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A primiparous woman with twins and prepregnancy weight of 51.0\u2009kg exhibited hypertension at gestational week (GW) 32<jats:sup>\u22126\/7<\/jats:sup>and GWG of 18.3\u2009kg (6.0\u2009kg and 2.9\u2009kg during the last four weeks and one week of gestation, resp.) concomitant with generalized edema, gave birth at GW 34<jats:sup>\u22124\/7<\/jats:sup>, developed proteinuria, cough, and dyspnea postpartum, and was diagnosed with preeclampsia and PPCM showing left ventricular ejection fraction of 34% and plasma BNP level of 1530\u2009pg\/mL. This was the only case of PPCM among 101 (12 with preeclampsia) and 3266 women with twin and singleton pregnancies, respectively. Thus, PPCM occurred significantly more often in women with preeclamptic twin pregnancies than in women with singleton pregnancies (8.3% [1\/12] versus 0.0% [0\/3266],<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mi>P<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>0.0355<\/mml:mn><\/mml:math>). This patient showed the greatest weight gain of 6.0\u2009kg during the last four weeks of gestation and the greatest weight loss of 19.2\u2009kg during one month postpartum among 90 women with twin deliveries at GW \u2265 32.<\/jats:p>","DOI":"10.1155\/2015\/317146","type":"journal-article","created":{"date-parts":[[2015,6,28]],"date-time":"2015-06-28T17:02:09Z","timestamp":1435510929000},"page":"1-4","source":"Crossref","is-referenced-by-count":2,"title":["Gestational Weight Gain and Peripartum Cardiomyopathy in a Twin Pregnancy"],"prefix":"10.1155","volume":"2015","author":[{"given":"Hiroko","family":"Matsumiya","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Hakodate Central General Hospital, Hakodate 040-8585, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naotaka","family":"Saito","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Hakodate Central General Hospital, Hakodate 040-8585, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisanori","family":"Minakami","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Hokkaido University Graduate School of Medicine, Sapporo 001-0014, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soromon","family":"Kataoka","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Hakodate Central General Hospital, Hakodate 040-8585, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"98","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000161382.30233.ba"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1093\/eurjhf\/hfq120"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1161\/01.cir.0000162478.36652.7e"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2011.03.047"},{"issue":"9","key":"5","year":"2010","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/j.preghy.2013.01.009"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.9.1183"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1097\/aog.0b013e318229e6de"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2006.01.039"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/j.cardfail.2009.03.008"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1253\/circj.cj-10-1214"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1161\/01.cir.44.6.1053"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2013.08.717"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1515\/crpm-2013-0052"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2014-208186"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1515\/jpm-2013-0211"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.3109\/10641955.2011.638957"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.14390\/jsshp.1.75"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1001\/jama.275.18.1432"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1111\/jog.12304"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1097\/hpc.0b013e31820b887b"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa031884"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.1172\/jci200317189"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.1038\/nature11040"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.4161\/viru.24530"}],"container-title":["Case Reports in Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/criog\/2015\/317146.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criog\/2015\/317146.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criog\/2015\/317146.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2016,7,27]],"date-time":"2016-07-27T08:28:55Z","timestamp":1469608135000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/criog\/2015\/317146\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015]]},"references-count":25,"alternative-id":["317146","317146"],"URL":"https:\/\/doi.org\/10.1155\/2015\/317146","relation":{},"ISSN":["2090-6684","2090-6692"],"issn-type":[{"value":"2090-6684","type":"print"},{"value":"2090-6692","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015]]}}}