Nusrat Jahan
Nicole Garret
WRT 102
10/21/2015
Exploring the Negative Effects of Maternal Obesity Obesity in pregnant women is a global concern. In The United States, obesity is a critical public health issue—one in every three women is obese (Masho, et al). This issue becomes crucial in the context that 36% of pregnant women in the United States are obese (Shub, et al). Studies show a strong association between maternal obesity and health risks during pregnancy and labor. In addition, a disconnect in perception and awareness exists such that most obese pregnant women who gain weight during pregnancy underestimate their Body Mass Index (BMI); and also have poor knowledge about the risk associated with obesity. In our time period, there is a significant increase in the average body index in all age groups and most commonly with the women who are entering their reproduction age. According to the article, “Weight Gain During Pregnancy”, a normal weighted gravida, or pregnant woman, has BMI of 18.5–24.9 Kg/m2, over-weight gravida has BMI of 25–29.9 Kg/m2, and obese gravida has BMI of 30 and greater Kg/m2. Obese pregnant women face many critical health risks compare to normal weight pregnant women. In the study “Maternal Obesity a Global Health Problem and Its Implications on Maternal and Fetal Health”, by Hashmi and his colleagues, they aimed to find out if obese women were at greater risk of having adverse reproductive outcomes compared to women with a normal BMI. By using
According to the National Health and Nutrition Examination Survey (NHANES) from 2011-2012, more than 34% of all adults are obese in that their BMI exceeds 24 (Ogden, Carroll, Kit, & Flegal, 2014). Interestingly, though this prevalence is high, it seems as though there has not been an increase since the same study done from 2003-2004. This seems to imply that we have plateaued at the peak that we have been rising towards since 1976 (Ogden, Carroll, Kit, & Flegal, 2014). To take this further, during the time of increasing incidences, in a study done from 1990-2004, it was seen that “the incidence of maternal obesity at the start of pregnancy [was] increasing and accelerating” which corresponds with the previous study’s findings (Heslehurst, et al.,
Multiple antenatal, antepartum, and postpartum challenges are incurred with a BMI of > 45. Miscarriage is at an increased risk among women with elevated BMI as well as prevalence of GDM and preexisting diabetes. First trimester screening for previously unrecognized diabetes with an early glucose screening is recommended. Obese women have an increased risk for hypertensive disorders as well as preeclampsia. It is not clear whether low-dose aspirin therapy is effective in reducing the likelihood of developing preeclampsia among women with an elevated BMI; however, low-dose aspirin is low-risk and therefore, can help decrease the risk for preeclampsia among women with moderate to high risk of developing the disease. Obstructive sleep apnea may be precipitated or exacerbated during pregnancy and may increase the risk of preeclampsia and GDM. Women who are obese have an increased risk for preterm birth. Maternal obesity is also associated with an increase in absolute rate of congenital anomalies. In addition, congenital anomalies are often more difficult to detect by prenatal ultrasound given acoustic limitations. (Detection decreases by 20%) Finally, there is an increased risk of dysfunctional labor in addition to complications that are incurred should an operative delivery be required. Weight gain goals recommended in obesity are 10-15 lb. Unfortunately, weight loss during pregnancy is not recommended. Serial surveillance
When thinking of public health in regards specifically to obesity, a study into maternal obesity and the long-term health of the offspring, found that ‘maternal obesity has been associated with a number of long-term adverse health outcomes in the offspring, including lifelong risk of obesity and metabolic dysregulation with increased insulin resistance, hypertension and dyslipidaemia, as well as behavioural problems and risk of asthma’ (O’Reilly et al, 2012:1), this highlights to us the implications not just to mother, but the long term effects to her child.
