Antepartum Care of Women Who Are Obese During Pregnancy: Systematic Review of the Current Evidence

Carlson, Nicole S.; Leslie, Sharon; Dunn, Alexis

doi:10.1111/jmwh.12758

Cited by 9 publications

(13 citation statements)

References 86 publications

(96 reference statements)

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“…Obesity rates continue to increase and have reached epidemic proportions around the globe (1). Currently, nearly 50% of women who are pregnant in the US are overweight or obese (2)(3)(4). Accompanying maternal obesity is an increase in noncommunicable metabolic disorders in children, leading to a body of literature that suggests that metabolic disorders, including obesity, type 2 diabetes mellitus, cardiovascular disease, and nonalcoholic fatty liver disease (NAFLD), are often of intrauterine origin (4)(5)(6).…”

Section: Introductionmentioning

confidence: 99%

Maternal Western diet exposure increases periportal fibrosis beginning in utero in nonhuman primate offspring

Nash¹,

Dobrinskikh²,

Newsom³

et al. 2021

JCI Insight

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Section: Introductionmentioning

confidence: 99%

Maternal Western diet exposure increases periportal fibrosis beginning in utero in nonhuman primate offspring

Nash¹,

Dobrinskikh²,

Newsom³

et al. 2021

JCI Insight

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“…In some studies, it was found that pregnant women who were recommended weight gain according to IOM guidelines had a higher probability of gaining appropriate weight than those who were not given recommendations. 10 In addition to giving education and losing weight before pregnancy, the importance of personalized diet, exercise, and nutrition education during pregnancy is clear. Implementation of diet, exercise, and training at the same time is important.…”

Section: Discussionmentioning

confidence: 99%

“…The primary predictor i.e pre-pregnancy weight has been validated however underestimation of pre-pregnancy weight by obese women will lead to an overestimation of weight gain during pregnancy . 10 , 11 …”

Section: Introductionmentioning

confidence: 99%

Association of high Body Mass Index and postdates pregnancy

Qazi

Liaqat²,

Hussain³

et al. 2022

Pak J Med Sci

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Background and Objective: Obesity with its growing prevalence is a major public health problem influencing gestational age at delivery. Raised Body Mass Index (BMI) has been shown to be associated with significantly increased risk of prolonged pregnancy; which is an important contributor to perinatal morbidity and mortality. Obesity needs modified antenatal, intrapartum and postpartum care by obstetrician. Limited data is found regarding association of obesity with prolonged pregnancy and the same fact led us to search for this association. Methods: This cohort study was carried out in Gynecology and Obstetrics department, MTI Lady Reading Hospital Peshawar from March 2020 to April 2021. Patients were enrolled in third trimester at 37 weeks of gestation with primary exposures of interest being either self-reported pre-pregnancy weight or obtained from first trimester antenatal record. Patients were divided into two classes based on BMI i.e., one with BMI <25 and other with BMI ≥ 25. Patients in both classes were followed till their delivery to determine outcome of gestational age at delivery. Results: Statistically significant difference between the two groups was seen at lower age range of 18-21 years(p-0.04) and higher age range of 39-42 years (p-0.0001). Statistically significant association was found between high pre pregnancy BMI and postdates pregnancy (OR:4.93 ;95%CI:1.98-12.26, p-0.001). Association of induction of labor with high pre pregnancy BMI was not significant. (OR 0.56, 95%CI:0.21-1.48, P < 0.001). Higher rates of Instrumental deliveries(p-0.0005) and cesarean sections (p-0.0001) were seen in higher BMI group. Conclusion: Higher pre-pregnancy BMI is associated with increased risk of postdates pregnancy. doi: https://doi.org/10.12669/pjms.38.5.4815 How to cite this:Qazi Q, Liaqat N, Hussain SS, Syed W. Association of high Body Mass Index and postdates pregnancy. Pak J Med Sci. 2022;38(5):---------. doi: https://doi.org/10.12669/pjms.38.5.4815 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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“…There has been a lot of emphasis on obesity in pregnancy and potential adverse outcomes. This Journal alone has published 8 articles in the past 2 years related to the topic of obesity or excessive gestational weight gain 1‐8 . There were 9 systematic reviews on the topic, limited to maternal and early infant effects, in 2019 9‐17 .…”

Section: Dadouch R Hall C Du Mont J D'souza R Obesity In Pregnancmentioning

confidence: 99%

Current Resources for Evidence‐Based Practice, May/June 2020

Barger

2020

J Midwife Womens Health

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Antepartum Care of Women Who Are Obese During Pregnancy: Systematic Review of the Current Evidence

Abstract: Midwives and other health care providers can provide better antepartum care to women who are obese during pregnancy by incorporating evidence from the most current clinical investigations.

Cited by 9 publications

References 86 publications

Maternal Western diet exposure increases periportal fibrosis beginning in utero in nonhuman primate offspring

Maternal Western diet exposure increases periportal fibrosis beginning in utero in nonhuman primate offspring

Association of high Body Mass Index and postdates pregnancy

Current Resources for Evidence‐Based Practice, May/June 2020

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