Antenatal interventions for reducing weight in obese women for improving pregnancy outcome

Exploring the relationship between maternal body mass index and offspring birth weight: Analysis of routinely collected data from 1967 to 2010 in Aberdeen, Scotland

“…Several reviews have acknowledged this; however, optimal management for obese women in pregnancy is still uncertain. Improving diet and increasing levels of physical activity is thought to limit excessive weight gain (Buschur and Kim 2012); however, the safety of attempting to lose weight during pregnancy is unclear and little research has addressed this (Furber et al 2013). Further research to explore the optimal management of obese women during pregnancy is required before recommendations regarding gestational weight gain can be made, and specifi cally, if gestational weight loss should be recommended.…”

“…Maternal obesity has adverse consequences for the mother including increased risk of gestational diabetes mellitus (GDM), venous thromboembolism, pre-eclampsia and mortality (Th angaratinam et al 2012;Ruager-Martin et al 2010;Furber et al 2013;Huda et al 2010). Furthermore, maternal obesity is linked to complications for the child such as congenital anomalies, birth injury, induced pre-term delivery (Th angaratinam et al 2012;Ruager-Martin et al 2010;Furber et al 2013;McDonald et al 2010) and childhood obesity (Th angaratinam et al 2012;Furber et al 2013;Poston 2012).…”

Management of Bladder Dysfunction and LUTs During Pregnancy

“…Although weight loss has been shown to improve SUI [15], there has been no randomized trials [16] to assess the safety and effectiveness of weight loss in obese women during pregnancy. The 2009 IOM [17] recommended weight gain in pregnancy is as follows for singleton pregnancy Whilst some data suggest that weight loss in overweight women and class I obesity can reduce some pregnancy complications associated with obesity, there may also be an increase in the risk of preterm delivery [18] and a reduction in fetal birth weight.…”

The Effect of a Lifestyle-Based Training Package on Weight Gain and Frequency of Gestational Diabetes in Obese and Overweight Pregnant Females

“…In 2009, the American Academy of Medicine's recommendation for a standard pregnancy weight gain based on the mother's BMI was 7 kg to 11.5 kg for overweight females and 5 kg to 9 kg for obese females (13). A standard weight gain during pregnancy is one of the main factors associated with pregnancy and delivery outcomes (14,15).…”

“…Some studies have demonstrated a relationship between nutrition factors and gestational weight gain (16), whereas most studies have emphasized on the relationship between nutrition factors and pregnancy outcomes (17,18). Recent review articles showed that gestational weight gain as per the American Medical institute is associated with the best outcomes in mothers and infants, and that this weight gain does not harm the mother or infant in any way (13). Excessive gestational weight gain is associated with several neonatal complications, such as a lower 5-minute Apgar score, hypoglycemia, polycythemia, meconium aspiration syndrome, increased rate of cesarean, hemorrhage during labor, and labor and childbirth complications (11,(19)(20)(21).…”