Maternal obesity: Perinatal implications

Over the previous three decades, the prevalence and growth of overweight and obese status has risen relentlessly in both the general population and pregnant women. This rise is seen in both higher pre-pregnancy body mass index measurements along with excessive weight gain during pregnancy. Maternal...

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Main Authors: Julie Reed, Sarah Case, Asha Rijhsinghani
Format: Article
Language:English
Published: SAGE Publishing 2023-05-01
Series:SAGE Open Medicine
Online Access:https://doi.org/10.1177/20503121231176128
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author Julie Reed
Sarah Case
Asha Rijhsinghani
author_facet Julie Reed
Sarah Case
Asha Rijhsinghani
author_sort Julie Reed
collection DOAJ
description Over the previous three decades, the prevalence and growth of overweight and obese status has risen relentlessly in both the general population and pregnant women. This rise is seen in both higher pre-pregnancy body mass index measurements along with excessive weight gain during pregnancy. Maternal obesity has been shown to exacerbate co-morbidities such as insulin resistance, pregnancy induced hypertension, and infectious states in parturient mothers. These changes have been shown to subsequently increase rates of fetal anomalies and affect fetal growth, as well as various aspects of the delivery such as rates of instrumented vaginal deliveries and an increase in delivery by cesarean section. Maternal obesity increases fetal birth weight, influences the delivery room resuscitation of the neonate by increasing the need for respiratory support, and increases the risk of neonatal hypoxic ischemic encephalopathy. This review also looks at recent studies revealing the strong association between maternal and offspring obesity and other long-term neurodevelopmental outcomes of offspring.
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spelling doaj.art-3ab36e0f47c74f649de78ffb23a94ef92023-05-30T09:04:40ZengSAGE PublishingSAGE Open Medicine2050-31212023-05-011110.1177/20503121231176128Maternal obesity: Perinatal implicationsJulie Reed0Sarah Case1Asha Rijhsinghani2School of Medicine, University of Washington, Seattle, WA, USASchool of Medicine, University of Washington, Seattle, WA, USADepartment of Maternal and Fetal Medicine, University of Washington, Seattle, WA, USAOver the previous three decades, the prevalence and growth of overweight and obese status has risen relentlessly in both the general population and pregnant women. This rise is seen in both higher pre-pregnancy body mass index measurements along with excessive weight gain during pregnancy. Maternal obesity has been shown to exacerbate co-morbidities such as insulin resistance, pregnancy induced hypertension, and infectious states in parturient mothers. These changes have been shown to subsequently increase rates of fetal anomalies and affect fetal growth, as well as various aspects of the delivery such as rates of instrumented vaginal deliveries and an increase in delivery by cesarean section. Maternal obesity increases fetal birth weight, influences the delivery room resuscitation of the neonate by increasing the need for respiratory support, and increases the risk of neonatal hypoxic ischemic encephalopathy. This review also looks at recent studies revealing the strong association between maternal and offspring obesity and other long-term neurodevelopmental outcomes of offspring.https://doi.org/10.1177/20503121231176128
spellingShingle Julie Reed
Sarah Case
Asha Rijhsinghani
Maternal obesity: Perinatal implications
SAGE Open Medicine
title Maternal obesity: Perinatal implications
title_full Maternal obesity: Perinatal implications
title_fullStr Maternal obesity: Perinatal implications
title_full_unstemmed Maternal obesity: Perinatal implications
title_short Maternal obesity: Perinatal implications
title_sort maternal obesity perinatal implications
url https://doi.org/10.1177/20503121231176128
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