PREGNANCY MONITORING IN PATIENTS WITH EXCESS WEIGHT OR OBESITY
Abstract
It is known that pregnancy monitoring in patients with excess weight or obesity is associated with many problems due to increased risk of occurrence of serious obstetric and somatic complications in such patients. The article gives practical recommendations over management of such patients (pregnancy is the only period in life of obese female when she is allowed to gain weight). The medicinal therapy should be administered with care. Reasonable choice of food products allows better control of pregnancy course. The optimal labor time for obese patient is 38 weeks, and the method of delivery is defined according to obstetric indications.
About the Author
E. L. Borovkova
Sechenov Moscow Medical Academy
Russian Federation
M.D., dozent Department of Obstetrics and Gynecology, FPPOV
Russian Federation
M.D., dozent Department of Obstetrics and Gynecology, FPPOV
References
1. ACOG Committee opinion. Number 267. January 2002: exercise during pregnancy and the postpartum period. Obstet Gynecol 2002; 99:171.
2. Chaddha V., Simchen, M.J., Hornberger L.K., et al. Fetal response to maternal exercise in pregnancies with uteroplacental insufficiency. Am J Obstet Gynecol 2005; 193:995.
3. Ertan A.K., Schanz, S, Tanriverdi H.A., et al. Doppler examinations of fetal and uteroplacental blood flow in AGA and IUGR fetuses before and after maternal physical exercise with the bicycle ergometer. J Perinat Med 2004; 32:260.
4. Duncombe D., Skouteris H., Wertheim E.H., et al. Vigorous exercise and birth outcomes in a sample of recreational exercisers: a prospective study across pregnancy. Aust N Z J Obstet Gynaecol 2006; 46:288.
5. Dempsey J.C., Butler, C.L., Sorensen, T.K., et al. A case control study of maternal recreational physical activity and risk of gestational diabetes mellitus. Diabetes Res Clin Pract2004; 66:203.
6. Dempsey J.C., Sorensen T.K., Williams M.A., et al. Prospective study of gestational diabetes mellitus risk in relation to maternal recreational physical activity before and during pregnancy. Am J Epidemiol 2004;159:663.
7. Zhang C., Solomon C.G., Manson J.E., et al. A prospective study of pregravid physical activity and sedentary behaviors in relation to the risk for gestational diabetes mellitus. Arch Intern Med 2006; 166:543.
8. Oken E., Ning Y., Rifas Shiman S.L., et al. Associations of physical activity and inactivity before and during pregnancy with glucose tolerance. Obstet Gynecol 2006; 108:1200.
9. Artal R., Catanzaro R.B., Gavard J.A., et al. A lifestyle intervention of weight gain restriction: diet and exercise in obese women with gestational diabetes mellitus. Appl Physiol Nutr Metab 2007; 32:596.
Review
For citations:
Borovkova E.L. PREGNANCY MONITORING IN PATIENTS WITH EXCESS WEIGHT OR OBESITY. Obstetrics, Gynecology and Reproduction. 2010;4(2):21-25. (In Russ.)
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