Managing obesity in pregnancy – An obstetric and midwifery perspective

Overweight and obesity during pregnancy and childbirth represent a significant health burden, placing women and their infants at increased risk of almost all documented adverse outcomes. Research efforts have focused on strategies to limit gestational weight gain, including dietary and lifestyle int...

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Bibliographic Details
Published in:Midwifery 2017-06, Vol.49, p.7-12
Main Authors: Dodd, Jodie M., Briley, Annette L.
Format: Article
Language:English
Subjects:
Adjuvant therapy
Adult
Babies
Behavior change
Birth Weight
Body Mass Index
Childbirth & labor
Clinical medicine
Cost of Illness
Disease Management
Female
Health
Humans
Infants
Lifestyles
Maternal and infant health
Metformin
Midwifery
Nurse Midwives - psychology
Nursing
Obesity
Obesity - therapy
Perception
Pregnancy
Pregnancy Complications - therapy
Weight control
Weight Gain
Womens health
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Summary:Overweight and obesity during pregnancy and childbirth represent a significant health burden, placing women and their infants at increased risk of almost all documented adverse outcomes. Research efforts have focused on strategies to limit gestational weight gain, including dietary and lifestyle interventions, as well as the use of adjuvant therapies such as metformin. However, there remain many barriers to behavioural change for women during pregnancy, and current care recommendations largely reflect good clinical practice, rather than being based on strong evidence. •Overweight and obesity during pregnancy affect almost 50% of women across developed nations.•Risk of almost all pregnancy and birth complications increases with increasing maternal BMI.•Many barriers to effecting behavioural change during pregnancy exist.•Current care recommendations largely reflect good clinical practice.
ISSN:0266-6138
1532-3099
DOI:10.1016/j.midw.2017.03.001