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Obesity and Obstetrics

Obesity and Obstetrics
A Book

by Tahir A. Mahmood,Sabaratnam Arulkumaran,Frank A. Chervenak

  • Publisher : Elsevier
  • Release : 2020-07-03
  • Pages : 460
  • ISBN : 012817921X
  • Language : En, Es, Fr & De
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Obesity and Obstetrics, Second Edition, brings together experts to examine the issues and challenges of obesity and obstetrics, also discussing how obesity affects fertility, reproduction and pregnancy. Beginning with the worldwide epidemic of obesity, chapters then go on to review obesity and hyperglycemia of pregnancy, management of labor, interventions to improve care during pregnancy, and long-term impact of maternal obesity. Provides an essential reference on the significant risk of complications during pregnancy, including early pregnancy loss, recurrent miscarriage and fetal developmental abnormalities Builds foundational knowledge on how maternal obesity predisposes offspring to obesity, highlighting that the prevention of childhood obesity begins during pregnancy Assembles critically evaluated chapters focused on obesity and obstetrics to meet the practical needs of obstetricians, endocrinologists and general practitioners

Obesity in Obstetrics

Obesity in Obstetrics
A Book

by Tahir Ahmed Mahmood

  • Publisher : Unknown Publisher
  • Release : 2015
  • Pages : 164
  • ISBN : 9876543210XXX
  • Language : En, Es, Fr & De
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Maternal overweight and obesity

Maternal overweight and obesity
impact on obstetric outcomes in adolescents and oxytocin in labor

by Anna Ramö Isgren

  • Publisher : Linköping University Electronic Press
  • Release : 2021-02-04
  • Pages : 83
  • ISBN : 9179297471
  • Language : En, Es, Fr & De
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Objectives: The overall aim of this thesis was to evaluate the impact of maternal body mass index (BMI) on obstetric and neonatal outcomes in adolescents as well as on treatment with oxytocin infusion during labor regarding cumulative oxytocin dose and plasma levels of oxytocin. Material and Methods: Studies I and II were nationwide Swedish register studies including 31,386 primiparous adolescents subdivided in BMI groups and obesity classes according to early pregnancy BMI. Additionally, 178,844 low-risk normal weight adult women, called “the standard women” were included for comparison with the adolescents in the different BMI groups. Study III was an observational study conducted at seven maternity wards in the southeast region of Sweden, including 1,097 nulliparous women with spontaneous start of labor receiving oxytocin infusion during labor. The study group was subdivided according to BMI on admission to the labor ward. Cumulative oxytocin dose was registered from the start of the oxytocin infusion until the neonate was born. Study IV was an observational pilot study conducted at the maternity ward in Linköping, including 40 women in term labor receiving oxytocin infusion during the first stage of labor. The women were subdivided into obese and non-obese categories according to BMI on admission to the labor ward. Serial peripheral venous blood samples were taken during oxytocin infusion in the first stage of labor. The plasma oxytocin concentrations were analyzed with ultra performance liquid chromatography - Orbitrap tandem mass spectrometry at the Department of Chemistry Biomedical Centre, Uppsala University. Results: Compared with their normal weight counterparts and compared with the standard women, overweight and obese adolescents had increased risks for adverse pregnancy and neonatal outcomes such as preeclampsia, stillbirth, post-term pregnancy, neonates large for gestational age and neonates with low Apgar score. In labor, compared with the normal weight adolescents, the overweight and obese adolescents had a decreased chance for a normal vaginal delivery (VD), increased risk for Cesarean section (CS) and postpartum hemorrhage (PPH). However, compared with the standard women, the overweight adolescents had increased chance for a normal VD, and decreased risk for instrumental VD, CS, obstetric anal sphincter injury (OASI) and PPH in VD. The obese adolescents had an increased risk for CS but a decreased risk for instrumental VD and OASI and they had the same chance for a normal VD and no increased risk for PPH in VD. The mean cumulative oxytocin dose increased in the BMI groups (normal weight 2278 [2748] mU, overweight 3108 [3839] mU and obese 4082 [4895] mU (p<0.0001)) and the mean maximum oxytocin infusion rate during the first stage of labor was higher in the obese group compared with the overweight group of women (15.5 [9.5] mU/min vs. 13.6 [9.1] mU/min (p<0.05)). When adjusting for birth weight, epidural analgesia, and cervical dilation at the start of oxytocin infusion, the statistically significant differences were no longer seen. The obese women had increased median levels of oxytocin in plasma at an oxytocin infusion rate of 3.3 mU/min compared with the non-obese women (19.55 ng/mL [IQR 10.61; 29.06 ng/mL] vs. 6.97 ng/mL [IQR 5.55; 13.70 ng/mL], p=0.016). Conclusions: There are several adverse obstetric and neonatal outcomes associated with overweight and obesity in adolescents. It is important for clinicians to be aware of these outcomes in maternal health care. Nevertheless, overweight adolescents seemed to have better labor outcomes compared with low-risk adults, which is useful knowledge when risk-assessments are made in the labor ward. In spontaneous onset of labor, the cumulative oxytocin dose and maximum oxytocin infusion rate were higher in women with obesity compared with lower BMI groups. One explanatory factor seems to be that women with obesity received the oxytocin infusion at an earlier cervical dilatation stage. Furthermore, obese women seemed to have higher levels of oxytocin in plasma at the beginning of the oxytocin infusion. The oxytocin-oxytocin receptor complex must be further investigated to gain more knowledge on how to optimize the treatment of obese women with oxytocin infusion during labor.

