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Maternal obesity 

Maternal obesity
Chapter:
Maternal obesity
Author(s):

Harini Narayan

DOI:
10.1093/med/9780199673643.003.0018
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date: 04 December 2020

This chapter deals with obesity in pregnancy and pregnancy management of women who have had previous bariatric surgery. Maternal obesity is a major cause of obstetric morbidity and mortality. Obesity is a high risk factor for a wide range of antenatal, intrapartum, postnatal, and fetal/ neonatal complications. This chapter discusses the rising incidence, categories, and complications of obesity and recommended weight gain during pregnancy. The inherent risks of obesity compounded by comorbidities and significant anaesthetic problems are described. Pre-pregnancy strategies, antenatal care, screening for gestational diabetes, vigilance for pre-eclampsia and hypertension, fetal macrosomia, or IUGR, appropriate referrals for anaesthetic and dietetics are addressed. Pregnancies following bariatric surgery are increasingly common. Types of bariatric surgery, pre-pregnancy counselling, nutritional supplements, multidisciplinary antenatal care, ‘active band management’, prompt diagnosis and management of related complications are highlighted. The fact files and care pathways are based on national and international guidelines and up-to-date literature.

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