.
.
MEDICAL: CONDITIONS: OBESITY :
WOMEN: PREGNANCY AND CHILDBIRTH : CHILDREN:
Rise in Obese Pregnant Women Takes its Toll on Mother, Child Both
.
.
Rise in Obese Pregnant Women Takes its Toll on Mother, Child Both
Date: October 14, 2016
Source: Case Western Reserve University
Summary:
A medical doctor warns that the obesity epidemic is leading to a rise in
high-risk pregnancies. There are no standard guidelines for the management
of obesity in pregnancy. The American College of Obstetricians and
Gynecologists recommends that all pregnant women follow a healthy diet,
and consider at least half an hour of moderate physical activity per day
during pregnancy. But obese pregnant women represent a relatively new
high-risk population that will call for the development of additional
tools to help these women reduce these risks before, during and after
pregnancy, says this physician.
Journal Reference:
Patrick M Catalano, MD et al.
Clinical management of pregnancy in the obese mother:
before conception, during pregnancy, and post partum.
The Lancet Diabetes and Endocrinology,
October 2016
DOI: 10.1016/S2213-8587(16)30278-9
Science Daily
https://www.sciencedaily.com/releases/2016/10/161014103221.htm
.
.
The epidemic of obesity is felt in prenatal clinics and delivery rooms
around the world with a worrisome trend in high-risk pregnancies that
could impact mother and child, according to Patrick M. Catalano, MD, the
Dierker-Biscotti Women's Health and Wellness Professor and Director of the
Center for Reproductive Health at MetroHealth and Director of the Clinical
Research Unit of the Case Western Reserve University. Dr. Catalano
collaborated with a team of clinicians and scientists from around the
world to address these issues in a series of review papers on maternal
obesity published this month in The Lancet Diabetes and Endocrinology.
.
"The management of obesity in pregnancy begins before, during and after
pregnancy," said Dr. Catalano. "There is limited evidence based data on
how best to mitigate adverse metabolic effects of obesity on mothers
(spontaneous miscarriage, gestational diabetes, pre-eclampsia and need for
cesarean delivery) and their offspring (congenital anomalies, neonatal
adiposity and risk for childhood obesity) once a woman is pregnant. Basic
questions as to what is the optimal diet or weight gain during pregnancy
need to be addressed. In the interim, until a comprehensive potentially
personalized life-course approach is instituted, efforts during pregnancy
will by necessity be aimed at recognizing and mitigating the adverse
metabolic consequences of maternal obesity during pregnancy on both the
mother and her child."
.
He said that lifestyle modifications such as healthy eating, physical
activity and behavioral modifications during pregnancy have had limited
benefits on improving adverse perinatal outcomes, with the exception of
reducing excessive gestational weight gain, on the average of two to five
pounds in obese women.
.
snip
.
There are no standard guidelines for the management of obesity in
pregnancy, added Dr. Catalano. The American College of Obstetricians and
Gynecologists recommends that all pregnant women follow a healthy diet,
and consider at least half an hour of moderate physical activity per day
during pregnancy. But Dr. Catalano said that obese pregnant women
represent a relatively new high-risk population that will call for the
development of additional tools to help these women reduce these risks
before, during and after pregnancy. The Case Western scientists are also
carrying out a study to determine whether lifestyle changes initiated in
the post-partum period will help reduce the risks for a woman's next
pregnancy.
.
In 2008, there were almost three overweight or obese women of childbearing
age for each underweight woman, according to Dr. Catalano and his
colleagues. They are suggesting that clinicians working with overweight or
obese women of childbearing age offer pre-conception weight management to
improve metabolic health and fertility and decrease early loss of a
pregnancy. There should also be screening for diabetes. Once pregnant,
women should be instructed on how to maintain a healthy gestational weight
gain (through healthy eating and exercise). Studies suggest that 50 to 60
percent of obese women gain more weight in pregnancy than is recommended
by the Institute of Medicine (IOM). The review also suggests that
clinicians screen for fetal structural problems.
.
In mid-pregnancy, the experts say that clinicians should also screen for
gestational diabetes and pre-eclampsia, and towards the end of pregnancy
there should be an assessment of fetal overgrowth (which is more common
among obese pregnant women.) The labor and delivery team should also be
aware of the increased risk for a caesarean delivery. Some studies have
shown that the induction failure rate is twice as high in obese women
compared with women who entered pregnancy with a healthy weight. Obese
women in the post-partum period are also at higher risk for venous
thromboembolism, difficulty with lactation, and depression.
