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Med Clin North Am. 2018 Jan;102(1):87-106. doi: 10.1016/j.mcna.2017.08.008.

Obesity in Pregnancy: Optimizing Outcomes for Mom and Baby.

Author information

1
University of Ottawa, 1967 Riverside Drive, Ottawa, ON K1h7W9, Canada.
2
University of Colorado-Anschutz, 12631 East 17th Avenue, Mailstop F561, Aurora, CO 80045, USA.
3
University of Ottawa, 1053 Carling Avenue, Ottawa, ON K1Y 4E9, Canada.
4
University of Colorado School of Medicine, 12801 East 17th Avenue, RC1 South Room 7103, Aurora, CO 80405, USA.
5
University of Ottawa, 1967 Riverside Drive, Ottawa, ON K1h7W9, Canada. Electronic address: ekeely@toh.ca.

Abstract

Obesity is common in women of childbearing age, and management of this population around the time of pregnancy involves specific challenges. Weight and medical comorbidities should be optimized both before and during pregnancy. During pregnancy, gestational weight gain should be limited, comorbidities should be appropriately screened for and managed, and fetal health should be monitored. Consideration should be given to the optimal timing of delivery and to reducing surgical and anesthetic complications. In the postpartum period, breastfeeding and weight loss should be promoted. Maternal obesity is associated with adverse metabolic effects in offspring, promoting an intergenerational cycle of obesity.

KEYWORDS:

Intergenerational obesity; Obesity; Preconception; Pregnancy

PMID:
29156189
PMCID:
PMC6016082
DOI:
10.1016/j.mcna.2017.08.008
[Indexed for MEDLINE]
Free PMC Article

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