Specialized prenatal care and maternal and infant outcomes in twin pregnancy - 28/08/11
Reprints not available from the authors.Miami, Fla, and Ann Arbor, Mich
Abstract |
Objective |
This study was undertaken to evaluate the effect of a prenatal nutrition and education program on twin pregnancy, neonatal, and early childhood outcomes.
Study design |
This prospective intervention study of women who participated in a specialized program (Program Pregnancies) versus nonparticipants included twice-monthly visits, dietary prescription of 3000 to 4000 kcal per day, multimineral supplementation, and patient education.
Results |
Program Pregnancies were associated with improved pregnancy outcomes (preeclampsia, adjusted odds ratio [AOR] 0.41, 95% CI, 0.23-0.75; preterm premature rupture of membranes, AOR 0.35, 95% CI, 0.20-0.60; delivery <36 weeks, AOR 0.62, 95% CI, 0.43-0.89; low birth weight, AOR 0.42, 95% CI, 0.29-0.61), significantly longer gestations (+7.6 days), higher birth weights (+220 g), lower neonatal morbidity (retinopathy of prematurity, necrotizing enterocolitis, intraventricular hemorrhage, or ventilator support, AOR 0.44, 95% CI, 0.31-0.62), length of stay (–5.3 days), and cost per twin (–$14,023). Through 3 years of age, program children were significantly less likely to be rehospitalized (AOR 0.31, 95% CI, 0.11-0.91) or to be developmentally delayed (AOR 0.65, 95% CI, 0.44-0.96).
Conclusion |
Program participation was associated with improved outcomes at birth and through age 3 years.
Le texte complet de cet article est disponible en PDF.Keywords : Twin pregnancies, pregnancy complications, neonatal outcomes, early childhood growth and development
Plan
 | Supported by grants from the Office of the Vice President for Research, University of Michigan, the Gerber Foundation, and Matria Healthcare, Inc. Presented at the Twenty-Third Annual Meeting of the Society for Maternal-Fetal Medicine, San Francisco, Calif, February 3-8, 2003. |
Vol 189 - N° 4
P. 934-938 - octobre 2003 Retour au numéro
Article précédent
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