653 $a Obstetrics
653 $a Preterm birth
653 $a Twin pregnancy
690 $a 0380
710 2 $a University of Toronto (Canada). $b Medical Science. $3 3182952
773 0 $t Masters Abstracts International $g 83-06.
790 $a 0779
791 $a M.Sc.
792 $a 2021
793 $a English
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28648952