Clinical management of pregnancy in the obese mother: before conception, during pregnancy, and post partum

Ma, Ronald Ching Wan, Schmidt, Maria Ines, Tam, Wing Hung, McIntyre, Harold David and Catalano, Patrick M. (2016) Clinical management of pregnancy in the obese mother: before conception, during pregnancy, and post partum. The Lancet Diabetes and Endocrinology, 4 12: 1037-1049. doi:10.1016/S2213-8587(16)30278-9

Author Ma, Ronald Ching Wan
Schmidt, Maria Ines
Tam, Wing Hung
McIntyre, Harold David
Catalano, Patrick M.
Title Clinical management of pregnancy in the obese mother: before conception, during pregnancy, and post partum
Journal name The Lancet Diabetes and Endocrinology   Check publisher's open access policy
ISSN 2213-8595
Publication date 2016-12-01
Year available 2016
Sub-type Article (original research)
DOI 10.1016/S2213-8587(16)30278-9
Open Access Status Not yet assessed
Volume 4
Issue 12
Start page 1037
End page 1049
Total pages 13
Place of publication London, United Kingdom
Publisher The Lancet Publishing Group
Language eng
Abstract The global epidemic of obesity has led to an increasing number of obese women of reproductive age. Obesity is associated with reduced fertility, and pregnancies complicated by maternal obesity are associated with adverse outcomes, including increased risk of gestational diabetes, pre-eclampsia, preterm birth, instrumental and caesarean births, infections, and post-partum haemorrhage. The medical and obstetric management of obese women is focused on identifying, addressing, and preventing some of these associated complications, and is a daunting challenge given the high percentage of patients with obesity and few therapeutic options proven to improve outcomes in this population. The UK's National Institute for Health and Care Excellence guidelines and the American College of Obstetricians and Gynecologists recommend that all pregnant women follow a healthy diet, and consider at least half an hour of moderate physical activity per day during pregnancy. However, although obese women are often directed to seek the advice of a nutritionist and to limit gestational weight gain, guidelines for the management of pregnancy and delivery in this high-risk group are lacking. The post-partum period represents an important opportunity to optimise maternal health before the next pregnancy. As many of the physiological changes of pregnancy associated with maternal obesity are present from early pregnancy onward, reducing maternal obesity before conception is probably the best strategy to decrease the health burden associated with maternal obesity.
Keyword Gestational Diabetes-Mellitus
Body-Mass Index
Postpartum Weight Retention
Life-Style Interventions
Middle-Income Countries
Maternal Obesity
Cesarean Delivery
International Federation
Q-Index Code C1
Q-Index Status Provisional Code
Grant ID M01 RR000080
P01 HD011089
R01 HD022965
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Mater Research Institute-UQ (MRI-UQ)
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Created: Fri, 18 Nov 2016, 23:42:37 EST by Julia McCabe on behalf of Learning and Research Services (UQ Library)