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Obesity in Pregnancy

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Obesity in Pregnancy
Presented by: Tammy Therrien, CHN Hillsborough County Health Department Maternal-Child Health Prenatal Clinic

Obesity in Pregnancy


Obesity in the United States has increased dramatically over the last 25 years (American Congress of
Obstetricians and Gynecologists (ACOG), 2013).

More than one half of pregnant women are overweight or obese (ACOG, 2013).  Maternal obesity is one of the most commonly occurring risk factors in obstetric practice.  Assessment and counseling, preconception and during pregnancy for obese women is strongly encouraged.


Purpose of Presentation
To improve the health and well being of obese pregnant women and their babies  To show maternal and fetal effects of obesity  To show recommendations and interventions to improve outcomes  Target audience are overweight and obese pregnant women at first prenatal visit.


Overweight and Obese Definition
The World Health Organization (WHO) definition is:
BMI greater than 25 is overweight  BMI greater than 30 is obesity


Risks and Complications
Increased Maternal Risks:  Gestational diabetes  Pre-eclampsia  Cesarean section/wound infection  Anesthesia complications  Thromboembolism  Dysfunctional labor  Maternal death

Risks and Complications
Increased Fetal Risks:  Macrosomia  Shoulder dystocia  Stillbirth  Increased admissions to the NICU  Decreased rates of breastfeeding  Neonatal death

Obesity Perceptions and Facts


A case study from the BMC Pregnancy and Childbirth Journal showed participants believed that the four key factors that contributed to obesity in pregnancy were “information, knowledge, & skills”, “psychological and lifestyle factors”, “stigma”, and “communication” (Fruness,
McSeveny, Arden, Garland, Dearden, & Soltani, 2011).



There is a lack of knowledge about weight, diet, and exercise during...

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