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Obesity and Pregnancy
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Authors: Volker Briese( Department of Obstetrics and Gynecology, University of Rostock, Germany)Manfred Voigt, Institute for Perinatal Auxology, Rostock, Germany) Sebastian Straube, Department of Occupational and Social Medicine, University of Göttingen, Germany) 
Book Description:
Obesity is now the most common risk factor in pregnancy. Of all pregnant women 10 – 20 % are obese and 1 % are morbidly obese. Both primiparous and multiparous women are increasingly affected by obesity: primiparae because of the rising prevalence of juvenile obesity, multiparae because of inadequate postnatal weight reduction. Pre-conception advice and interventions to minimize maternal and fetal complications of obesity in pregnancy are of vital importance but until now are often sadly inadequate. Obesity associated complications of pregnancy, particularly gestational diabetes, hypertension, pre-eclampsia, and thromboembolism put mother and child at risk. Furthermore, maternal obesity can lead to neonatal macrosomia. Therefore, the Cesarean section rate is high in obese women and vaginal delivery is more often associated with complications of delivery such as shoulder dystocia. Fetal programming during pregnancy is implicated in the development of obesity and the metabolic syndrome in the offspring. This way obesity is passed on from one generation to the next. In order to stop this vicious cycle of obesity, the primary prevention of the obesity epidemic that has taken hold of the Western world has to start in pregnancy. A range of topical issues is discussed in this book including the scientific background behind obesity and pregnancy, complications of pregnancy in the obese, and obstetric care for obese women.


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Table of Contents:
Preface

Section 1: Background
Chapter I. Introducing the problem of obesity and pregnancy, pp.3-5

Chapter II. Definitions, pp. 7

Chapter III. Prevalence of obesity, pp. 9-10

Chapter IV. Fetal programming: pregnancy as an opportunity for the primary prevention of obesity, pp. 11-13

Chapter V. Pathophysiology, pp. 15-18

Section 2: Obstetric care for obese women

Chapter VI. Contraception, pp. 21-23

Chapter VII. Infertility, pp. 25-30

Chapter VIII. Pre-conceptional counseling, pp. 31-34

Chapter IX. Pre-conceptional weight reduction, pp. 35-36

Chapter X. Care during pregnancy , pp. 37-39

Chapter XI. Nutrition in pregnancy: some pointers, pp. 41-43

Chapter XII. Polycystic ovary syndrome, pp. 45-46

Chapter XIII. Abdominal obesity and metabolic syndrome, pp. 47-49

Chapter XIV. Dyslipidemia, pp. 51-52

Chapter XV. Smoking, pp. 53-58

Chapter XVI. Weight gain in pregnancy, pp. 59-61

Section 3: Complications of pregnancy

Chapter XVII. Pregnancy and birth in obese women - an overview of common complications, pp. 65-72

Chapter XVIII. Miscarriage, pp. 73-75

Chapter XX. Uterine rupture, pp. 81-82

Chapter XXI. Preterm birth, pp. 83-91

Chapter XXII. Pre-eclampsia and eclampsia, pp. 93-99

Chapter XXIII. Venous thromboembolism, pp. 101-105

Chapter XXIV. Gestational diabetes, pp. 107-110

Chapter XXV. Diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic nonketotic diabetic coma (HONK) in Pregnancy, pp. 111-116
Chapter XXIV. Myocardial infarction , pp. 117-119

Chapter XXVII. Stroke, pp. 121-124

Chapter XXVIII. Compression neuropathies and carpal tunnel syndrome, pp. 125-126

Chapter XXIX. Obstructive sleep apnea, pp. 127-128

Chapter XXX. Acute pancreatitis, pp. 129-132

Chapter XXXI. Restless legs syndrome, pp. 133

Section 4: Delivery

Chapter XXXII. Delivery and the postpartum period in obese women, pp. 137-145

Chapter XXXIII. Prevention of postpartum hemorrhage, pp. 147-149

Chapter XXXIV. Anesthetic management issues in morbidly obese women, pp. 151-153

Section 5: Summaries and appendi

Chapter XXXV. Summary and outlook (for health care professionals), pp. 157-159

Chapter XXXVI. A patient guide, pp. 161-164

Chapter XXXVII. Appendix: Percentiles for the weight gain during pregnancy, pp. 165-171

Index

   Series:
      Pregnancy and Infants: Medical, Psychological and Social Issues
   Binding: Hardcover
   Pub. Date: 2010
   Pages: 7 x 10 184pp.
   ISBN: 978-1-60876-111-1
   Status: AV
  
Status Code Description
AN Announcing
FM Formatting
PP Page Proofs
FP Final Production
EP Editorial Production
PR At Prepress
AP At Press
AV Available
  
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