Abstract | OBJECTIVE: DESIGN: Retrospective hospital-based cohort. SETTING: University hospital, Norway. SAMPLE: METHODS: Different fluid/nutritional groups were compared by chi-squared or non-parametric tests. The influence (odds ratio) of nutritional regimens on having small-for-gestational-age infants was evaluated by binary logistic regression. MAIN OUTCOME MEASURES: RESULTS: Women receiving enteral nutrition had significantly greater weight loss on admission (median 5.0 kg) and at start of nutrition (5.5 kg) than the other treatment groups (4.0 kg) (p < 0.001). Enteral nutrition was administered for up to 41 days (median 5 days) during hospitalization, leading to 0.8 kg weight gain (95% CI 0.5-1.0, p = 0.005). The tube-fed women achieved similar weight gain during pregnancy and experienced similar incidence of preterm birth or small-for-gestational age compared with the other treatment groups. Women with <7 kg total weight gain had increased risk of birthweight <2500 g and small-for-gestational-age infants (odds ratio 3.68, 95% CI 1.89-7.18, p < 0.001). The nutritional regimen used was not an independent risk factor. CONCLUSION:
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Authors | Guro Stokke, Bente L Gjelsvik, Katrine T Flaatten, Elisabeth Birkeland, Hans Flaatten, Jone Trovik |
Journal | Acta obstetricia et gynecologica Scandinavica
(Acta Obstet Gynecol Scand)
Vol. 94
Issue 4
Pg. 359-67
(Apr 2015)
ISSN: 1600-0412 [Electronic] United States |
PMID | 25581215
(Publication Type: Comparative Study, Evaluation Study, Journal Article)
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Copyright | © 2015 Nordic Federation of Societies of Obstetrics and Gynecology. |
Topics |
- Adult
- Birth Weight
- Cohort Studies
- Combined Modality Therapy
- Enteral Nutrition
(methods)
- Female
- Fetal Growth Retardation
(etiology, prevention & control)
- Fluid Therapy
- Gestational Age
- Humans
- Hyperemesis Gravidarum
(therapy)
- Infant, Newborn
- Infant, Small for Gestational Age
- Intubation, Gastrointestinal
- Logistic Models
- Odds Ratio
- Parenteral Nutrition, Total
- Pregnancy
- Premature Birth
(etiology, prevention & control)
- Retrospective Studies
- Treatment Outcome
- Weight Gain
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