TY - JOUR
T1 - Antepartum Care of Women Who Are Obese During Pregnancy
T2 - Systematic Review of the Current Evidence
AU - Carlson, Nicole S.
AU - Leslie, Sharon Lynn
AU - Dunn, Alexis
N1 - Funding Information:
Dr. Nicole Carlson receives support from the National Institute of Nursing Research (1K01NR016984) for her project, “The Metabolomics of Labor Dysfunction in African-American Women.”
Publisher Copyright:
© 2018 by the American College of Nurse-Midwives
PY - 2018/5/1
Y1 - 2018/5/1
N2 - Introduction: Nearly 40% of US women of childbearing age are obese. Obesity during pregnancy is associated with multiple risks for both the woman and fetus, yet clinicians often feel unprepared to provide optimal antepartum care for this group of women. We collected and reviewed current evidence concerning antepartum care of women who are obese during pregnancy. Methods: We conducted a systematic review using PRISMA guidelines. Current evidence relating to the pregnancy care of women with a prepregnancy body mass index of 30kg/m2 or higher was identified using MEDLINE databases via PubMed, Embase, and Web of Science Core Collection between January 2012 and February 2018. Results: A total of 354 records were located after database searches, of which 63 met inclusion criteria. Topic areas for of included studies were: pregnancy risk and outcomes related to obesity, communication between women and health care providers, gestational weight gain and activity/diet, diabetic disorders, hypertensive disorders, obstructive sleep apnea, mental health, pregnancy imaging and measurement, late antepartum care, and preparation for labor and birth. Discussion: Midwives and other health care providers can provide better antepartum care to women who are obese during pregnancy by incorporating evidence from the most current clinical investigations.
AB - Introduction: Nearly 40% of US women of childbearing age are obese. Obesity during pregnancy is associated with multiple risks for both the woman and fetus, yet clinicians often feel unprepared to provide optimal antepartum care for this group of women. We collected and reviewed current evidence concerning antepartum care of women who are obese during pregnancy. Methods: We conducted a systematic review using PRISMA guidelines. Current evidence relating to the pregnancy care of women with a prepregnancy body mass index of 30kg/m2 or higher was identified using MEDLINE databases via PubMed, Embase, and Web of Science Core Collection between January 2012 and February 2018. Results: A total of 354 records were located after database searches, of which 63 met inclusion criteria. Topic areas for of included studies were: pregnancy risk and outcomes related to obesity, communication between women and health care providers, gestational weight gain and activity/diet, diabetic disorders, hypertensive disorders, obstructive sleep apnea, mental health, pregnancy imaging and measurement, late antepartum care, and preparation for labor and birth. Discussion: Midwives and other health care providers can provide better antepartum care to women who are obese during pregnancy by incorporating evidence from the most current clinical investigations.
KW - antepartum care
KW - evidence-based practice
KW - obesity
KW - person-centered care
KW - pregnancy
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U2 - 10.1111/jmwh.12758
DO - 10.1111/jmwh.12758
M3 - Review article
C2 - 29758115
AN - SCOPUS:85047495535
SN - 1526-9523
VL - 63
SP - 259
EP - 272
JO - Journal of Midwifery and Women's Health
JF - Journal of Midwifery and Women's Health
IS - 3
ER -