.
New mothers struggling with obesity may also find it more difficult to
breastfeed their babies.
.
.
The complete article may be read at the URL above.
.
.
Sincerely,
David Dillard
Temple University
(215) 204 - 4584
jwne@xxxxxxxxxx
http://workface.com/e/daviddillard
Net-Gold
https://groups.io/g/Net-Gold
http://groups.yahoo.com/group/net-gold
http://listserv.temple.edu/archives/net-gold.html
https://groups.io/org/groupsio/Net-Gold/archives
http://net-gold.3172864.n2.nabble.com/
Temple University and Google Sites Research Guides
AND Discussion Group Directory
http://tinyurl.com/ngda2hk
OR
https://sites.google.com/site/researchguidesonsites/
RESEARCH PAPER WRITING
http://guides.temple.edu/research-papers
EMPLOYMENT
http://guides.temple.edu/employment-guide
INTERNSHIPS
http://guides.temple.edu/employment-internships
HOSPITALITY
http://guides.temple.edu/hospitality-guide
DISABILITIES AND EMPLOYMENT
http://guides.temple.edu/c.php?g=134557
INDOOR GARDENING
https://groups.io/g/indoor-gardening
Educator-Gold
http://groups.yahoo.com/group/Educator-Gold/
K12ADMINLIFE
http://groups.yahoo.com/group/K12AdminLIFE/
PUBLIC HEALTH RESOURCES INCLUDING EBOLA
http://guides.temple.edu/public-health-guide
STATISTICS SOURCES RESEARCH GUIDE
http://guides.temple.edu/statistics-sources
Social Work and Social Issues Discussion Group
https://groups.io/g/social-work
Tourism Discussion Group
https://groups.io/g/Tourism
Digital Scholarship Discussion Group
https://groups.io/g/DigitalScholarship/threads
https://listserv.temple.edu/cgi-bin/wa?A0=DIGITAL-SCHOLARSHIP
https://groups.yahoo.com/neo/groups/digital-scholarship/info
https://digitalscholarshipandscholarlypublication.wordpress.com/
Copyright Research Guide
Copyright, Intellectual Property and Plagiarism Sources
http://guides.temple.edu/copyright-plagiarism
Fair Use
http://guides.temple.edu/fair-use
Blog
https://educatorgold.wordpress.com/
Articles by David Dillard
https://sites.google.com/site/daviddillardsarticles/
Information Literacy (Russell Conwell Guide)
http://tinyurl.com/78a4shn
Nina Dillard's Photographs on Net-Gold
http://www.flickr.com/photos/neemers/
Twitter: davidpdillard
Temple University Site Map
https://sites.google.com/site/templeunivsitemap/home
Bushell, R. & Sheldon, P. (eds),
Wellness and Tourism: Mind, Body, Spirit,
Place, New York: Cognizant Communication Books.
Wellness Tourism: Bibliographic and Webliographic Essay
David P. Dillard
http://tinyurl.com/o4pn4o9
Rail Transportation
https://groups.io/org/groupsio/RailTransportation
INDOOR GARDENING
Improve Your Chances for Indoor Gardening Success
http://tech.groups.yahoo.com/group/IndoorGardeningUrban/
SPORT-MED
https://www.jiscmail.ac.uk/lists/sport-med.html
http://groups.yahoo.com/group/sports-med/
http://listserv.temple.edu/archives/sport-med.html
HEALTH DIET FITNESS RECREATION SPORTS TOURISM
https://groups.yahoo.com/neo/groups/healthrecsport/info
http://listserv.temple.edu/archives/health-recreation-sports-tourism.html
.
.
Please Ignore All Links to JIGLU
in search results for Net-Gold and related lists.
The Net-Gold relationship with JIGLU has
been terminated by JIGLU and these are dead links.
http://groups.yahoo.com/group/Net-Gold/message/30664
http://health.groups.yahoo.com/group/healthrecsport/message/145
Temple University Listserv Alert :
Years 2009 and 2010 Eliminated from Archives
https://sites.google.com/site/templeuniversitylistservalert/
.
.
