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Master Thesis

Consultation diététique et grossesse gémélaire. Évaluation sur la prise pondérale maternelle et la croissance fœtale

Abstract : Objective. Show the influence of dietary Consultation in dichorionic twin pregnancy uncomplicated on maternal weight gain and fetal growth. Method. Retrospective study on files in Port Royal maternity ward, between January 2006 and June 2010. The 56 patients who received dietary advice formed the Group A and the 117 patients who didn't, the Group B. Results. The first dietary consultation was 20, 6 weeks of amenorrhea and the patients consulted 1,96 times. In Group A, the patients had a monthly weight gain before 28 SA greater at risk 5% than the patients in Group B (p < 0, 05). When BMI was < 19 Kg/m², total weight gain (p = 0, 0064) and monthly weight gain before 28 SA (p = 0, 0467) in Group A was larger than in Group B. When the BMI was > 25 Kg/m², weight taken in both groups was not significantly different at de 5% risk. The twin weight discordance, evaluated by percentiles, was significantly different (16, 11 in Group A versus 23, 48 in Group B, p < 0.005). Only 10.7% twins were Small for Gestational Age (SGA) in group A versus 17.1% in Group B. Conclusion. Dietetic consultation leads to overweight decision-making tailored to patients as well as decreased the twin's discordance and Small for Gestational Age.
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Submitted on : Wednesday, September 14, 2011 - 3:09:22 PM
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Marie-Gilles Kack Kack. Consultation diététique et grossesse gémélaire. Évaluation sur la prise pondérale maternelle et la croissance fœtale. Gynécologie et obstétrique. 2011. ⟨dumas-00623520⟩

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