Maternal Obesity And Pregnancy
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| Author | : National Research Council |
| Publisher | : National Academies Press |
| Total Pages | : 868 |
| Release | : 2010-01-14 |
| Genre | : Medical |
| ISBN | : 0309131138 |
As women of childbearing age have become heavier, the trade-off between maternal and child health created by variation in gestational weight gain has become more difficult to reconcile. Weight Gain During Pregnancy responds to the need for a reexamination of the 1990 Institute of Medicine guidelines for weight gain during pregnancy. It builds on the conceptual framework that underscored the 1990 weight gain guidelines and addresses the need to update them through a comprehensive review of the literature and independent analyses of existing databases. The book explores relationships between weight gain during pregnancy and a variety of factors (e.g., the mother's weight and height before pregnancy) and places this in the context of the health of the infant and the mother, presenting specific, updated target ranges for weight gain during pregnancy and guidelines for proper measurement. New features of this book include a specific range of recommended gain for obese women. Weight Gain During Pregnancy is intended to assist practitioners who care for women of childbearing age, policy makers, educators, researchers, and the pregnant women themselves to understand the role of gestational weight gain and to provide them with the tools needed to promote optimal pregnancy outcomes.
| Author | : Per Glud Ovesen |
| Publisher | : Springer Science & Business Media |
| Total Pages | : 325 |
| Release | : 2012-03-16 |
| Genre | : Medical |
| ISBN | : 364225022X |
A dramatic and worldwide increase is occurring in the prevalence of overweight and obesity in women of childbearing age. Obese women carry a significant excess risk of a variety of serious complications during pregnancy, and in addition, maternal obesity predisposes to obesity in the offspring. This book provides a timely update on the latest knowledge on maternal obesity and pregnancy. A very wide range of issues are covered, including macrosomia and associated shoulder dystocia; the risk of miscarriage, malformations, and complications of pregnancy; the impact of hyperglycemia; clinical management; consequences for anesthesia and ultrasound; impacts on breastfeeding, fertility, and childhood obesity; and pregnancy following gastric surgery. All of the authors are recognized experts in their fields, and the book has been designed to meet the practical needs of obstetricians, gynecologists, internists, and general practitioners.
| Author | : Tahir A. Mahmood |
| Publisher | : Elsevier |
| Total Pages | : 373 |
| Release | : 2020-06-06 |
| Genre | : Medical |
| ISBN | : 0128179228 |
Obesity and Obstetrics, Second Edition, brings together experts to examine the issues and challenges of obesity and obstetrics, also discussing how obesity affects fertility, reproduction and pregnancy. Beginning with the worldwide epidemic of obesity, chapters then go on to review obesity and hyperglycemia of pregnancy, management of labor, interventions to improve care during pregnancy, and long-term impact of maternal obesity. Provides an essential reference on the significant risk of complications during pregnancy, including early pregnancy loss, recurrent miscarriage and fetal developmental abnormalities Builds foundational knowledge on how maternal obesity predisposes offspring to obesity, highlighting that the prevention of childhood obesity begins during pregnancy Assembles critically evaluated chapters focused on obesity and obstetrics to meet the practical needs of obstetricians, endocrinologists and general practitioners
| Author | : Wanda Nicholson |
| Publisher | : Springer Science & Business Media |
| Total Pages | : 362 |
| Release | : 2013-11-26 |
| Genre | : Medical |
| ISBN | : 1447128311 |
This book summarizes the effects of overweight/obesity in the childbearing years that can be effectively communicated to patients by their providers in a busy practice setting, and provides concise and understandable summaries of the evidence-based, theory-driven lifestyle interventions that have been shown to be effective for weight loss and modifying the risk of developing diabetes and obesity.
| Author | : Hung N. Winn |
| Publisher | : CRC Press |
| Total Pages | : 980 |
| Release | : 2000-06-15 |
| Genre | : Medical |
| ISBN | : 9781850707981 |
Maternal-fetal medicine has evolved over the last three decades to become a well-established discipline. The current understanding of maternal physiology and pathophysiology has allowed us to obtain more accurate diagnoses and to provide more effective treatments of medical, surgical, and obstetrical maternal complications. More importantly, the fetus has become a distinct individual whose in utero environment has become much more accessible to study, diagnose, and treatment. Clinical Maternal-Fetal Medicine addresses the pathophysiology, diagnosis, and treatment of common medical and obstetrical maternal complications and fetal complications. It provides a concise and timely review of clinically relevant topics in this discipline. The textbook is a comprehensive reference covering the wide range of disciplines that make up maternal-fetal medicine.
| Author | : Institute of Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 791 |
| Release | : 2007-05-23 |
| Genre | : Medical |
| ISBN | : 030910159X |
The increasing prevalence of preterm birth in the United States is a complex public health problem that requires multifaceted solutions. Preterm birth is a cluster of problems with a set of overlapping factors of influence. Its causes may include individual-level behavioral and psychosocial factors, sociodemographic and neighborhood characteristics, environmental exposure, medical conditions, infertility treatments, and biological factors. Many of these factors co-occur, particularly in those who are socioeconomically disadvantaged or who are members of racial and ethnic minority groups. While advances in perinatal and neonatal care have improved survival for preterm infants, those infants who do survive have a greater risk than infants born at term for developmental disabilities, health problems, and poor growth. The birth of a preterm infant can also bring considerable emotional and economic costs to families and have implications for public-sector services, such as health insurance, educational, and other social support systems. Preterm Birth assesses the problem with respect to both its causes and outcomes. This book addresses the need for research involving clinical, basic, behavioral, and social science disciplines. By defining and addressing the health and economic consequences of premature birth, this book will be of particular interest to health care professionals, public health officials, policy makers, professional associations and clinical, basic, behavioral, and social science researchers.
