Obesity and pregnancy
Lanniece F Hall1, A George Neubert
1Department of Obstetrics and Gynecology, The Reading Hospital and Medical Center, 6th and Spruce Avenues, West Reading, PA 19611, USA. halll@readinghospital.org
Insights
Obesity in pregnancy increases risks for both mothers and infants. Early screening and management by healthcare providers can mitigate serious complications like gestational diabetes and cesarean delivery.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Public Health
Background:
- Global obesity rates are rising, posing significant health risks.
- Obesity is a major contributor to preventable morbidity and mortality.
- Obstetrician/gynecologists play a key role in managing maternal health.
Purpose of the Study:
- To review antepartum, intrapartum, and postpartum complications of obesity in pregnancy.
- To offer strategies for optimizing care for obese pregnant individuals.
- To improve health outcomes for women and their infants.
Main Methods:
- Literature review of pregnancy complications associated with obesity.
- Analysis of risks including gestational diabetes, hypertension, and cesarean delivery.
- Discussion of limitations of diagnostic tools like ultrasonography in obese gravidas.
Main Results:
- Obesity is linked to increased risks of gestational diabetes and hypertension.
- Obese gravidas face higher rates of cesarean delivery and postoperative wound infections.
- Ultrasonography may have limitations in assessing fetal development in obese pregnancies.
Conclusions:
- Screening for obesity and related complications is crucial for improving maternal and infant outcomes.
- Proactive management strategies are needed to address the challenges posed by obesity in pregnancy.
- Further research may be needed to optimize diagnostic and therapeutic approaches.
Unlabelled:
Obesity is dramatically increasing throughout the world and is known to be a major cause of preventable morbidity and mortality. By screening women for obesity and obesity-related complications, the obstetrician/gynecologist can help improve health outcomes for women and their infants. Many pregnancy complications have been linked to obesity ranging from increased risk of gestational diabetes and hypertension to increased risk of cesarean delivery and postoperative wound infection. This article reviews antepartum, intrapartum, and postpartum complications associated with obesity in pregnancy and offers suggestions to optimize care and improve outcomes.
Target Audience:
Obstetricians & Gynecologists, Family Physicians
Learning Objectives:
After completion of this article, the reader should be able to define obesity in pregnancy, to list the various complications associated with obesity, and to describe the limitations of ultrasonography in obese gravidas.
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