Obesity and Obstetrics

Obesity and Obstetrics
A Book

by Tahir A. Mahmood,Sabaratnam Arulkumaran,Frank A. Chervenak

  • Publisher : Elsevier
  • Release : 2020-06-06
  • Pages : 372
  • ISBN : 0128179228
  • Language : En, Es, Fr & De
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Obesity and Obstetrics, Second Edition, brings together experts to examine the issues and challenges of obesity and obstetrics, also discussing how obesity affects fertility, reproduction and pregnancy. Beginning with the worldwide epidemic of obesity, chapters then go on to review obesity and hyperglycemia of pregnancy, management of labor, interventions to improve care during pregnancy, and long-term impact of maternal obesity. Provides an essential reference on the significant risk of complications during pregnancy, including early pregnancy loss, recurrent miscarriage and fetal developmental abnormalities Builds foundational knowledge on how maternal obesity predisposes offspring to obesity, highlighting that the prevention of childhood obesity begins during pregnancy Assembles critically evaluated chapters focused on obesity and obstetrics to meet the practical needs of obstetricians, endocrinologists and general practitioners

Maternal Obesity and Pregnancy

Maternal Obesity and Pregnancy
A Book

by Per Glud Ovesen,Dorte Møller Jensen

  • Publisher : Springer Science & Business Media
  • Release : 2012-03-13
  • Pages : 324
  • ISBN : 3642250238
  • Language : En, Es, Fr & De
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A dramatic and worldwide increase is occurring in the prevalence of overweight and obesity in women of childbearing age. Obese women carry a significant excess risk of a variety of serious complications during pregnancy, and in addition, maternal obesity predisposes to obesity in the offspring. This book provides a timely update on the latest knowledge on maternal obesity and pregnancy. A very wide range of issues are covered, including macrosomia and associated shoulder dystocia; the risk of miscarriage, malformations, and complications of pregnancy; the impact of hyperglycemia; clinical management; consequences for anesthesia and ultrasound; impacts on breastfeeding, fertility, and childhood obesity; and pregnancy following gastric surgery. All of the authors are recognized experts in their fields, and the book has been designed to meet the practical needs of obstetricians, gynecologists, internists, and general practitioners.

Obesity and Gynecology

Obesity and Gynecology
A Book

by Tahir A. Mahmood,Sabaratnam Arulkumaran,Frank A. Chervenak

  • Publisher : Elsevier
  • Release : 2020-06-11
  • Pages : 352
  • ISBN : 0128179201
  • Language : En, Es, Fr & De
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Obesity and Gynecology, Second Edition, presents updated chapters on a variety of topics, ranging from adolescent obesity, contraception, assisted reproduction and sexual dysfunction, to bariatric surgery and improving semen parameters. The prevalence of obesity in men and women continues to dramatically increase around the world. Obesity presents specific challenges in relation to male and female infertility and general gynecology. Patients who are obese require specific considerations and knowledge. Presents an essential reference on the significant risks of obesity related to contraception, male and female infertility, and general gynecology Builds foundational knowledge, showing how obesity relates to general gynecology, including menstrual disorders, breasts cancer, menopause and sexual dysfunction Assembles critically evaluated chapters that focus on obesity and gynecology to meet the practical needs of gynecologists, endocrinologists and general practitioners

