2013
DOI: 10.1016/s1701-2163(15)30879-3
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Maternal and Perinatal Outcomes of Extreme Obesity in Pregnancy

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Cited by 125 publications
(175 citation statements)
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References 19 publications
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“…Even among neonates delivered by caesarean section, gestational age remains a stronger predictor of NICU admission than rupture of membranes or trial of labour before delivery (35). Maternal factors found to predict NICU admission in other studies include age, race (16), body mass index (36), premature rupture of membranes, antepartum haemorrhage and medical disorders during pregnancy (32,33). Brown et al suggested that placental ischaemia and endocrine abnormalities associated with these conditions work as biological determinants of preterm birth that act through and with gestational age to produce poor outcomes (34).…”
Section: (%)]mentioning
confidence: 99%
“…Even among neonates delivered by caesarean section, gestational age remains a stronger predictor of NICU admission than rupture of membranes or trial of labour before delivery (35). Maternal factors found to predict NICU admission in other studies include age, race (16), body mass index (36), premature rupture of membranes, antepartum haemorrhage and medical disorders during pregnancy (32,33). Brown et al suggested that placental ischaemia and endocrine abnormalities associated with these conditions work as biological determinants of preterm birth that act through and with gestational age to produce poor outcomes (34).…”
Section: (%)]mentioning
confidence: 99%
“…Lifestyle interventions target established modifiable risk factors including obesity, excessive gestational weight gain and physical inactivity, and encourage ingestion of a high-fibre, low-glycaemic diet. The most effective nutritional preventive strategies for GDM have not been established, but once GDM has been diagnosed there is evidence that focusing on sustainment of low postprandial glucose concentrations is effective in reducing fetal macrosomia [109]. Moderate caloric restriction of one-third of total energy has been shown to improve glucose metabolism without causing ketonaemia in obese women with GDM [110] .…”
Section: Prediction and Prevention Of Gdmmentioning
confidence: 99%
“…In view of the persistent increased in maternal obesity in the population, interventions to improve OSA will contribute to decreased the complications brought forth by maternal obesity (23). In a study conducted between 2002 and 2011 on pregnant women with a BMI equal or exceeding 50 Kg/m² (extreme obesity) Crane et al reported increasing maternal deaths as an" outcome of interest" (24). Recently the state of California included BMI in their report of 207 pregnancy related deaths from 2002 to 2005; the paper described different degrees of association between maternal obesity as a contributing factor and the J U S T A C C E P T E D five leading causes of PRD in the state, such as cardiovascular disease, preeclampsia or eclampsia, hemorrhage, venous thromboembolism and amniotic fluid embolism (25).…”
Section: Discussionmentioning
confidence: 99%