| Author | : Matthew W. Gillman |
| Publisher | : Cambridge University Press |
| Total Pages | : 265 |
| Release | : 2012-07-19 |
| Genre | : Medical |
| ISBN | : 1107003962 |
Afflicting more than 300 million women across the globe, obesity has profound effects on health during pregnancy and on the wellbeing of the unborn child. In the face of such a challenging pandemic, this book reviews the latest research and provides up-to-date advice on clinical management. Maternal Obesity addresses the adverse effects of obesity among women of childbearing age, including infertility, medical complications, problems in labor, and adverse birth outcomes, and it reviews evidence that the obese mother's in utero environment has long-lasting influences on the health of the developing child. Chapters cover basic, clinical, and population perspectives, providing a range of valuable information from mechanistic insight through to public health and policy implications. Invaluable for obstetricians, gynaecologists, paediatricians, general and family physicians, subspecialists in obstetric and paediatric medicine, midwives, and dietitians, as well as researchers and public health policy makers seeking to tackle the burden of maternal obesity-related illness.
| Author | : Deborah Conway |
| Publisher | : John Wiley & Sons |
| Total Pages | : 335 |
| Release | : 2011-01-19 |
| Genre | : Medical |
| ISBN | : 1444391178 |
Obesity presents many challenges to mothers and their unborn babies How can a severely overweight woman prepare for pregnancy? What if she is already pregnant? How do you guide her through an inherently high-risk pregnancy and labor to a successful birth? Pregnancy in the Obese Woman takes the best available evidence on pregnancy and obesity to provide an insightful, practical guide to management in one volume. After a review of the epidemiology and special considerations of prenatal care in obese women of childbearing age, the authors cover: Bariatric surgery Nutrition, exercise, and weight gain in pregnancy Co-morbid conditions Abnormal fetal growth and obstetric complications Operative techniques in obese patients Breastfeeding, contraception, and further pregnancies With obesity on the rise, increasing numbers of pregnancies are being seen in overweight and obese women, which presents a significant challenge to obstetric and other health care providers. Pregnancy in the Obese Woman provides you with the critical information you need to ease your mind and help your patients become contented mothers. Titles of Related Interest Protocols for High-Risk Pregnancies, 5e Queenan, Hobbins and Spong (eds); ISBN 978-1-4051-9650-5 Obstetic Clinical Algorithms: Management and Evidence Norwitz, Belfort, Saade, Miller; ISBN 978-14051-8111-2 Preterm Birth: Prevention and Management Berghella (ed); 978-1-4051-9290-3
| Author | : Cynthia Maxwell |
| Publisher | : Walter de Gruyter GmbH & Co KG |
| Total Pages | : 334 |
| Release | : 2017-10-23 |
| Genre | : Medical |
| ISBN | : 3110486350 |
Obesity epidemic is a global problem of the 21th century for women in reproductive age and also the obstetricians and pediatricians. There are influences of mother's prepragnancy and antepartal obesity, at delivery, for fetal programming and for maternal and fetal lifelong metabolism. The epidemiological results are important, but for the health care providers the skills for prevention of mother's obesity with all consequences are essential. Evaluated programms in nutrition and physical activity will be discussed.
| Author | : Sara Carlhäll |
| Publisher | : Linköping University Electronic Press |
| Total Pages | : 72 |
| Release | : 2018-05-03 |
| Genre | : Body mass index |
| ISBN | : 9176852806 |
Background: The prevalence of obesity substantially increases in pregnant women. Maternal obesity is associated with adverse maternal and neonatal outcomes. The increased risk for cesarean section present in obese women has been related to potential impaired uterine contractility. The mechanism that underlies this theory is not clear. In vitro studies have shown that leptin, produced by adipose tissue and the placenta, exerts an inhibitory effect on myometrial contractility. The aim of this thesis was to evaluate the labor process in relation to maternal body mass index (BMI) and the clinical role of leptin in this process. Material and Methods: Studies I-IV are cohort studies. The first two studies analyze the association between labor duration and maternal BMI based on data from the Perinatal Revision South register and the Swedish Pregnancy Register. Study I included 63,829 nulliparous women with a spontaneous onset of labor between 1995 and 2009. Study II included 15,259 nulliparous women with induced labor between 2014 and 2017. In study III, the maternal leptin levels during and after pregnancy were analyzed in 343 obese women with respect to their obesity class (I-III) and degree of gestational weight gain (GWG). In study IV, the association between the maternal leptin levels measured in active labor and duration of the active phase of labor was analyzed in 914 women. Results: The duration of spontaneous labor significantly increased with an increasing maternal BMI; however, the duration of the pushing phase was inversely related to BMI. Time in induced labor increased with maternal BMI; however, the differences between the BMI categories were more pronounced in the latent phase than the active phase. Leptin levels were higher in women with obesity class III than women with class I during and after pregnancy. The degree of GWG in obese women was not associated with maternal leptin. No significant association between maternal leptin and the duration of the active phase of labor was identified in the adjusted analyses. Conclusions: Nulliparous obese women have a higher risk for a prolonged duration of spontaneous and induced labor. This is important to consider prior to diagnosing labor arrest that results in a cesarean delivery. As maternal leptin levels are increased with the degree of obesity during pregnancy, future research on the association of high maternal leptin levels and the duration of labor is warranted.
