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Pregnancy with Obesity

By Joseph Hazan,M.D.,FACOG

 

It is determined that 29% of women

between the ages of 20 and 39 are obese.

Overall the rate of obesity has reached

32% and continues to increase.

BMI (body mass index) which is calculated

by taking the weight in kilograms

and dividing it by the height in m2. 

BMI 25 kg/m2 is considered overweight

and 30 kg/m2 is considered obese.

Obesity predisposes to diabetes,

hypertension,

pregnancy loss and neural

tube defect, spina bifida, heart defects,

cleft palate, cleft lip and anal atresia.

There are also difficulties with delivery,

including  cesarean section and also

with anesthesia.

Following delivery there is an increased

risk of thromboembolism.

Nutritional help and vitamin and mineral

supplementation is required.

In most cases for overweight and obese

individuals weight gain would need to

be limited to below 25 lbs during pregnancy.

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