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Semin Reprod Med 2016; 34(02): e38-e46
DOI: 10.1055/s-0036-1583532
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Managing Obesity in Pregnancy: A Change in Focus from Harm Minimization to Prevention

Rosalie M. Grivell
1   The Robinson Research Institute, and Discipline of Obstetrics and Gynaecology, The University of Adelaide, Adelaide, South Australia, Australia
2   Women's and Babies Division, Department of Perinatal Medicine, The Women's and Children's Hospital, Adelaide, South Australia, Australia
,
Cecelia M. O'Brien
1   The Robinson Research Institute, and Discipline of Obstetrics and Gynaecology, The University of Adelaide, Adelaide, South Australia, Australia
,
Jodie M. Dodd
1   The Robinson Research Institute, and Discipline of Obstetrics and Gynaecology, The University of Adelaide, Adelaide, South Australia, Australia
2   Women's and Babies Division, Department of Perinatal Medicine, The Women's and Children's Hospital, Adelaide, South Australia, Australia
› Author Affiliations
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Publication History

Publication Date:
04 May 2016 (online)

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Abstract

Obesity represents a significant global health problem, contributing to the overall burden of disease worldwide and a 30% increase in cost of health care provision. Over 50% of women who enter pregnancy are classified as overweight or obese resulting in short and long term effects on maternal and child health outcomes.

There is a substantial amount of literature focusing on interventions in the antenatal period have been associated with modest changes in weight gain during pregnancy. There has been little effect on clinical pregnancy and birth outcomes.

The article discusses the evidence supporting the shift from harm minimization via antenatal intervention, to one of prevention by targeting the time prior to conception to optimize maternal weight.

Keywords

obesity - pregnancy - management - harm minimization - prevention
 

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