Obesity Medicine: Management of Obesity in Women's Health Care

Obesity Medicine: Management of Obesity in Women's Health Care
A Book

by Robert K. Silverman

  • Publisher : McGraw Hill Professional
  • Release : 2017-02-05
  • Pages : 512
  • ISBN : 0071843523
  • Language : En, Es, Fr & De
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The first text to comprehensively address both the gynecologic and obstetrical care of the obese patient Obesity for the ObGyn is the first reference that provides clinicians with the tools needed to manage care and minimize risk complications for their obese patients. Clinically focused and evidence based, this groundbreaking text devotes equal amount of coverage to obstetric and gynecologic care. The book concludes with a valuable section devoted to related conditions (sleep apnea, heart disease, osteoarthritis, etc.) that would further impact patient care. Both the obstetric and gynecologic sections include care checklists, management algorithms, key points, and other tools for a more practical reference. · This is the first major text to address this continually growing epidemic · Convenient templated chapter presentation

Obesity

Obesity
A Ticking Time Bomb for Reproductive Health

by Tahir Ahmed Mahmood,Sabaratnam Arulkumaran

  • Publisher : Newnes
  • Release : 2013
  • Pages : 658
  • ISBN : 012416045X
  • Language : En, Es, Fr & De
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Bringing together experts from a variety of specialties to examine the issues and challenges of obesity, this book discusses how obesity affects fertility, reproduction and pregnancy.

Munro Kerr's Operative Obstetrics E-Book

Munro Kerr's Operative Obstetrics E-Book
A Book

by Sabaratnam Arulkumaran,Michael Dr Robson

  • Publisher : Elsevier Health Sciences
  • Release : 2019-10-02
  • Pages : 368
  • ISBN : 0702076368
  • Language : En, Es, Fr & De
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New chapter to cover the care of the obese mother in labour. Management areas and guidelines fully updated (e.g. for fetal monitoring in labour). Covers significant new research

Best Practices in High-Risk Pregnancy, An Issue of Obstetrics and Gynecology Clinics,

Best Practices in High-Risk Pregnancy, An Issue of Obstetrics and Gynecology Clinics,
A Book

by Lynn Simpson

  • Publisher : Elsevier Health Sciences
  • Release : 2015-06-14
  • Pages : 241
  • ISBN : 032338899X
  • Language : En, Es, Fr & De
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The Guests Editors have assembled expert authors to present clinical reviews on the current knowledge and best practices for high-risk pregnancies. Authors are writing on Genetics: update on prenatal screening and diagnosis; Screening for congenital heart disease; What you need to know when managing twins; Short cervix dilemma; preterm labor: approach to decreasing complications of prematurity; Optimizing outcomes for the growth-restricted fetus; Preeclampsia: short- and long-term implications; pregnancy risk associated with obesity; prevention of first cesarean delivery, and diagnosis and management of placenta accreta.

Pregnancy in the Obese Woman

Pregnancy in the Obese Woman
Clinical Management

by Deborah Conway

  • Publisher : John Wiley & Sons
  • Release : 2011-01-19
  • Pages : 256
  • ISBN : 9781444391176
  • Language : En, Es, Fr & De
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Obesity presents many challenges to mothers and their unborn babies How can a severely overweight woman prepare for pregnancy? What if she is already pregnant? How do you guide her through an inherently high-risk pregnancy and labor to a successful birth? Pregnancy in the Obese Woman takes the best available evidence on pregnancy and obesity to provide an insightful, practical guide to management in one volume. After a review of the epidemiology and special considerations of prenatal care in obese women of childbearing age, the authors cover: Bariatric surgery Nutrition, exercise, and weight gain in pregnancy Co-morbid conditions Abnormal fetal growth and obstetric complications Operative techniques in obese patients Breastfeeding, contraception, and further pregnancies With obesity on the rise, increasing numbers of pregnancies are being seen in overweight and obese women, which presents a significant challenge to obstetric and other health care providers. Pregnancy in the Obese Woman provides you with the critical information you need to ease your mind and help your patients become contented mothers. Titles of Related Interest Protocols for High-Risk Pregnancies, 5e Queenan, Hobbins and Spong (eds); ISBN 978-1-4051-9650-5 Obstetic Clinical Algorithms: Management and Evidence Norwitz, Belfort, Saade, Miller; ISBN 978-14051-8111-2 Preterm Birth: Prevention and Management Berghella (ed); 978-1-4051-9290-3

Obesity in Gynaecology

Obesity in Gynaecology
A Book

by Tahir Mahmood

  • Publisher : Unknown Publisher
  • Release : 2015
  • Pages : 129
  • ISBN : 9876543210XXX
  • Language : En, Es, Fr & De
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Women and Obesity, an Issue of Obstetrics and Gynecology Clinics

