What are the established recommendations for managing obesity during pregnancy? - Meal Plan
How do you assess for obesity during pregnancy?
How can we prevent maternal obesity?
What are the obese guidelines?
Can overweight cause problems in pregnancy?
Does overweight affect pregnancy?
Can you give birth naturally if you are overweight?
Which three factors can lead to immediate development of obesity as well as contribute to the development of obesity later in life?
How does maternal weight nutrition affect the birth weight of the child?
What does macrosomia mean?
NICE recommendations include a pre-pregnancy BMI in the 18.5–24.9 range [12] (Table 1). However, pregnant women are not advised to lose weight during pregnancy. Instead, guidelines encourage women with a BMI of 30 or more at pregnancy to lose weight after delivery and before their next pregnancy [12].
The primary weight management strategies during pregnancy are dietary control, exercise, and behavior modification. The goal is to avoid excessive gestational weight gain which is common in obese women. Working with a nutritionist can help patients plan meals for optimum healthy gestational weight gain.
In pregnancy, a pre-pregnancy BMI or that calculated at initial booking visit (by 10 weeks of gestation) is used for the diagnosis of obesity in pregnancy. Furthermore, three classes of obesity have been identified thus: Class 1 (BMI 30.0–34.9) ; Class 2 (BMI 35.0–39.9); and Class 3 or morbid obesity (BMI 40 and over).
Preconceptional Weight Control
Address your patient’s chief complaints first, independent of weight.
Calculate and discuss the meaning of her body mass index.
Open the discussion. …
Assess if your patient wants to control her weight at this time. …
Set a weight goal. …
Prescribe healthy eating and physical activity behaviors.
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Maternal nutritional status impacted significantly on newborn birth weight as poorly nourished mothers were observed to produce a higher percentage of LBW babies when compared to those who were better nourished.
The term “fetal macrosomia” is used to describe a newborn who’s much larger than average. A baby who is diagnosed as having fetal macrosomia weighs more than 8 pounds, 13 ounces (4,000 grams), regardless of his or her gestational age. About 9% of babies worldwide weigh more than 8 pounds, 13 ounces.
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