Document Type
Article
Publication Date
3-18-2025
Abstract
Objectives: The objective of this study was to determine whether body mass index (BMI) and gestational weight gain (GWG) are associated with severe maternal morbidity (SMM) in twin gestations.
Methods: This was a retrospective cohort of all twin pregnancies delivered at seven hospitals in New York from 2019 to 2023. Multivariable logistic regression modeled the probability of SMM as a function of BMI group, adjusting for excessive GWG, race-ethnicity, and obstetric comorbidity index. A total of 1,976 twin gestations were included.
Results: The SMM rate was 14.0 % (n=276).
Conclusions: Neither pre-pregnancy BMI nor GWG was associated with SMM, both before or after adjustment for covariates.
Recommended Citation
Keller, Nathan A.; Jackson, Frank Ian; Kouba, Insaf; Bracero, Luis A.; and Blitz, Matthew J., "Severe Maternal Morbidity In Twin Pregnancies: The Impact Of Body Mass Index And Gestational Weight Gain" (2025). Specialty Medicine Faculty Publications. 6.
https://dune.une.edu/specmed_facpubs/6
Comments
© 2025 The Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Article published originally: Keller NA, Jackson FI, Kouba I, Bracero LA, Blitz MJ. Severe maternal morbidity in twin pregnancies: the impact of body mass index and gestational weight gain. J Perinat Med. 2025;53(4):540-544. Published 2025 Mar 18. doi:10.1515/jpm-2024-0532
Author Jackson is a UNECOM 2019 graduate and a UNECOM Affiliate Clinical Professor.