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- W4313453675 abstract "Importance Obesity is one of the most common clinical entities complicating pregnancies and is associated with short- and long-term consequences for both the mother and the offspring. Objective The aim of this study were to review and compare the most recently published influential guidelines on the management of maternal obesity in the preconceptional, antenatal, intrapartum, and postpartum period. Evidence Acquisition A descriptive review of guidelines from the American College of Obstetricians and Gynecologists, the International Federation of Gynecology and Obstetrics, the Society of Obstetricians and Gynecologists of Canada, the Royal College of Obstetricians and Gynecologists, and the Royal Australian and New Zealand College of Obstetricians and Gynecologists on obesity in pregnancy was carried out. Results There is an overall agreement among the reviewed guidelines regarding the importance of prepregnancy weight loss with behavioral modification, optimization of gestational weight gain, and screening for comorbidities in improving pregnancy outcomes of obese women. Women with previous bariatric surgery should be screened for nutritional deficiencies and have a closer antenatal surveillance, according to all guidelines. In addition, folic acid supplementation is recommended for 1 to 3 months before conception and during the first trimester, but several discrepancies were identified with regard to other vitamins, iodine, calcium, and iron supplementation. All medical societies recommend early screening for gestational diabetes mellitus and early anesthetic assessment in obese women and suggest the use of aspirin for the prevention of preeclampsia when additional risk factors are present, although the optimal dosage is controversial. The International Federation of Gynecology and Obstetrics, Society of Obstetricians and Gynecologists of Canada, Royal College of Obstetricians and Gynecologists, and Royal Australian and New Zealand College of Obstetricians and Gynecologists point out that specific equipment and adequate resources must be readily available in all health care facilities managing obese pregnant women. Moreover, thromboprophylaxis and prophylactic antibiotics are indicated in case of cesarean delivery, and intrapartum fetal monitoring is justified during active labor in obese patients. However, there are no consistent protocols regarding the fetal surveillance, the monitoring of multiple gestations, the timing and mode of delivery, and the postpartum follow-up, although weight loss and breastfeeding are unanimously supported. Conclusions Obesity in pregnancy is a significant contributor to maternal and perinatal morbidity with a constantly rising global prevalence among reproductive-aged women. Thus, the development of uniform international protocols for the effective management of obese women is of paramount importance to safely guide clinical practice and subsequently improve pregnancy outcomes. Target Audience Obstetricians and gynecologists, family physicians. Learning Objectives After participating in this activity, the learner should be able to assess maternal obesity and describe its associated pregnancy complications; explain the preconceptional, antenatal, and intrapartum management of obese pregnant women; and propose strategies for the postpartum management of obese women." @default.
- W4313453675 created "2023-01-06" @default.
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- W4313453675 date "2023-01-01" @default.
- W4313453675 modified "2023-10-02" @default.
- W4313453675 title "Obesity in Pregnancy: A Comprehensive Review of Influential Guidelines" @default.
- W4313453675 cites W1549059776 @default.
- W4313453675 cites W1550010471 @default.
- W4313453675 cites W1571896605 @default.
- W4313453675 cites W1607914109 @default.
- W4313453675 cites W1963639353 @default.
- W4313453675 cites W1971413023 @default.
- W4313453675 cites W1974965639 @default.
- W4313453675 cites W1990087400 @default.
- W4313453675 cites W1995608845 @default.
- W4313453675 cites W2008717045 @default.
- W4313453675 cites W2014871701 @default.
- W4313453675 cites W2032974172 @default.
- W4313453675 cites W2051211149 @default.
- W4313453675 cites W205231004 @default.
- W4313453675 cites W2062481622 @default.
- W4313453675 cites W2063941129 @default.
- W4313453675 cites W2065751318 @default.
- W4313453675 cites W2107404121 @default.
- W4313453675 cites W2111276645 @default.
- W4313453675 cites W2118485114 @default.
- W4313453675 cites W2120885990 @default.
- W4313453675 cites W2136875480 @default.
- W4313453675 cites W2142384271 @default.
- W4313453675 cites W2143371013 @default.
- W4313453675 cites W2155326729 @default.
- W4313453675 cites W2158353503 @default.
- W4313453675 cites W2159359365 @default.
- W4313453675 cites W2169861594 @default.
- W4313453675 cites W2169869070 @default.
- W4313453675 cites W2171452751 @default.
- W4313453675 cites W2186162954 @default.
- W4313453675 cites W2206415430 @default.
- W4313453675 cites W2209287280 @default.
- W4313453675 cites W2475029934 @default.
- W4313453675 cites W2476273650 @default.
- W4313453675 cites W2533289070 @default.
- W4313453675 cites W2620868179 @default.
- W4313453675 cites W2622094211 @default.
- W4313453675 cites W2763503192 @default.
- W4313453675 cites W2765778186 @default.
- W4313453675 cites W2767859123 @default.
- W4313453675 cites W2774283861 @default.
- W4313453675 cites W2783413096 @default.
- W4313453675 cites W2895086513 @default.
- W4313453675 cites W2901924236 @default.
- W4313453675 cites W2903122443 @default.
- W4313453675 cites W2915605351 @default.
- W4313453675 cites W2938400795 @default.
- W4313453675 cites W2945764663 @default.
- W4313453675 cites W2947248041 @default.
- W4313453675 cites W2968323724 @default.
- W4313453675 cites W2979021721 @default.
- W4313453675 cites W2980935805 @default.
- W4313453675 cites W2981158724 @default.
- W4313453675 cites W2990403916 @default.
- W4313453675 cites W3000358616 @default.
- W4313453675 cites W3002688199 @default.
- W4313453675 cites W3003254172 @default.
- W4313453675 cites W3038148858 @default.
- W4313453675 cites W3045205907 @default.
- W4313453675 cites W3107765570 @default.
- W4313453675 cites W3110147502 @default.
- W4313453675 cites W3153884661 @default.
- W4313453675 cites W3177019420 @default.
- W4313453675 cites W3210381192 @default.
- W4313453675 cites W331960570 @default.
- W4313453675 cites W4205930981 @default.
- W4313453675 cites W4206108843 @default.
- W4313453675 cites W4214483750 @default.
- W4313453675 cites W4226089686 @default.
- W4313453675 cites W4229075988 @default.
- W4313453675 doi "https://doi.org/10.1097/ogx.0000000000001091" @default.
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