Examination of Complications and Differentiating Factors (Method of Conception, Nutritional Status, Weight Gain) in Twin Pregnancies

Abstract

Introduction. The aim of our study was to examine the complications and differentiating factors (method of conception, nutritional status, rate of weight gain) of twin pregnancies. Methods. In our quantitative, cross-sectional, retrospective study we examined medical data sheets of women pregnant with twins (N=89) in the western regions of Transdanubia, Hungary. Results. Conditions occurring during pregnancy affected almost half of the mothers. Hypertension and preeclampsia are increased risk factors among the complications of twin pregnancies, independently of the method of conception (p>0.05). Abnormal weight gain during pregnancy was observed in half of the mothers. Weight before pregnancy is a strong predictor of weight gain during pregnancy (p<0.05). Conclusion. Our research showed that abnormal weight gain and obesity during twin pregnancy has a negative effect on maternal health, and correlates with maternal complications (hypertension/preeclampsia, gestational diabetes). Effective and preventative strategies are necessary, already during pregnancy planning, to prevent obesity before pregnancy.