Abstract

<p style="margin-bottom: 0in;"><span style="color: #231f20;"><span style="font-family: Times New Roman,serif;"><span style="font-size: small;">Maternal obesity increases the risk of poor pregnancy outcomes, including infertility, miscarriage, foetal anomalies, hypertensive disorders of pregnancy, gestational diabetes mellitus, risk of induction and failed induction, prolonged labour, caesarean section, post partum haemorrhage, infection and anaesthetic complications. As the prevalence of obesity in reproductive aged women is increasing, the practicing clinician must be aware of the risks and current management strategies to facilitate a healthy pregnancy and delivery in these women.</span></span></span> <span style="font-family: Times New Roman,serif;"><span style="font-size: small;">DOI: <a href="http://dx.doi.org/10.4038/sljog.v35i1.6002">http://dx.doi.org/10.4038/sljog.v35i1.6002</a></span></span> <span style="font-family: Times New Roman,serif;"><span style="font-size: small;"><em>Sri Lanka Journal of Obstetrics and Gynaecology </em></span></span><span style="font-family: Times New Roman,serif;"><span style="font-size: small;">2013; </span></span><span style="font-family: Times New Roman,serif;"><span style="font-size: small;"><span style="font-weight: normal;">35</span></span></span><span style="font-family: Times New Roman,serif;"><span style="font-size: small;"><span style="font-weight: normal;">:</span></span></span><span style="font-family: Times New Roman,serif;"><span style="font-size: small;"> 29-33</span></span>

Highlights

  • Maternal obesity increases the risk of poor pregnancy outcomes, including infertility, miscarriage, foetal anomalies, hypertensive disorders of pregnancy, gestational diabetes mellitus, risk of induction and failed induction, prolonged labour, caesarean section, post partum haemorrhage, infection and anaesthetic complications

  • Obesity is defined as a body mass index (BMI) of equal to or greater than 30kg/m2, using the formula weight divided by the square of the person’s height

  • The World Health organization, in the non-communicable diseases country profiles published in 2011, lists the prevalence of overweight Australian females to be 59.3%, while the prevalence of obesity is said to be 27.1%. These figures are comparatively high when looking at the data from Sri Lankan women in the same publication, who have an overweight rate of 26.8% and an obesity rate of only 7.4%1

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Summary

Definition and Prevalence

Obesity is defined as a body mass index (BMI) of equal to or greater than 30kg/m2, using the formula weight (in kilograms) divided by the square of the person’s height (in metres).

Obese class I Obese class II Obese class III
Postpartum Fetal
Gestational Diabetes Mellitus
Timing of birth
Cesarean section
Findings
Practice points

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