Obesity in America is an increasingly discussed topic, but because it is also an increasing concern it is important to look at the cotributions. With obesity rates rising it is a concern among the entire country. Why are people growing larger? Why are more children and young adults over their recommended weight gain? The reasoning’s behind this, while obvious, are much more than they appear upon closer inspection. The health of a pregnant women, prior to and during the pregnancy can be a factor affects obesity in our country. Cost, linking to poverty and costs of food, makes it harder to buy and afford healthy food. And, finally, time constraints for working adults. And so watching what we eat, lowering healthy food costs and learning to
A cohort study was conducted where 230 women who were pregnant participated in 6 behavioral intervention sessions focusing on modifying gestational weight gain. This longitudinal study referred to as the “Glowing Study” also compared outcomes with individuals receiving only standard care, who were part of the “Arkansas Pregnancy
The topic was suitable to the population due to the prevalence of obesity in Michigan. The obesity prevalence in Michigan is 32.5% in the year 2016 (The State of Obesity, 2016). Therefore, a concerted effort that focuses on exercise during pregnancy could be supportive in preventing pregnancy
The obesity epidemic has become one of America’s most serious health crises. The rising obesity rate has contributed to numerous significant health problems and diseases. One specific group for whom obesity is a problem is women of childbearing age. According to Davis, Madan, and Schmatz(2010), more than half of women from ages 18 to 42 in the United States are considered overweight or preobese, while about one-third are obese. Maternal obesity not only contributes to complications that affect the mother and fetus while in gestation, but long-term complications
categories based on the Institute on Medicine Pre-pregnancy BMI criteria. The first wave of data
Obesity has become an epidemic not only in the United States, it is worldwide (Sullivan, 2014). Obesity affects both mother and child leading to severe complications during and
Weight is a complicated and sensitive issue, and it is challenging when it comes to weight conversation. Overweight and obesity direct to adverse metabolic possessions on blood pressure, cholesterol, triglycerides and insulin resistance. Several misperception of the result of obesity occur because of used of different BMI cut-offs, and because the occurrence of various medical situations concerned in the development of obesity may complicate the effects of obesity itself. The non-fatal, but devastating health problems related with obesity includes respiratory difficulties, chronic musculoskeletal problems, skin problems and infertility. The more severe problems fall into four main areas: CVD problems; situation related with insulin resistance such as type 2 diabetes; a few types of cancers, mainly the hormonally related and large-bowel cancers; and gallbladder disease. The possibility of developing Type 2 diabetes and hypertension increases suddenly with the continuation of body fatness.
Obesity is a rising physical condition in today’s society that can significantly impact a person’s physical and mental wellbeing along with the quality and quantity of life. The cause of obesity is predominately influenced by lifestyle choices such as little exercise and poor nutrition, these can affect a person’s ability to regulate an appropriate Body Mass Index (BMI). Obesity is defined by a person’s BMI, which is a calculation of a person’s height and weight to give the most accurate percentage of body fat (SA Maternal and Neonatal Clinical Network (SAMNCN) 2012a). A BMI above 25 is considered overweight and above 30, obese of which there are different categories of obesity, I, II and III (SAMNCN 2012a). The Australian
Obesity is an immense epidemic that is drastically increasing world wide (Pandita et al., 2016). It is present virtually in all countries globally and continues to grow rapidly. Obesity is a problem that affects countless number citizen’s across the globe and is caused by various of factors within their lifestyle (Pandita et al., 2016). The World Health Organization states that “ Worldwide obesity has tripled since 1975” (WHO,2018). This statistics proves how vigorously obesity has grown over a certain timeframe and how it will still continue to grow at a steady rate. It is a worldwide epidemic that many individuals especially children struggle to cope with on a daily basis. There are various of factors that provoke the growth of obesity. Possible
According to the article, Obesity Risk Knowledge, “Weight Misperception, and Diet and Health-Related Attitudes among Women Intending to Become Pregnant”, the study’s research problem is that women who are anticipating to become pregnant lack nutrition knowledge; such as, they are unaware that being obese while pregnant could increase their chances of some diseases on them and their baby and that they are unaware if they are over weight or obese. The hypothesis of the case study is that women are unaware if they are overweight or obese and are unlikely to try to lose weight, risking them and their future children’s health. The authors’ objective is to assess women’s diet and obesity knowledge in comparison to women who are not planning on becoming
Report from world health organization has revealed that the number of obese individuals has increased drastically around the world. As a result, the high number of medical conditions related to obesity has also increased.
To put it succinctly, my paper will focus on the biomedical concept of obesity and risk versus the fat person’s experience of fatness and risk in maternity care: