Document Detail

Perinatal outcomes of obese women: a review of the literature.
MedLine Citation:
PMID:  9684206     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To review the literature addressing the effect of obesity on pregnancy outcomes and to identify practice and research implications. DATA SOURCES: Computerized searches in Medline and CINAHL, as well as references cited in articles reviewed. Key words used in the search were as follows: pregnancy and obesity; pregnancy complications; weight gain and pregnancy; weight gain and complications; fat distribution and pregnancy and complications; and obstetrics and obesity. STUDY SELECTION: Articles and comprehensive works from indexed journals in the English language relevant to key words and published after 1978 were evaluated. DATA EXTRACTION: Data were extracted and organized under the following headings: methodologic issues; physiologic adjustments; antepartum, intrapartum, postpartum and newborn outcomes; and cost. DATA SYNTHESIS: Obese pregnant women experience more gestational diabetes, neural tube defects, preeclampsia, induction, primary cesarean, and postpartum infection than pregnant women who are not obese. CONCLUSIONS: Pregnant women who are obese are at increased risk for certain complications during pregnancy, birth, and postpartum. Little is known about the effect that fat distribution (upper versus lower, which is influential in nonpregnant populations) has on obstetric complications. Even less is known about obese pregnant women's perceptions of risk, changes in lifestyle, functioning, health behaviors, and symptoms experienced during pregnancy.
K H Morin
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG     Volume:  27     ISSN:  0884-2175     ISO Abbreviation:  J Obstet Gynecol Neonatal Nurs     Publication Date:    1998 Jul-Aug
Date Detail:
Created Date:  1998-10-15     Completed Date:  1998-10-15     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  8503123     Medline TA:  J Obstet Gynecol Neonatal Nurs     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  431-40     Citation Subset:  IM; N    
School of Nursing, Widener University, Chester, PA 19013, USA.
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MeSH Terms
Health Care Costs
Infant, Newborn
Infant, Premature
Nursing Research
Obesity / economics,  epidemiology*,  nursing
Obstetric Labor Complications / epidemiology
Pregnancy Complications / economics,  epidemiology*,  nursing
Pregnancy Outcome
Puerperal Disorders / epidemiology

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