Download or read book Obesity and Obstetrics written by Tahir A. Mahmood and published by Elsevier. This book was released on 2020-06-06 with total page 373 pages. Available in PDF, EPUB and Kindle. Book excerpt: Obesity and Obstetrics, Second Edition, brings together experts to examine the issues and challenges of obesity and obstetrics, also discussing how obesity affects fertility, reproduction and pregnancy. Beginning with the worldwide epidemic of obesity, chapters then go on to review obesity and hyperglycemia of pregnancy, management of labor, interventions to improve care during pregnancy, and long-term impact of maternal obesity. Provides an essential reference on the significant risk of complications during pregnancy, including early pregnancy loss, recurrent miscarriage and fetal developmental abnormalities Builds foundational knowledge on how maternal obesity predisposes offspring to obesity, highlighting that the prevention of childhood obesity begins during pregnancy Assembles critically evaluated chapters focused on obesity and obstetrics to meet the practical needs of obstetricians, endocrinologists and general practitioners

Download or read book Maternal Obesity and Pregnancy written by Per Glud Ovesen and published by Springer Science & Business Media. This book was released on 2012-03-16 with total page 325 pages. Available in PDF, EPUB and Kindle. Book excerpt: A dramatic and worldwide increase is occurring in the prevalence of overweight and obesity in women of childbearing age. Obese women carry a significant excess risk of a variety of serious complications during pregnancy, and in addition, maternal obesity predisposes to obesity in the offspring. This book provides a timely update on the latest knowledge on maternal obesity and pregnancy. A very wide range of issues are covered, including macrosomia and associated shoulder dystocia; the risk of miscarriage, malformations, and complications of pregnancy; the impact of hyperglycemia; clinical management; consequences for anesthesia and ultrasound; impacts on breastfeeding, fertility, and childhood obesity; and pregnancy following gastric surgery. All of the authors are recognized experts in their fields, and the book has been designed to meet the practical needs of obstetricians, gynecologists, internists, and general practitioners.

Download or read book Obesity and Pregnancy written by Margaret Rees and published by CRC Press. This book was released on 2008-11-25 with total page 310 pages. Available in PDF, EPUB and Kindle. Book excerpt: The obesity epidemic is adversely affecting reproductive health compromising both the mother and the fetus. Written by international experts this practical guide for health professionals is an invaluable resource for dealing with obese pregnant women. It not only covers specific pregnancy issues but also weight loss strategies. Topics cover Core issues, Obesity and reproduction, Preconceptual, antenatal and postnatal care and Surgery and anaesthesia.

Download or read book Pregnancy and Obesity written by Cynthia Maxwell and published by Walter de Gruyter GmbH & Co KG. This book was released on 2017-10-23 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: Obesity epidemic is a global problem of the 21th century for women in reproductive age and also the obstetricians and pediatricians. There are influences of mother's prepragnancy and antepartal obesity, at delivery, for fetal programming and for maternal and fetal lifelong metabolism. The epidemiological results are important, but for the health care providers the skills for prevention of mother's obesity with all consequences are essential. Evaluated programms in nutrition and physical activity will be discussed.

Download or read book Pregnancy in the Obese Woman written by Deborah Conway and published by John Wiley & Sons. This book was released on 2011-01-19 with total page 335 pages. Available in PDF, EPUB and Kindle. Book excerpt: Obesity presents many challenges to mothers and their unborn babies How can a severely overweight woman prepare for pregnancy? What if she is already pregnant? How do you guide her through an inherently high-risk pregnancy and labor to a successful birth? Pregnancy in the Obese Woman takes the best available evidence on pregnancy and obesity to provide an insightful, practical guide to management in one volume. After a review of the epidemiology and special considerations of prenatal care in obese women of childbearing age, the authors cover: Bariatric surgery Nutrition, exercise, and weight gain in pregnancy Co-morbid conditions Abnormal fetal growth and obstetric complications Operative techniques in obese patients Breastfeeding, contraception, and further pregnancies With obesity on the rise, increasing numbers of pregnancies are being seen in overweight and obese women, which presents a significant challenge to obstetric and other health care providers. Pregnancy in the Obese Woman provides you with the critical information you need to ease your mind and help your patients become contented mothers. Titles of Related Interest Protocols for High-Risk Pregnancies, 5e Queenan, Hobbins and Spong (eds); ISBN 978-1-4051-9650-5 Obstetic Clinical Algorithms: Management and Evidence Norwitz, Belfort, Saade, Miller; ISBN 978-14051-8111-2 Preterm Birth: Prevention and Management Berghella (ed); 978-1-4051-9290-3

