1 / 9

Putting Research Into Practice: What Works for Healthy Multiple Pregnancies

Putting Research Into Practice: What Works for Healthy Multiple Pregnancies. Barbara Luke, ScD, MPH Presented at the International Society for Twin Studies, Florence, Italy, March, 2012 . What Works for a Healthy Multiple Pregnancy. The Basics Influence of Obstetric History

jarah
Download Presentation

Putting Research Into Practice: What Works for Healthy Multiple Pregnancies

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Putting Research Into Practice: What Works for Healthy Multiple Pregnancies Barbara Luke, ScD, MPH Presented at the International Society for Twin Studies, Florence, Italy, March, 2012

  2. What Works for a Healthy Multiple Pregnancy • The Basics • Influence of Obstetric History • Pre-Pregnancy Weight-for-Height • Pattern of Gestational Weight Gain • Healthy Diet • Selected Supplementation • Work and Home Factors

  3. What Works for a Healthy Multiple Pregnancy The Basics • No smoking-including anyone in the household • No alcohol use • Reduce stress at work/home • Adequate rest/sleep

  4. What Works for a Healthy Multiple Pregnancy Influence of Obstetric History • Prior, full-term, well-grown infant: adds ~two weeks • Prior preterm, low birthweight, or preeclampsia: increased risk in current pregnancy

  5. What Works for a Healthy Multiple Pregnancy Pre-Pregnancy Weight-for- Height (Body Mass Index) • If underweight (BMI<20), pattern of gain is more important • If overweight/obese, quality of the diet is more important

  6. What Works for a Healthy Multiple Pregnancy Pattern of Gestational Weight Gain • Weight gain goals by 20 and 28 weeks • Range by maternal BMI (overweight recommendations are the lower numbers, underweight are the higher numbers) By 20 weeks By 28 weeks • Twins: 15-35 lbs 23-51 • Triplets: 30-40 lbs 46-60 • Quads/Quints: 40-50 lbs 60-70

  7. What Works for a Healthy Multiple Pregnancy Healthy Diet • Protein & carbohydrate together at every meal and every snack • Eat every 3-4 hours, more often if hungry or pregnant with triplets or quads • Dairy bedtime snack (digested slowly) • Adequate hydration (urine should be pale)

  8. What Works for a Healthy Multiple Pregnancy Selected Supplementation • Folic Acid, 4 mg/day • Calcium, 1-2 g/day • Magnesium, 400-800 mg/day • Zinc, 15-30 mg/day • Vitamin D, 25-50 mcg/day (2,000-4,000IU) • Omega-3 fatty acids, 1,000 mg/day or more

  9. Timing of Delivery • For twins: 37-39 weeks • For triplets: 34-36 weeks • For quads & quints: 32-34 weeks

More Related