Women and Obesity, an Issue of Obstetrics and Gynecology Clinics
A Book

by Raul Artal

  • Publisher : Saunders
  • Release : 2009
  • Pages : 213
  • ISBN : 9781437712483
  • Language : En, Es, Fr & De
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This issue of Obstetrics and Gynecology Clinics examines Women and Obesity. Guest Editor Dr. Raul Artal has assembled a panel of world-class experts who offer reviews on topics including: The Epidemiology of Obesity and Health Economics, Early Life Origins of Obesity, Regulation of Fat Metabolism in Obesity: Gender Differences, Physiological Aspects of Obesity, Pregnancy and Obesity, Exercise Prescription for Overweight and Obese Women: Pregnancy and Post-partum, Post-partum Weight Retention and Rise for Obesity, Obesity and its Relationship to Infertility in Men and Women, Obesity and Sexual Aspects in Women, Maternal and Child Obesity: the Peuetic Link, Minorities and Obesity, and Experimental Research Direction in Obesity.

Diabetes, Obesity

Diabetes, Obesity
Gynecology, Obstetrics

by Anonim

  • Publisher : Unknown Publisher
  • Release : 1955
  • Pages : 9
  • ISBN : 9876543210XXX
  • Language : En, Es, Fr & De
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Obesity and Fertility

Obesity and Fertility
A Practical Guide for Clinicians

by Emily S. Jungheim

  • Publisher : Springer
  • Release : 2015-05-28
  • Pages : 201
  • ISBN : 149392611X
  • Language : En, Es, Fr & De
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This book outlines the current understanding of how obesity affects female reproductive function across the lifespan. Topics include physiology of the menstrual cycle and early pregnancy, best practices in the delivery of contraceptive and prenatal care and healthcare policy that weighs the evidence in appropriate balance with principles that respect women’s rights. Special attention is devoted to the idea that obesity’s adverse effects are likely trans-generational; that is, children born to obese mothers are at increased risk for obesity, diabetes and cardiovascular disease later in life. Patients and their physicians need to be aware of the additional risks obesity confers in pregnancy and outline a plan of care that includes counseling preconceptionally, antepartum, intrapartum and postpartum in order to decrease morbidity. Obesity and Fertility provides advice for reproductive medicine physicians and gynecologists to help guide obese patients toward improved reproductive health and outcomes.

Maternal obesity, duration of labor and the role of leptin

Maternal obesity, duration of labor and the role of leptin
A Book

by Sara Carlhäll

  • Publisher : Linköping University Electronic Press
  • Release : 2018-05-03
  • Pages : 56
  • ISBN : 9176852806
  • Language : En, Es, Fr & De
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Background: The prevalence of obesity substantially increases in pregnant women. Maternal obesity is associated with adverse maternal and neonatal outcomes. The increased risk for cesarean section present in obese women has been related to potential impaired uterine contractility. The mechanism that underlies this theory is not clear. In vitro studies have shown that leptin, produced by adipose tissue and the placenta, exerts an inhibitory effect on myometrial contractility. The aim of this thesis was to evaluate the labor process in relation to maternal body mass index (BMI) and the clinical role of leptin in this process. Material and Methods: Studies I-IV are cohort studies. The first two studies analyze the association between labor duration and maternal BMI based on data from the Perinatal Revision South register and the Swedish Pregnancy Register. Study I included 63,829 nulliparous women with a spontaneous onset of labor between 1995 and 2009. Study II included 15,259 nulliparous women with induced labor between 2014 and 2017. In study III, the maternal leptin levels during and after pregnancy were analyzed in 343 obese women with respect to their obesity class (I-III) and degree of gestational weight gain (GWG). In study IV, the association between the maternal leptin levels measured in active labor and duration of the active phase of labor was analyzed in 914 women. Results: The duration of spontaneous labor significantly increased with an increasing maternal BMI; however, the duration of the pushing phase was inversely related to BMI. Time in induced labor increased with maternal BMI; however, the differences between the BMI categories were more pronounced in the latent phase than the active phase. Leptin levels were higher in women with obesity class III than women with class I during and after pregnancy. The degree of GWG in obese women was not associated with maternal leptin. No significant association between maternal leptin and the duration of the active phase of labor was identified in the adjusted analyses. Conclusions: Nulliparous obese women have a higher risk for a prolonged duration of spontaneous and induced labor. This is important to consider prior to diagnosing labor arrest that results in a cesarean delivery. As maternal leptin levels are increased with the degree of obesity during pregnancy, future research on the association of high maternal leptin levels and the duration of labor is warranted.

