The Risks Associated With Obesity in Pregnancy

Stubert, Johannes; Reister, Frank; Hartmann, Steffi; Janni, W

doi:10.3238/arztebl.2018.0276

Cited by 112 publications

(110 citation statements)

References 99 publications

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“…Rural units were found to birth a higher proportion Aboriginal and Torres Strait Islanders, who are known to suffer health inequality . There were more overweight mothers and similar numbers of obese mothers with BMI < 40 compared with Queensland average, characteristics associated with increased pregnancy risks including preeclampsia, gestational diabetes and intrauterine death . Most rural units have risk stratification policies requiring transfer of patients with BMI > 40 to referral centres for delivery.…”

Section: Discussionmentioning

confidence: 99%

“…5 There were more overweight mothers and similar numbers of obese mothers with BMI < 40 compared with Queensland average, characteristics associated with increased pregnancy risks including preeclampsia, gestational diabetes and intrauterine death. 22 Most rural units have risk stratification policies requiring transfer of patients with BMI > 40 to referral centres for delivery. Australians living in rural and remote areas tend to suffer poor health outcomes compared with those in metropolitan areas, due to social determinants of health.…”

Section: Discussionmentioning

confidence: 99%

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Access and outcomes of general practitioner obstetrician (rural generalist)‐supported birthing units in Queensland

Tennett

Kearney

2020

Australian J Rural Health

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Objective To describe characteristics and outcomes of women birthing within GP‐obstetrician (rural generalist) supported rural (level 3) obstetric units in Queensland. Design Retrospective descriptive study. Setting 21 GP‐obstetrician supported birthing units in Queensland. Participants Women (n = 3111) birthing from January 2017 to December 2017. Main outcome measures Patient, pregnancy and labour characteristics and key maternal and neonatal outcomes routinely recorded in the Queensland Perinatal Data Collection and Queensland Hospital Admitted Patient Data Collection were compared to Queensland public hospital aggregate data. Results Women birthing in rural maternity units were significantly more likely to be Aboriginal or Torrs Strait Islander (16% v 9%), < 20 years old (7% v 4%), term deliveries (96% v 91%), achieve spontaneous onset of labour (67% v 51%), and birth (71% v 60%) (p<0.001) compared with all Queensland public hospitals. They were significantly less likely to be nulliparous (36% v 40%), use pharmacological analgesia (65% v 69%), or have continuous electronic fetal monitoring in labour (54% v 66%) (p<0.001). Neonatal outcomes were comparable; with no significant difference in stillbirth rate between rural units and all Queensland public hospitals (4.8 v 7.3 per 1000 births). Precipitate delivery was the most common labour complication (36% v 33%) (p<0.001). Conclusion GP‐obstetrician (rural generalist) supported rural birthing units in Queensland provide important access for low and medium risk women to deliver locally, with strong indicators of quality and safety.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Access and outcomes of general practitioner obstetrician (rural generalist)‐supported birthing units in Queensland

Tennett

Kearney

2020

Australian J Rural Health

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“…Moreover, women with schizophrenia were significantly more likely to be overweight or obese than women in the general population . Hence, as Table shows, the unhealthy lifestyles of women with schizophrenia who wish to become pregnant (or incur an unplanned pregnancy) may contribute to the onset of pregnancy complications …”

Section: Discussionmentioning

confidence: 99%

Schizophrenia and motherhood

Gentile¹,

Fusco²

2019

Psychiatry Clin Neurosci

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The primary aim of this study was to analyze the impact of schizophrenic disorders on pregnancy outcomes. The secondary aim was to briefly analyze the potential role of antipsychotic treatment on influencing pregnancy outcomes in expectant mothers with schizophrenia. We searched the MEDLINE, PsycINFO, and http://Science.gov databases for articles published in English from January 1980 to January 2019. We used the following search terms: ‘schizophrenia’, ‘motherhood’, ‘pregnancy/foetal/neonatal outcomes’, and ‘birth defects’. The reference lists of retrieved articles were also consulted to find additional pertinent studies missed in the electronic search and/or those published before 1980. Data were extracted from articles that provided primary data on the impact of maternal schizophrenia spectrum disorders on obstetrical and perinatal outcomes. After excluding duplicates, 35 articles were identified. Systematic reviews were searched on the same databases to briefly assess the effects of antipsychotics on pregnancy outcomes. The reviewed studies showed several limitations. They were published during a time range from the early 1970s to 2019. During this period, there were significant changes in the diagnostic criteria for schizophrenia. Moreover, such studies showed no homogeneity in the investigation of potential confounders. Most importantly, no research has differentiated the effects of maternal illness on pregnancy, fetal, and neonatal outcomes from those associated with antipsychotic treatments. Thus, it is not surprising that such studies show conflicting results. Despite such limitations, in managing pregnant women with schizophrenia clinicians should consider an integrated approach that includes: antipsychotic treatment, psychological treatment, optimal dietary approaches for prevention of excessive weight gain and gestational diabetes, meticulous gynecologic and obstetric surveillance, and social and occupational support.

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“…Pregnant women should consume a variety of foods to maintain a healthy body weight [12], and to meet the demand for energy and nutrients, which are associated with the formation of fetal and maternal tissues [13,14,15,16,17]. Metabolic shift in pregnancy is associated with the accumulation of energy reserves for the period of puerperium and lactation, and also provides the right amount of oxygen and nutrients for the child’s development [18].…”

Section: Introductionmentioning

confidence: 99%

The Nutritional Behaviour of Pregnant Women in Poland

Ługowska

Kolanowski

2019

IJERPH

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A woman’s diet during pregnancy can significantly affect her health, as well as her child’s future development and well-being. Unfortunately, many pregnant women do not follow the recommended nutritional guidelines. The reason could be that they have insufficient knowledge about nutritional best practice. Accordingly, the purpose of this study is to investigate the nutritional behaviour of pregnant women in Poland. The research was conducted using a questionnaire to survey a sample of N = 815 pregnant women in first pregnancy. Among the findings were that the subjects ate an excessive amount of sweets, and white bread, and consumed insufficient quantities of fish, milk and fermented milk drinks. Subjects chose white bread more often than wholemeal bread, and fruit rather than vegetables. The study showed that the nutritional behaviour of pregnant women was characterised by many bad practices.

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The Risks Associated With Obesity in Pregnancy

Abstract: The risks associated with obesity in pregnancy cannot necessarily be influenced by intervention. Preventive measures aimed at normalizing body weight before a woman becomes pregnant are, therefore, all the more important.

Cited by 112 publications

References 99 publications

Access and outcomes of general practitioner obstetrician (rural generalist)‐supported birthing units in Queensland

Access and outcomes of general practitioner obstetrician (rural generalist)‐supported birthing units in Queensland

Schizophrenia and motherhood

The Nutritional Behaviour of Pregnant Women in Poland

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