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Overweight and Obesity before, during and after Pregnancy: Part 2: Evidence-based Risk Factors and Interventions.

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  • 1Clara Angela Foundation, Witten and Berlin ; Phillips University Marburg, Centre for Mother and Child ; Department of Obstetrics, University Hospital Charité Berlin.

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Obesity in pregnancy poses significant risks to mothers and children, increasing long-term health issues like cardiovascular disease and metabolic syndrome. German healthcare lacks guidelines and interventions to address this growing global health concern.

Keywords:
diabetesmetabolic syndromeobesity during pregnancyprevention

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Area of Science:

  • Public Health
  • Obstetrics
  • Pediatrics

Background:

  • Overweight and obesity are a global health problem with severe implications for maternal, fetal, and neonatal outcomes.
  • Pregnancy obesity and excessive gestational weight gain are linked to postpartum weight retention and increased risks of metabolic syndrome, cardiovascular disease, and diabetes.

Purpose of the Study:

  • To highlight the significant impact of obesity during pregnancy on maternal and offspring health.
  • To underscore the inadequacy of current German healthcare responses, including the lack of clinical guidelines and research on effective interventions.

Main Methods:

  • This study is a review and analysis of the current state of healthcare regarding obesity in pregnancy in Germany.
  • It synthesizes existing knowledge on the health risks associated with maternal obesity and gestational weight gain.

Main Results:

  • Obesity during pregnancy leads to adverse maternal and neonatal outcomes.
  • It is associated with long-term health risks for offspring, including early cardiovascular events and metabolic syndrome.
  • German healthcare lacks integrated strategies and guidelines to manage pre-conceptional, gestational, and postpartum obesity.

Conclusions:

  • Urgent development of comprehensive healthcare concepts and clinical guidelines is needed in Germany.
  • Effective interventions are crucial to mitigate future metabolic and cardiovascular risks for women and children.
  • Addressing maternal obesity can reduce societal healthcare costs and improve long-term population health.