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Obesity in Pregnancy
Author(s) -
Davies Gregory A.L.,
Maxwell Cynthia,
McLeod Lynne,
Gag Robert,
Basso Melanie,
Bos Hayley,
Delisle MarieFrance,
Farine Dan,
Hudon Lynda,
Menticoglou Savas,
Mundle William,
MurphyKaulbeck Lynn,
Ouellet Annie,
Pressey Tracy,
Roggensack Anne,
Leduc Dean,
Ballerman Charlotte,
Biringer Anne,
Duperron Louise,
Jones Donna,
Lee Lily ShekYun,
Shepherd Debra,
Wilson Kathleen
Publication year - 2010
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2010.03.008
Subject(s) - medicine , guideline , specialty , medline , observational study , pregnancy , systematic review , cochrane library , family medicine , randomized controlled trial , health care , surgery , pathology , biology , political science , law , economics , genetics , economic growth
Objective To review the evidence and provide recommendations for the counselling and management of obese parturients. Outcomes Outcomes evaluated include the impact of maternal obesity on the provision of antenatal and intrapartum care, maternal morbidity and mortality, and perinatal morbidity and mortality. Evidence Literature was retrieved through searches of Statistics Canada, Medline, and The Cochrane Library on the impact of obesity in pregnancy on antepartum and intrapartum care, maternal morbidity and mortality, obstetrical anaesthesia, and perinatal morbidity and mortality. Results were restricted to systematic reviews, randomized controlled trials/controlled clinical trials, and observational studies. There were no date or language restrictions. Searches were updated on a regular basis and incorporated in the guideline to April 2009. Grey (unpublished) literature was identified through searching the websites of health technology assessment and health technology assessment‐related agencies, clinical practice guideline collections, clinical trial registries, and national and international medical specialty societies. Values The evidence obtained was reviewed and evaluated by the Maternal Fetal Medicine and Clinical Practice Obstetric Committees of the SOGC under the leadership of the principal authors, and recommendations were made according to guidelines developed by the Canadian Task Force on Preventive Health Care. Benefits, Harms, and Costs Implementation of the recommendations in this guideline should increase recognition of the issues clinicians need to be aware of when managing obese women in pregnancy, improve communication and consultation amongst the obstetrical care team, and encourage federal and provincial agencies to educate Canadians about the values of entering pregnancy with as healthy a weight as possible.