37.1 Introduction Pregnant women who are obese are at risk of a multiplicity of pregnancy-related complications, in particular preeclampsia and gestational diabetes. It has been suggested that similar to gestational diabetes and development of type 2 diabetes, gestational hypertension and…
Gestational diabetes (GDM) affects around 3.5% of pregnancies in the United Kingdom and has a higher prevalence in obese pregnant women. Maternal hyperglycaemia increases risk of adverse pregnancy outcomes and GDM is associated with adverse outcomes for women and their…
It has been estimated that diabetes affects an estimated 415 million people globally and is projected to increase to 642 million by 2040. There is also an equally high burden of prediabetes, approximately 318 million people and likely to increase…
31.1 Introduction The proportion of the female population either overweight or obese has increased significantly in recent years and pregnancy in this group of women is associated with significant health problems. Pregnancy in obese women is associated with increased risk…
30.1 Introduction The antenatal period can be a difficult time for pregnant obese patients to manage their weight. There is often the misconception that a pregnant person needs to “eat for two” and a patient may need educating that a…
Many infections in pregnancy have little effect on maternal health, and may result in minimal or no maternal symptoms unless the mother is immunocompromised. Acute maternal infection can have significant consequences on the mother right through pregnancy because of immunological…
Pregnancy in elderly obese women poses increased maternal and foetal risks; The World Health Organization classifies obesity into: class I BMI (Body mass index) 30.0–34.9 class II 35.0–39.9 class III 40 or greater There has been an increase in prevalence…
26.1 Introduction Obesity poses an increased risk for women before, during, and after pregnancy. Traditionally obesity is calculated using weight and height and is classified by the WHO (World Health Organization) into class I BMI (Body Mass Index) 30.0–34.9, class…
Roughly one in five pregnant women are obese and this number is increasing. High maternal weight gain in pregnancy is associated with adverse maternal and foetal outcomes. These risks are increased in mothers who are already obese at booking. Strategies…
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