Maternal Obesity

by Gillman, Matthew W.; Poston, Lucilla

• ISBN13: 9781107003965
• ISBN10: 1107003962
• Edition: 1st
• Format: Hardcover
• Copyright: 2012-08-27
• Publisher: Cambridge Univ Pr

Summary

Afflicting more than 300 million women across the globe, obesity has profound effects on health during pregnancy and on the wellbeing of the unborn child. In the face of such a challenging pandemic, this book reviews the latest research and provides up-to-date advice on clinical management. Maternal Obesity addresses the adverse effects of obesity among women of childbearing age, including infertility, medical complications, problems in labor, and adverse birth outcomes, and it reviews evidence that the obese mother's in utero environment has long-lasting influences on the health of the developing child. Chapters cover basic, clinical, and population perspectives, providing a range of valuable information from mechanistic insight through to public health and policy implications. Invaluable for obstetricians, gynaecologists, paediatricians, general and family physicians, subspecialists in obstetric and paediatric medicine, midwives, and dietitians, as well as researchers and public health policy makers seeking to tackle the burden of maternal obesity-related illness.

Table of Contents

Preface

Trends and Determinants of Obesity in Women of Reproductive Age

Demography of obesity

Determinants of obesity

Obesity and fertility

Pregnancy Outcome

Maternal outcomes in obese pregnancies

Potential mechanisms contributing to gestational diabetes and pre-eclampsia in the obese woman

Fetal and infant outcomes in obese pregnancies

Obesity in pregnancy and mental health

Long-term Consequences

Long-term consequences of obesity in pregnancy for the mother

Long-term consequences of maternal obesity and gestational weight gain for offspring obesity and cardiovascular risk - intrauterine or shared familial mechanisms?

Influences of maternal obesity on the health of the offspring: a review of animal models

Developmental origins of obesity: energy balance pathways - appetite. The role of developmental plasticity of the hypothalamus

Adipose tissue development and its potential contribution to later obesity

Maternal diet and nutritional status and risk of obesity in the child: the role of epigenetic mechanisms

Interventions

Interventional strategies to improve outcomes in obese pregnancies: focus on gestational weight gain

Interventional strategies to improve outcome in obese pregnancies: insulin resistance and gestational diabetes

Intervention strategies to improve outcomes in obese pregnancies: micronutrients and dietary supplements

Pre-pregnancy bariatric surgery: improved fertility and pregnancy outcome?

Management and Policy

Clinical management of obesity in pregnancy

Public health policies relating to obesity in childbearing women

Index

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