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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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Published in: | Midwifery 2017-06, Vol.49, p.7-12 |
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container_title | Midwifery |
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creator | Dodd, Jodie M. Briley, Annette L. |
description | 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. |
doi_str_mv | 10.1016/j.midw.2017.03.001 |
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•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.</description><subject>Adjuvant therapy</subject><subject>Adult</subject><subject>Babies</subject><subject>Behavior change</subject><subject>Birth Weight</subject><subject>Body Mass Index</subject><subject>Childbirth & labor</subject><subject>Clinical medicine</subject><subject>Cost of Illness</subject><subject>Disease Management</subject><subject>Female</subject><subject>Health</subject><subject>Humans</subject><subject>Infants</subject><subject>Lifestyles</subject><subject>Maternal and infant health</subject><subject>Metformin</subject><subject>Midwifery</subject><subject>Nurse Midwives - psychology</subject><subject>Nursing</subject><subject>Obesity</subject><subject>Obesity - therapy</subject><subject>Perception</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - therapy</subject><subject>Weight control</subject><subject>Weight Gain</subject><subject>Womens health</subject><issn>0266-6138</issn><issn>1532-3099</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNp9kL9uFDEQhy0URI7AC6SIVkpDs8v4z669UpooAoIURJPeWtvjk0933o29l-i6vANvyJPg1YUUFFRTzDe_mfkIOafQUKDd502zC-6pYUBlA7wBoG_Iirac1Rz6_oSsgHVd3VGuTsn7nDcA0AuQ78gpU1zIVrAVuf0xxGEd4roaDeYwH6oQqynhOg7RHqrfz7-q61h6ecY5BVsN0VXL1uAxHaoJU57QzuERP5C3fthm_PhSz8j91y_3N7f13c9v32-u72rLlZhr07XOeW6E6QQODoxtPQAqr7iT3nrXKRRgqG2VVAKlYhaN6p003gnG-Bn5dIyd0viwxzzrXcgWt9sh4rjPmipFpRSibwt6-Q-6GfcpluM07UWxQoVaAtmRsmnMOaHXUwq7IR00Bb1o1hu9PKwXzRq4LprL0MVL9N7s0L2O_PVagKsjgEXFY8Cksw0YLbqQii_txvC__D8Jw49v</recordid><startdate>201706</startdate><enddate>201706</enddate><creator>Dodd, Jodie M.</creator><creator>Briley, Annette L.</creator><general>Elsevier Ltd</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>7X8</scope></search><sort><creationdate>201706</creationdate><title>Managing obesity in pregnancy – An obstetric and midwifery perspective</title><author>Dodd, Jodie M. ; Briley, Annette L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-b65ddf3b4b64ead0bc5f00e8f83d7fcfd68e40b1c58784e782ceb89d7bfd4223</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adjuvant therapy</topic><topic>Adult</topic><topic>Babies</topic><topic>Behavior change</topic><topic>Birth Weight</topic><topic>Body Mass Index</topic><topic>Childbirth & labor</topic><topic>Clinical medicine</topic><topic>Cost of Illness</topic><topic>Disease Management</topic><topic>Female</topic><topic>Health</topic><topic>Humans</topic><topic>Infants</topic><topic>Lifestyles</topic><topic>Maternal and infant health</topic><topic>Metformin</topic><topic>Midwifery</topic><topic>Nurse Midwives - psychology</topic><topic>Nursing</topic><topic>Obesity</topic><topic>Obesity - therapy</topic><topic>Perception</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - therapy</topic><topic>Weight control</topic><topic>Weight Gain</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dodd, Jodie M.</creatorcontrib><creatorcontrib>Briley, Annette L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>MEDLINE - Academic</collection><jtitle>Midwifery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dodd, Jodie M.</au><au>Briley, Annette L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Managing obesity in pregnancy – An obstetric and midwifery perspective</atitle><jtitle>Midwifery</jtitle><addtitle>Midwifery</addtitle><date>2017-06</date><risdate>2017</risdate><volume>49</volume><spage>7</spage><epage>12</epage><pages>7-12</pages><issn>0266-6138</issn><eissn>1532-3099</eissn><abstract>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.</abstract><cop>Scotland</cop><pub>Elsevier Ltd</pub><pmid>28347542</pmid><doi>10.1016/j.midw.2017.03.001</doi><tpages>6</tpages></addata></record> |
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source | Applied Social Sciences Index & Abstracts (ASSIA); ScienceDirect Freedom Collection |
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 |
title | Managing obesity in pregnancy – An obstetric and midwifery perspective |
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