pregnancy weight gain recommendations for overweight women ;
most pregnant mothers have, normal pregnancies and healthy babies, but the Centers for Disease Control and Disease Prevention ranks overweight or obese during pregnancy almost the same level of risk as uncontrolled high blood pressure, diabetes, smoking or drinking.
Danielle Symons Downs, a professor of kinesiology and obstetrics and gynecology at Pennsylvania State University, was asked to provide recommendations to physicians regarding the management of obesity in pregnancy for an edition especially primary care: Clinics in Office Practice , published in March.
According to the latest data, the average maternal weight at the time of first pregnancy has increased by more than 20 percent since 1980, and almost 25 percent of women weigh more than 200 pounds They are entering their first pregnancy.
The Institute of Medicine recommends that overweight women gain 15 to 25 pounds and obese women gain 11 to 20 pounds. Almost 60 percent of overweight women and 55 percent of obese women exceed these guidelines, which can lead to complications in pregnancy, such as gestational diabetes, heart disease and cesarean delivery . In addition, overweight and obese women are more likely to overcome weight gain guidelines and keep the extra weight after delivery.
recommendations Downs’ are intended to address this growing health problem. “The management of obesity in pregnancy is a difficult task due to the weight loss recommendations do not apply to pregnant women,” he said. “The overweight and obese women enter pregnancy with additional challenges and may feel very discouraged when they are also given a white so small weight gain.”
Currently, there are no consistent recommendations in the published literature on the management of obesity in pregnancy and prevent weight gain in pregnancy overweight and obese women . “Providers need to balance risks with proper fetal growth and pregnancy complications maternal weight gain to enhance positive outcomes for both mother and child,” said Downs.
Another challenge facing pregnant women prenatal visits is shortened to offset declining insurance reimbursements. Because of the shortage of time many medical professionals face, often the main goal of prenatal visit is in the unborn child. Downs said that a different approach is needed, and article highlights some key recommendations for physicians when treating obese patients prenatal.
“Women are frustrated because they hear different opinions. What they really need is help tailored to your individual needs. Providers are equally frustrated because it is difficult to provide this level of individual counseling in the context of clinical care” Downs said. “Prenatal visits for this group of women have to include some debates as newspapers on maternal and fetal risks associated with obesity and high weight gain during pregnancy, tracing and tracking weight gain during pregnancy, encouraging lifestyle changes such as increasing physical activity and eating healthy foods and advice on proper weight gain and promote weight loss properly before attempting a pregnancy in the future. ”
Downs is currently the principal investigator in a project called “Healthy Mom Zone ‘to develop interventions to control weight gain during pregnancy in pregnant women with overweight and obesity. Researchers are enrolling women in early pregnancy , and after them to surrender. Participants receive education as use technological tools to control their weight, dietary intake and physical activity, and get the support of motivation and feedback on a weekly basis.
“We are learning a lot about the needs and challenges of women, and how to motivate them to maintain a positive and effective attitude of self-monitor. All this information is essential to the development of a program that is effective and efficient can help to get the right amount of weight, “said Downs.
In addition, Downs and other researchers have associated with Geisinger Medical Group in Danville, Pa. In order to implement some strategies for weight control clinic. “Overweight and obese pregnant women will work with nurses who monitor their weight, diet and exercise make recommendations and provide additional guidance,” Downs said. “We currently are not doing a great job with these women, and when they have additional pregnancies, is a relentless cycle in terms of its weight and health. We must be in a better place and our goal is to find a how to get there. ”
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Posted in: Overweight and Obesity