Maternal Obesity and Pregnancy

Maternal Obesity and Pregnancy
A Book

by Anonim

  • Publisher : Springer
  • Release : 2012-03-21
  • Pages : 332
  • ISBN : 9783642250248
  • Language : En, Es, Fr & De
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A Practical Approach to Obstetric Anesthesia

A Practical Approach to Obstetric Anesthesia
A Book

by Brenda A. Bucklin,David R. Gambling,David Wlody

  • Publisher : Lippincott Williams & Wilkins
  • Release : 2008-09-01
  • Pages : 546
  • ISBN : 9780781775243
  • Language : En, Es, Fr & De
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This new addition to our highly successful A Practical Approach to Anesthesia series is a comprehensive, accessible guide to obstetric anesthesia, with the substance and depth of a textbook and the convenient, user-friendly features of a handbook. It focuses sharply on clinical issues and is written in outline format for quick reference, with numerous tables, figures, and photographs. Major sections cover pharmacology and physiology, antepartum considerations, labor and delivery, postpartum issues, and disease states in obstetric patients, including a chapter on obesity and pregnancy. The concluding chapter reviews current guidelines from the American Society of Anesthesiologists, American College of Obstetricians and Gynecologists, and American Academy of Pediatrics.

Obesity During Pregnancy in Clinical Practice

Obesity During Pregnancy in Clinical Practice
A Book

by Wanda Nicholson,Kesha Baptiste-Roberts

  • Publisher : Springer Science & Business Media
  • Release : 2013-11-26
  • Pages : 356
  • ISBN : 1447128311
  • Language : En, Es, Fr & De
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This book summarizes the effects of overweight/obesity in the childbearing years that can be effectively communicated to patients by their providers in a busy practice setting, and provides concise and understandable summaries of the evidence-based, theory-driven lifestyle interventions that have been shown to be effective for weight loss and modifying the risk of developing diabetes and obesity.

EBOOK: Normalizing Challenging or Complex Childbirth

EBOOK: Normalizing Challenging or Complex Childbirth
A Book

by Karen Jackson,Helen Wightman

  • Publisher : McGraw-Hill Education (UK)
  • Release : 2017-02-16
  • Pages : 240
  • ISBN : 0335264336
  • Language : En, Es, Fr & De
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Complexity in childbirth is growing significantly due to several factors that include increasing maternal age, rising levels of obesity and related diabetes. Women labelled as moderate or high risk are often excluded from useful strategies that low risk women enjoy, such as using water immersion for labour, aromatherapy or mobilisation. They then can immediately follow a pathway of increased surveillance and interventions that may or may not be clinically indicated. This text offers expert guidance and specialist knowledge on the evidence for normalizing and humanizing complicated or challenging pregnancies, labours and birth. It covers a range of practice issues from multiple births to breech presentations, gestational diabetes to VBAC. Comprehensively written for midwifery students and those already in practice, it’s also useful for obstetricians and medical students who wish to provide more holistic maternity care and promote optimum childbirth. With case studies and helpful summaries of points for practice, this is the go-to text for those looking for up-to-date guidance on maximizing normal physiology and also normalizing or humanizing challenging or complex childbirth in midwifery practice. An essential read for today’s midwife. Includes a Foreword by Professor Soo Downe, University of Central Lancashire, UK. "Normalizing Challenging or Complex Childbirth, edited by Karen Jackson and Helen Wightman, provides an insightful and informative perspective on an array of midwifery issues pertinent to today’s society, including: obesity, VBAC and diabetes. Karen Jackson’s first chapter 'The concept of normality in the context of challenging or complex childbirth' sets the standard for additional eminent contributing authors; and they follow with an engaging exploration and explanation of the issues which is seamless in terms of application to practice and is supported by real life case studies and key practice points. This is a must read resource for midwives, students and educators." Janet Israel, Midwifery Lecturer, Cardiff University, UK "Normalizing Challenging or Complex Childbirth provides midwives and students with a refreshingly practical and sensitive approach to caring for women when pregnancy and birth bring additional physiological challenges. New and emerging evidence on important clinical scenarios is presented with great compassion in the context of contemporary midwifery care. This book will be an important resource to midwives wishing to provide individualised sensitive care to women facing the challenge of an unexpected, or complex, pregnancy path.” Julia Sanders, PhD Consultant Midwife and Reader in Midwifery, Cardiff University, UK