Document Detail

Nutrition and multifetal pregnancy.
MedLine Citation:
PMID:  10719409     Owner:  NLM     Status:  MEDLINE    
Largely because of assisted reproduction, the rate of multifetal pregnancy is rising rapidly in the United States. Accordingly, dietitians are increasingly being called upon to provide nutrition services for these high-risk pregnancies. This article gives an overview of the incidence of and risks associated with multifetal pregnancy and reviews studies that contribute to our knowledge of nutrition and multifetal pregnancy. Practice guidelines for promoting healthy outcomes based on the best available scientific data are suggested. Guidelines for weight gain for twin and triplet pregnancy, dietary intake, and supplement use are included. Suggested practice guidelines for multifetal pregnancy include a positive rate of weight gain early in pregnancy, the use of prepregnancy weight status to determine total weight gain goals in twin pregnancy, a 50-lb weight gain goal for triplet pregnancy, and higher minimal number of servings of foods from several of the Food Guide Pyramid groups. The need for additional information on the effects of nutritional status on the course and outcome of multifetal pregnancy is critical. Preliminary evidence of the benefits of nutrition services suggests that both the incorporation of dietetics services into care programs and additional research on nutrition and multifetal gestation are warranted.
J E Brown; M Carlson
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.; Review    
Journal Detail:
Title:  Journal of the American Dietetic Association     Volume:  100     ISSN:  0002-8223     ISO Abbreviation:  J Am Diet Assoc     Publication Date:  2000 Mar 
Date Detail:
Created Date:  2000-03-22     Completed Date:  2000-03-22     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  7503061     Medline TA:  J Am Diet Assoc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  343-8     Citation Subset:  AIM; IM    
Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis 55454-1015, USA.
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MeSH Terms
Diet / standards
Energy Intake
Maternal Welfare*
Nutrition Policy
Nutritional Physiological Phenomena*
Practice Guidelines as Topic
Pregnancy Outcome*
Pregnancy, Multiple / physiology*
Risk Factors
Weight Gain
Grant Support
MCJ-270756//PHS HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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