Download or read book Handbook of Obesity in Obstetrics and Gynecology written by Tahir A. Mahmood and published by Academic Press. This book was released on 2023-01-12 with total page 456 pages. Available in PDF, EPUB and Kindle. Book excerpt: Handbook of Obesity in Obstetrics and Gynecology addresses all aspects of general obstetrics and gynecology in obese patients, providing evidence-based guidance for the treatment and management of gynecological problems and pregnancy-related care in obese women. The book is a valuable resource for junior doctors, residents and obstetricians and gynecologists looking for a comprehensive guide that addresses the most relevant aspects of obstetric and gynecologic care that are impacted by obesity, an increasingly prevalent condition. The rising prevalence of global obesity is of public health concern, hence obese women suffer from a higher incidence of menstrual disorders, polycystic ovaries, infertility issues, and more. In pregnancy, obesity is associated with an increased risk of early pregnancy loss, recurrent pregnancy loss, fetal developmental abnormalities, thrombo-embolic disease, gestational diabetes, dysfunctional labor, post-partum hemorrhage and difficult operative deliveries. Provides a compact, portable and comprehensive book that is a useful resource for patient management and decision-making in daily practice Presents practical advice, along with key evidence-based guidelines on the treatment and management of all aspects of general obstetrics and gynecology in obese patients Includes concise information, along with up-to-date research in obesity, providing a quick reference for office and bedside management

Download or read book Obesity During Pregnancy in Clinical Practice written by Wanda Nicholson and published by Springer Science & Business Media. This book was released on 2013-11-26 with total page 362 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book summarizes the effects of overweight/obesity in the childbearing years that can be effectively communicated to patients by their providers in a busy practice setting, and provides concise and understandable summaries of the evidence-based, theory-driven lifestyle interventions that have been shown to be effective for weight loss and modifying the risk of developing diabetes and obesity.

Download or read book Weight Gain During Pregnancy written by National Research Council and published by National Academies Press. This book was released on 2010-01-14 with total page 868 pages. Available in PDF, EPUB and Kindle. Book excerpt: As women of childbearing age have become heavier, the trade-off between maternal and child health created by variation in gestational weight gain has become more difficult to reconcile. Weight Gain During Pregnancy responds to the need for a reexamination of the 1990 Institute of Medicine guidelines for weight gain during pregnancy. It builds on the conceptual framework that underscored the 1990 weight gain guidelines and addresses the need to update them through a comprehensive review of the literature and independent analyses of existing databases. The book explores relationships between weight gain during pregnancy and a variety of factors (e.g., the mother's weight and height before pregnancy) and places this in the context of the health of the infant and the mother, presenting specific, updated target ranges for weight gain during pregnancy and guidelines for proper measurement. New features of this book include a specific range of recommended gain for obese women. Weight Gain During Pregnancy is intended to assist practitioners who care for women of childbearing age, policy makers, educators, researchers, and the pregnant women themselves to understand the role of gestational weight gain and to provide them with the tools needed to promote optimal pregnancy outcomes.

Download or read book Obesity written by Tahir A. Mahmood and published by Newnes. This book was released on 2012-09-24 with total page 695 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bringing together experts from a variety of specialties to examine the issues and challenges of obesity, this book discusses how obesity affects fertility, reproduction and pregnancy.

Download or read book Obesity Medicine Management of Obesity in Women s Health Care written by Robert K. Silverman and published by McGraw Hill Professional. This book was released on 2017-02-05 with total page 512 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first text to comprehensively address both the gynecologic and obstetrical care of the obese patient Obesity for the ObGyn is the first reference that provides clinicians with the tools needed to manage care and minimize risk complications for their obese patients. Clinically focused and evidence based, this groundbreaking text devotes equal amount of coverage to obstetric and gynecologic care. The book concludes with a valuable section devoted to related conditions (sleep apnea, heart disease, osteoarthritis, etc.) that would further impact patient care. Both the obstetric and gynecologic sections include care checklists, management algorithms, key points, and other tools for a more practical reference. · This is the first major text to address this continually growing epidemic · Convenient templated chapter presentation

Download or read book Maternal Obesity written by Matthew W. Gillman and published by Cambridge University Press. This book was released on 2012-07-19 with total page 265 pages. Available in PDF, EPUB and Kindle. Book excerpt: Afflicting more than 300 million women across the globe, obesity has profound effects on health during pregnancy and on the wellbeing of the unborn child. In the face of such a challenging pandemic, this book reviews the latest research and provides up-to-date advice on clinical management. Maternal Obesity addresses the adverse effects of obesity among women of childbearing age, including infertility, medical complications, problems in labor, and adverse birth outcomes, and it reviews evidence that the obese mother's in utero environment has long-lasting influences on the health of the developing child. Chapters cover basic, clinical, and population perspectives, providing a range of valuable information from mechanistic insight through to public health and policy implications. Invaluable for obstetricians, gynaecologists, paediatricians, general and family physicians, subspecialists in obstetric and paediatric medicine, midwives, and dietitians, as well as researchers and public health policy makers seeking to tackle the burden of maternal obesity-related illness.

