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[Obesity and pregnancy].

I Batashki, D Topalovska, N Milchev

    Akusherstvo I Ginekologiia
    |April 28, 2006
    PubMed
    Summary
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    Overweight and obesity are prevalent in pregnant women, increasing risks for complications like preeclampsia and gestational diabetes. Pre-pregnancy weight management is crucial for better maternal and infant outcomes.

    Area of Science:

    • Obstetrics and Gynecology
    • Public Health
    • Endocrinology

    Context:

    • Obesity is a global pandemic affecting all age groups.
    • It is a significant risk factor for numerous chronic diseases.
    • Pregnancy presents unique challenges and risks associated with maternal weight.

    Purpose:

    • To determine the prevalence of preobesity and obesity in pregnant women.
    • To assess the impact of preobesity and obesity on pregnancy and delivery outcomes.
    • To highlight the importance of weight management in obstetric care.

    Summary:

    • A study of 255 pregnant women (ages 17-39) found that 33.33% began pregnancy with abnormal weight or obesity.
    • By the end of pregnancy, 72.94% were classified as pre-obese or obese.

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  • Preobesity and obesity were more common in highly educated, nulliparous women, and those aged 30+.

    • Impact:

    • Obese pregnant women experienced higher rates of preeclampsia, gestational diabetes, macrosomia, and operative delivery.
    • Adverse pregnancy outcomes are linked to maternal overweight and obesity.
    • Preconceptional counseling is vital to manage weight gain before and during pregnancy.