Matsubara Shigeki, Minakami Hisanori, Ohkuchi Akihide, Izumi Akio, Sato Ikuo
Department of Obstetrics and Gynecology, Jichi Medical School, Tochigi, Japan.
J Reprod Med. 2003 Apr;48(4):277-82.
To determine the normogram for symphysis-fundus height and weight gain pattern in Japanese women with twin pregnancies and to examine whether fundus height and weight gain pattern are altered in women who give birth to twin infants complicated by fetal growth restriction (FGR).
A retrospective review of the medical records of 186 twin gestations that had been followed at our institution together with 229 singleton pregnancies as a control. We examined maternal symphysis-fundus height, body weight gain and increase in body mass index (BMI) according to gestational age and compared them between women with and without FGR.
As compared to women with singleton pregnancies, those with twins exhibited larger fundus height, larger weight gain and larger increase in BMI, all of which were observed from as early as 16-18 weeks of gestation until delivery. Mothers of twins with at least one FGR infant showed smaller fundus height, smaller weight gain and smaller increase in BMI as compared to those without.
We constructed the normogram for symphysis-fundus height and weight gain pattern in Japanese twin gestations and determined the characteristic change in these parameters in FGR in women with twins. These results may be of use in identifying mothers of twins with FGR.
确定日本双胎妊娠女性的耻骨联合上缘至宫底高度及体重增加模式的正常曲线，并研究分娩出合并胎儿生长受限（FGR）双胎婴儿的女性其宫底高度和体重增加模式是否改变。
回顾性分析在我院进行随访的186例双胎妊娠的病历，并以229例单胎妊娠作为对照。我们根据孕周检查孕妇的耻骨联合上缘至宫底高度、体重增加及体重指数（BMI）的增加情况，并在有或无FGR的女性之间进行比较。
与单胎妊娠女性相比，双胎妊娠女性的宫底高度更大、体重增加更多且BMI增加更大，所有这些变化早在妊娠16 - 18周就可观察到，直至分娩。与未合并FGR的双胎母亲相比，至少有一个FGR婴儿的双胎母亲宫底高度更小、体重增加更少且BMI增加更小。
我们构建了日本双胎妊娠的耻骨联合上缘至宫底高度及体重增加模式的正常曲线，并确定了双胎妊娠合并FGR女性这些参数的特征性变化。这些结果可能有助于识别双胎妊娠合并FGR的母亲。
