Obesity and pregnancy

Implications and management strategies for providers

Taraneh Shirazian, Sreekala Raghavan

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Obesity in pregnancy (pregravid body mass index ≥ 30) has been linked to several adverse pregnancy outcomes, including spontaneous abortion, preeclampsia, gestational diabetes, fetal macrosomia, cesarean delivery, and wound complications post-cesarean section. Intrapartum and postpartum management of obese gravidas requires multidisciplinary consultations between obstetricians, anesthesiologists, nurses, and pediatricians in order to improve the pregnancy outcomes of the mother and neonate. The American College of Obstetricians and Gynecologists currently supports risk-reducing strategies for obese pregnant patients, including limiting weight gain to 15 lb (standardized by the Institute of Medicine). Interventions to reduce gestational weight gain may be important modifiable risk factors for maternal and fetal perinatal complications. Interventions have targeted modifications of diet and exercise with educational methods such as radio broadcasts, pamphlets, and counseling. Interventions have also focused on motivational methods, such as individual and group classes, and have been implemented both before conception and immediately after birth. Effective interventions appear to be individualized in approach, but there is a lack of data to support any specific model. Prospective interventional studies are needed to demonstrate the benefits of weight limitation on pregnancy outcomes.

Original languageEnglish (US)
Pages (from-to)539-545
Number of pages7
JournalMount Sinai Journal of Medicine
Volume76
Issue number6
DOIs
StatePublished - Dec 2009
Externally publishedYes

Fingerprint

Pregnancy Outcome
Obesity
Pregnancy
Weight Gain
Fetal Macrosomia
Mothers
Diet Therapy
National Academies of Science, Engineering, and Medicine (U.S.) Health and Medicine Division
Pamphlets
Gestational Diabetes
Spontaneous Abortion
Pre-Eclampsia
Radio
Cesarean Section
Postpartum Period
Counseling
Body Mass Index
Referral and Consultation
Nurses
Parturition

Keywords

  • Obesity
  • Pregnancy
  • Risk-reducing strategies
  • Targeted interventions

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Obesity and pregnancy : Implications and management strategies for providers. / Shirazian, Taraneh; Raghavan, Sreekala.

In: Mount Sinai Journal of Medicine, Vol. 76, No. 6, 12.2009, p. 539-545.

Research output: Contribution to journalArticle

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