Download or read book Obesity and Fertility written by Emily S. Jungheim and published by Springer. This book was released on 2015-05-28 with total page 211 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book outlines the current understanding of how obesity affects female reproductive function across the lifespan. Topics include physiology of the menstrual cycle and early pregnancy, best practices in the delivery of contraceptive and prenatal care and healthcare policy that weighs the evidence in appropriate balance with principles that respect women’s rights. Special attention is devoted to the idea that obesity’s adverse effects are likely trans-generational; that is, children born to obese mothers are at increased risk for obesity, diabetes and cardiovascular disease later in life. Patients and their physicians need to be aware of the additional risks obesity confers in pregnancy and outline a plan of care that includes counseling preconceptionally, antepartum, intrapartum and postpartum in order to decrease morbidity. Obesity and Fertility provides advice for reproductive medicine physicians and gynecologists to help guide obese patients toward improved reproductive health and outcomes.

Download or read book Obesity and Gynecology written by Tahir A. Mahmood and published by Elsevier. This book was released on 2020-06-11 with total page 353 pages. Available in PDF, EPUB and Kindle. Book excerpt: Obesity and Gynecology, Second Edition, presents updated chapters on a variety of topics, ranging from adolescent obesity, contraception, assisted reproduction and sexual dysfunction, to bariatric surgery and improving semen parameters. The prevalence of obesity in men and women continues to dramatically increase around the world. Obesity presents specific challenges in relation to male and female infertility and general gynecology. Patients who are obese require specific considerations and knowledge. Presents an essential reference on the significant risks of obesity related to contraception, male and female infertility, and general gynecology Builds foundational knowledge, showing how obesity relates to general gynecology, including menstrual disorders, breasts cancer, menopause and sexual dysfunction Assembles critically evaluated chapters that focus on obesity and gynecology to meet the practical needs of gynecologists, endocrinologists and general practitioners

Download or read book Influence of Pregnancy Weight on Maternal and Child Health written by National Research Council and published by National Academies Press. This book was released on 2007-03-02 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt: Influence of Pregnancy Weight on Maternal and Child Health: Workshop Report summarizes a one and a half day workshop convened in May 2006 that reviewed U.S. trends in maternal weight (prior to, during, and after pregnancy) among different populations of women; examined the emerging research findings related to the complex relationship of the biological, behavioral, psychological, and social interactions that affect maternal and pregnancy weight on maternal and child health outcomes; and discussed interventions that use this complex relationship to promote appropriate weight during pregnancy and postpartum. Given the unprecedented environment in the United States in which two-thirds of the adult population meets the criteria for being overweight or obese, the implications for women in the reproductive age period are unique in the history of the country. The concerns for maternal and infant health are real. The questions and answers tackled by committee members and workshop participants were not easy. Nevertheless, having an opportunity to explore what is known, examine the gaps in knowledge, and explore what to do now and in the future build a pathway for further inquiry and action. This report summarizes the workshop proceedings and highlights key themes that deserve further attention. The participants in this workshop describe what is known about recent trends in maternal weight gain and the impact of maternal weight during pregnancy on the health of mothers and their children. The workshop provided a valuable opportunity to assess trends that have occurred since the publication of an earlier study by the Institute of Medicine (IOM), which included guidelines for recommended weight gain during pregnancy.

Download or read book Obesity in Obstetrics written by Tahir Ahmed Mahmood and published by . This book was released on 2015 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Maternal obesity duration of labor and the role of leptin written by Sara Carlhäll and published by Linköping University Electronic Press. This book was released on 2018-05-03 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: The prevalence of obesity substantially increases in pregnant women. Maternal obesity is associated with adverse maternal and neonatal outcomes. The increased risk for cesarean section present in obese women has been related to potential impaired uterine contractility. The mechanism that underlies this theory is not clear. In vitro studies have shown that leptin, produced by adipose tissue and the placenta, exerts an inhibitory effect on myometrial contractility. The aim of this thesis was to evaluate the labor process in relation to maternal body mass index (BMI) and the clinical role of leptin in this process. Material and Methods: Studies I-IV are cohort studies. The first two studies analyze the association between labor duration and maternal BMI based on data from the Perinatal Revision South register and the Swedish Pregnancy Register. Study I included 63,829 nulliparous women with a spontaneous onset of labor between 1995 and 2009. Study II included 15,259 nulliparous women with induced labor between 2014 and 2017. In study III, the maternal leptin levels during and after pregnancy were analyzed in 343 obese women with respect to their obesity class (I-III) and degree of gestational weight gain (GWG). In study IV, the association between the maternal leptin levels measured in active labor and duration of the active phase of labor was analyzed in 914 women. Results: The duration of spontaneous labor significantly increased with an increasing maternal BMI; however, the duration of the pushing phase was inversely related to BMI. Time in induced labor increased with maternal BMI; however, the differences between the BMI categories were more pronounced in the latent phase than the active phase. Leptin levels were higher in women with obesity class III than women with class I during and after pregnancy. The degree of GWG in obese women was not associated with maternal leptin. No significant association between maternal leptin and the duration of the active phase of labor was identified in the adjusted analyses. Conclusions: Nulliparous obese women have a higher risk for a prolonged duration of spontaneous and induced labor. This is important to consider prior to diagnosing labor arrest that results in a cesarean delivery. As maternal leptin levels are increased with the degree of obesity during pregnancy, future research on the association of high maternal leptin levels and the duration of labor is warranted.

