Risks associated with obesity in pregnancy, for the mother and baby: a systematic review of reviews

Obesity Reviews - Tập 16 Số 8 - Trang 621-638 - 2015
Jamile Marchi1, Marie Berg2,3, Ellinor K. Olander2,3, Cecily Begley3,1
1School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
2Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden
3Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden

Tóm tắt

SummaryMaternal obesity is linked with adverse outcomes for mothers and babies. To get an overview of risks related to obesity in pregnant women, a systematic review of reviews was conducted. For inclusion, reviews had to compare pregnant women of healthy weight with women with obesity, and measure a health outcome for mother and/or baby. Authors conducted full‐text screening, quality assurance using the AMSTAR tool and data extraction steps in pairs. Narrative analysis of the 22 reviews included show gestational diabetes, pre‐eclampsia, gestational hypertension, depression, instrumental and caesarean birth, and surgical site infection to be more likely to occur in pregnant women with obesity compared with women with a healthy weight. Maternal obesity is also linked to greater risk of preterm birth, large‐for‐gestational‐age babies, foetal defects, congenital anomalies and perinatal death. Furthermore, breastfeeding initiation rates are lower and there is greater risk of early breastfeeding cessation in women with obesity compared with healthy weight women. These adverse outcomes may result in longer duration of hospital stay, with concomitant resource implications. It is crucial to reduce the burden of adverse maternal and foetal/child outcomes caused by maternal obesity. Women with obesity need support to lose weight before they conceive, and to minimize their weight gain in pregnancy.

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Tài liệu tham khảo

10.1080/10408398.2012.745477

10.1038/sj.ijo.0800541

10.1001/jama.2009.2014

10.1001/jama.2012.39

EURO‐PERISTAT Project.European perinatal health report. Health and care of pregnant women and babies in Europe in 2010. [WWW document]. URLhttp://www.europeristat.com(accessed May 6 2015).

10.1089/jwh.2006.15.720

10.1136/adc.2009.170928

10.1542/peds.103.6.e85

10.1186/1471-2393-11-62

Becker L, 2011, Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0

10.1186/1471-2288-11-15

10.1111/j.1756-5391.2012.01185.x

World Health Organization.2014 global database on body mass index. [WWW document]. URLhttp://apps.who.int/bmi/index.jsp?introPage=intro_3.html(accessed May 6 2015).

10.1186/1471-2288-7-10

Sharif MO, 2013, Systematic reviews explained: AMSTAR – how to tell the good from the bad and the ugly, Oral Health Dent Manag, 12, 9

10.1016/j.ijgo.2010.03.008

Pignon A, 2013, Obesity, pregnancy outcomes and caesarean section: a structured review of the combined literature, Evid Based Midwifery, 11, 132

10.1016/j.ajog.2008.04.021

10.1111/j.1471-0528.2010.02619.x

10.1111/nure.12059

10.1001/jama.2014.2269

10.1016/S0140-6736(10)62233-7

10.1097/AOG.0000000000000170

10.1111/j.1467-789X.2008.00537.x

10.1001/jama.2009.113

10.3109/14767050903042561

10.1111/j.1467-789X.2008.00541.x

10.1111/j.1467-789X.2010.00850.x

10.1111/obr.12025

10.1371/journal.pone.0061627

10.1136/bmj.c3428

10.1186/1471-2393-7-9

10.1016/j.midw.2012.12.012

10.1055/s-0031-1293204

10.2337/dc06-2559a

10.1016/j.ajog.2007.03.027

10.1111/j.1467-789X.2007.00397.x

10.1111/j.1467-789X.2008.00511.x

10.1071/HI10001

Salihu HM, 2012, Does maternal obesity cause preeclampsia? A systematic review of the evidence, Minerva Ginecol, 64, 259

10.1111/j.1740-8709.2012.00439.x

10.1186/1750-1172-6-25

10.1371/journal.pone.0080410

10.1016/S1701-2163(15)30994-4

Avcı ME, 2014, Effects of maternal obesity on antenatal, perinatal and neonatal outcomes, J Matern Fetal Neonatal Med, 11, 1

10.1055/s-0028-1110084

10.1111/1471-0528.12443

10.1002/14651858.CD006674.pub2

10.1002/14651858.CD009021.pub2

10.1002/dmrr.1053

10.1007/s11892-014-0480-6

10.2337/dc09-2336

10.1186/1471-2393-13-148

10.1136/bmj.f6564

10.1186/1471-2393-14-249

10.1186/1472-6823-14-47

10.1111/birt.12095

10.1186/1471-2393-14-106

10.1016/j.ajic.2013.04.020

10.1097/AOG.0000000000000384

10.1002/14651858.CD007482.pub3

10.1111/j.1471-0528.2011.02924.x

10.1001/jama.2013.6295

10.1111/ppe.12125

10.1097/AOG.0b013e318191c818

Radulescu L, 2013, The implications and consequences of maternal obesity on fetal intrauterine growth restriction, J Med Life, 6, 292

10.3109/14767058.2014.964675

10.1097/AOG.0000000000000177

10.1002/bdra.23113

10.1111/j.1479-828X.2008.00934.x

10.1002/bdra.23123

10.1097/AOG.0b013e318295657f

10.3945/ajcn.2009.28865

10.1111/j.1747-0803.2012.00714.x

10.1097/EDE.0b013e3181878645

Yao R, 2014, Obesity and the risk of stillbirth: a population‐based cohort study, Am J Obstet Gynecol, 210, 457

10.1111/ajo.12031

10.1542/peds.2007-2747

10.1002/ajhb.22238

10.1017/S1368980011002667

10.1089/bfm.2010.0052

10.1093/eurpub/cks135

10.3945/ajcn.113.071191

10.1093/epirev/mxt003

10.1002/14651858.CD010211.pub2

10.1371/journal.pone.0103085

10.1016/j.whi.2008.07.008

10.1016/j.whi.2011.03.007

10.1111/aogs.12507

10.1177/0890334406290177

10.1089/bfm.2010.0014

10.1542/peds.2012-0688

10.1186/1471-2458-13-S3-S20

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Obesity Reviews

Tập 16 Số 8

621-638

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