Assessment and Management of Obesity

Gray, Angela; Power, Michael L.; Zinberg, Stanley; Schulkin, Jay

doi:10.1097/01.ogx.0000243759.99083.d1

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Adipose Tissue Excess and Reproduction Obesity1

Introduction1

Practice Recommendations1

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2009

2020

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Cited by 4 publications

(3 citation statements)

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“…Anovulation and infertility occur more frequently in obese women compared with nonobese women (26,(328)(329)(330). Ovulation induction with either clomiphene citrate or gonadotropins may require a higher dose and take longer to induce oocyte maturation (331).…”

Section: Adipose Tissue Excess and Reproduction Obesitymentioning

confidence: 98%

Adipose tissue and reproduction in women

Bohler

Mokshagundam

Winters

2010

Fertility and Sterility

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Section: Adipose Tissue Excess and Reproduction Obesitymentioning

confidence: 98%

Adipose tissue and reproduction in women

Bohler

Mokshagundam

Winters

2010

Fertility and Sterility

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“…26 Obesity is notoriously difficult to manage, and many obstetricians feel inadequately prepared to supervise weight normalization programs. 27 Treatment of obesity is best managed in a multidisciplinary setting and will take time, as optimal weight loss is about 1 kg per week. 28 The other modifiable risk factor for stillbirth is smoking.…”

Section: Introductionmentioning

confidence: 99%

Management of subsequent pregnancy after an unexplained stillbirth

Robson

Leader

2009

J Perinatol

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Purpose: To review the management of pregnancy after an unexplained stillbirth.Epidemiology: Approximately 1 in 200 pregnancies will end in stillbirth, of which about one-third will remain unexplained. Unexplained stillbirth is the largest single contributor to perinatal mortality. Subsequent pregnancies do not appear to have an increased risk of stillbirth, but are characterized by increased rates of intervention (induction of labor, elective cesarean section) and iatrogenic adverse outcomes (low birth weight, prematurity, emergency cesarean section and post-partum hemorrhage). Conclusions:There is no level-one evidence to guide management in this situation. Pre-pregnancy counseling is very important to detect and correct potential risk factors such as obesity, smoking and maternal disease. As timely delivery is the mainstay of management, early accurate determination of gestational age is vital. There is controversy regarding the pattern of surveillance, but evidence exists only for ultrasound and not for regular non-stress testing, nor formal fetal movement charting. There is an urgent need for more studies in this important area.

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“…A dietary regimen that allows women to decrease 500 to 1,000 calories per day has been recommended, as well as daily physical activity for thirty minutes. 20…”

Section: Practice Recommendationsmentioning

confidence: 99%