Obesity & Pregnancy
Nova Science Publishers Inc (Verlag)
978-1-60876-111-1 (ISBN)
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Obesity is now the most common risk factor in pregnancy. Of all pregnant women 10 - 20 % are obese and 1 % are morbidly obese. Both primiparous and multiparous women are increasingly affected by obesity: primiparae because of the rising prevalence of juvenile obesity, multiparae because of inadequate postnatal weight reduction. Pre-conception advice and interventions to minimise maternal and foetal complications of obesity in pregnancy are of vital importance but until now are often sadly inadequate. Obesity associated complications of pregnancy, particularly gestational diabetes, hypertension, pre-eclampsia, and thromboembolism put mother and child at risk. Furthermore, maternal obesity can lead to neonatal macrosomia. Therefore, the Caesarean section rate is high in obese women and vaginal delivery is more often associated with complications of delivery such as shoulder dystocia. Fetal programming during pregnancy is implicated in the development of obesity and the metabolic syndrome in the offspring. This way obesity is passed on from one generation to the next. In order to stop this vicious cycle of obesity, the primary prevention of the obesity epidemic that has taken hold of the Western world has to start in pregnancy. A range of topical issues is discussed in this book including the scientific background behind obesity and pregnancy, complications of pregnancy in the obese, and obstetric care for obese women.
Preface; Introducing the problem of obesity & pregnancy; Definitions; Prevalence of obesity; Fetal programming: pregnancy as an opportunity for the primary prevention of obesity; Pathophysiology; Contraception; Infertility; Pre-conceptional counseling; Pre-conceptional weight reduction; Care during pregnancy; Nutrition in pregnancy: some pointers; Polycystic ovary syndrome; Abdominal obesity & metabolic syndrome; Dyslipidemia; Smoking; Weight gain in pregnancy; Pregnancy & birth in obese women - an overview of common complications; Miscarriage; Stillbirth; Uterine rupture; Preterm birth; Pre-eclampsia & eclampsia; Venous thromboembolism; Diabetic ketoacidosis (DKA) & hyperosmolar hyperglycemic nonketotic diabetic coma (HONK); Myocardial infarction; Stroke; Compression neuropathies & carpal tunnel syndrome; Obstructive sleep apnea; Acute pancreatitis; Restless legs syndrome; Delivery & the postpartum period in obese women; Prevention of postpartum hemorrhage; Anaesthetic management issues in morbidly obese women; Summary & outlook (for health care professionals); A patient guide; Appendix: Percentiles for the weight gain during pregnancy; Index.
Erscheint lt. Verlag | 1.7.2010 |
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Zusatzinfo | Illustrations |
Verlagsort | New York |
Sprache | englisch |
Maße | 260 x 180 mm |
Gewicht | 540 g |
Themenwelt | Medizin / Pharmazie ► Medizinische Fachgebiete ► Gynäkologie / Geburtshilfe |
Studium ► 1. Studienabschnitt (Vorklinik) ► Histologie / Embryologie | |
ISBN-10 | 1-60876-111-8 / 1608761118 |
ISBN-13 | 978-1-60876-111-1 / 9781608761111 |
Zustand | Neuware |
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