Document Detail

SOGC Clinical Practice Guidelines: Obesity in pregnancy. No. 239, February 2010.
MedLine Citation:
PMID:  20641146     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To review the evidence and provide recommendations for the counselling and management of obese parturients.
OUTCOMES: OUTCOMES evaluated include the impact of maternal obesity on the provision of antenatal and intrapartum care, maternal morbidity and mortality, and perinatal morbidity and mortality.
EVIDENCE: Literature was retrieved through searches of Statistics Canada, Medline, and The Cochrane Library on the impact of obesity in pregnancy on antepartum and intrapartum care, maternal morbidity and mortality, obstetrical anaesthesia, and perinatal morbidity and mortality. Results were restricted to systematic reviews, randomized controlled trials/controlled clinical trials, and observational studies. There were no date or language restrictions. Searches were updated on a regular basis and incorporated in the guideline to April 2009. Grey (unpublished) literature was identified through searching the websites of health technology assessment and health technology assessment-related agencies, clinical practice guideline collections, clinical trial registries, and national and international medical specialty societies.
VALUES: The evidence obtained was reviewed and evaluated by the Maternal Fetal Medicine and Clinical Practice Obstetric Committees of the SOGC under the leadership of the principal authors, and recommendations were made according to guidelines developed by the Canadian Task Force on Preventive Health Care.
BENEFITS, HARMS, AND COSTS: Implementation of the recommendations in this guideline should increase recognition of the issues clinicians need to be aware of when managing obese women in pregnancy, improve communication and consultation amongst the obstetrical care team, and encourage federal and provincial agencies to educate Canadians about the values of entering pregnancy with as healthy a weight as possible.
Gregory A L Davies; Cynthia Maxwell; Lynne McLeod; Robert Gagnon; Melanie Basso; Hayley Bos; Marie-France Delisle; Dan Farine; Lynda Hudon; Savas Menticoglou; William Mundle; Lynn Murphy-Kaulbeck; Annie Ouellet; Tracy Pressey; Anne Roggensack; Dean Leduc; Charlotte Ballerman; Anne Biringer; Louise Duperron; Donna Jones; Lily Shek-Yun Lee; Debra Shepherd; Kathleen Wilson;
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Publication Detail:
Type:  Journal Article; Practice Guideline    
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  110     ISSN:  1879-3479     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-16     Completed Date:  2010-10-28     Revised Date:  2014-07-30    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  167-73     Citation Subset:  IM    
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MeSH Terms
Body Mass Index
Obesity / complications*,  therapy*
Patient Education as Topic / standards
Preconception Care / standards*
Pregnancy Complications / therapy*
Prenatal Care / standards*

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