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KMID : 0928320080080020078
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Korean Journal of Health Promotion and Disease Prevention
2008 Volume.8 No. 2 p.78 ~ p.87
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Comparison of Maternal Dietary Intake, Weight Gain and Neonational Birth Weight between Singleton and Twin Pregnancies
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Lim Soo-Jung
Bae Hyun-Sook
Ahn Hong-Seok
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Abstract
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Background: The incidence of twin pregnancies has increased. Nutritional care for twin pregnancies is important but there is a paucity of information for twin pregnancies. We analysed that nutrient intakes of singleton, twin pregnancies and pregnancy outcomes.
Method:The subjective were 98 twin pregnant and 78 singleton pregnant women receiving prenatal care from Samsung Cheil Hospital. They were grouped by gestational age and pregnancy type : group Ⅰ(3~12 weeks), group Ⅱ(13~28 weeks), group Ⅲ(28~42 weeks). Dietary intakes of the pregnant women were estimated by 24 hour recall method. We investigated maternal serum concentration of cholesterol, protein, albumin and globulin. We correlated with maternal nutritional intakes, perinatal outcomes and newborn birth weights.
Results: The daily average energy intakes were not significantly different from 1826.8kcal(85.1% of KDRIs) of singleton pregnant women, 1836.5kcal(85.9% of KDRIs) of twin pregnant women. Folate, iron and calcium intakes of singleton and twin pregnant women were 243.0㎍/d : 257.1㎍/d, 13.2mg/d : 13.7mg/d, 628.8mg/d : 634.3mg/d, respectively. These nutrients intakes were not significantly different from two pregancy types, but levels of intakes were lower than those of KDRIs. Gestational age had a great influence on birth weight of singleton and twin (p<0.001).
Conclusions: There is a tendency to increase the risk of the birth of premature and shortening of gestational age in twin pregnancies. We suggest that systematic and different nutritional program for twin pregnancies are needed.
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KEYWORD
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singleton, twin, gestational age, weight gain, birth weight
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