Download or read book Maternal overweight and obesity written by Anna Ramö Isgren and published by Linköping University Electronic Press. This book was released on 2021-02-04 with total page 97 pages. Available in PDF, EPUB and Kindle. Book excerpt: Objectives: The overall aim of this thesis was to evaluate the impact of maternal body mass index (BMI) on obstetric and neonatal outcomes in adolescents as well as on treatment with oxytocin infusion during labor regarding cumulative oxytocin dose and plasma levels of oxytocin. Material and Methods: Studies I and II were nationwide Swedish register studies including 31,386 primiparous adolescents subdivided in BMI groups and obesity classes according to early pregnancy BMI. Additionally, 178,844 low-risk normal weight adult women, called “the standard women” were included for comparison with the adolescents in the different BMI groups. Study III was an observational study conducted at seven maternity wards in the southeast region of Sweden, including 1,097 nulliparous women with spontaneous start of labor receiving oxytocin infusion during labor. The study group was subdivided according to BMI on admission to the labor ward. Cumulative oxytocin dose was registered from the start of the oxytocin infusion until the neonate was born. Study IV was an observational pilot study conducted at the maternity ward in Linköping, including 40 women in term labor receiving oxytocin infusion during the first stage of labor. The women were subdivided into obese and non-obese categories according to BMI on admission to the labor ward. Serial peripheral venous blood samples were taken during oxytocin infusion in the first stage of labor. The plasma oxytocin concentrations were analyzed with ultra performance liquid chromatography - Orbitrap tandem mass spectrometry at the Department of Chemistry Biomedical Centre, Uppsala University. Results: Compared with their normal weight counterparts and compared with the standard women, overweight and obese adolescents had increased risks for adverse pregnancy and neonatal outcomes such as preeclampsia, stillbirth, post-term pregnancy, neonates large for gestational age and neonates with low Apgar score. In labor, compared with the normal weight adolescents, the overweight and obese adolescents had a decreased chance for a normal vaginal delivery (VD), increased risk for Cesarean section (CS) and postpartum hemorrhage (PPH). However, compared with the standard women, the overweight adolescents had increased chance for a normal VD, and decreased risk for instrumental VD, CS, obstetric anal sphincter injury (OASI) and PPH in VD. The obese adolescents had an increased risk for CS but a decreased risk for instrumental VD and OASI and they had the same chance for a normal VD and no increased risk for PPH in VD. The mean cumulative oxytocin dose increased in the BMI groups (normal weight 2278 [2748] mU, overweight 3108 [3839] mU and obese 4082 [4895] mU (p<0.0001)) and the mean maximum oxytocin infusion rate during the first stage of labor was higher in the obese group compared with the overweight group of women (15.5 [9.5] mU/min vs. 13.6 [9.1] mU/min (p<0.05)). When adjusting for birth weight, epidural analgesia, and cervical dilation at the start of oxytocin infusion, the statistically significant differences were no longer seen. The obese women had increased median levels of oxytocin in plasma at an oxytocin infusion rate of 3.3 mU/min compared with the non-obese women (19.55 ng/mL [IQR 10.61; 29.06 ng/mL] vs. 6.97 ng/mL [IQR 5.55; 13.70 ng/mL], p=0.016). Conclusions: There are several adverse obstetric and neonatal outcomes associated with overweight and obesity in adolescents. It is important for clinicians to be aware of these outcomes in maternal health care. Nevertheless, overweight adolescents seemed to have better labor outcomes compared with low-risk adults, which is useful knowledge when risk-assessments are made in the labor ward. In spontaneous onset of labor, the cumulative oxytocin dose and maximum oxytocin infusion rate were higher in women with obesity compared with lower BMI groups. One explanatory factor seems to be that women with obesity received the oxytocin infusion at an earlier cervical dilatation stage. Furthermore, obese women seemed to have higher levels of oxytocin in plasma at the beginning of the oxytocin infusion. The oxytocin-oxytocin receptor complex must be further investigated to gain more knowledge on how to optimize the treatment of obese women with oxytocin infusion during labor.