title: The maternal and fetal impacts of obesity and gestational diabetes on pregnancy outcome.
abstract: Obesity has reached pandemic proportions and is of growing concern worldwide. Adverse health outcomes associated with a raised body mass index present the greatest challenge currently facing clinicians across all disciplines. Obesity is a chronic illness which is associated with metabolic disease, nutritional deficiency, musculoskeletal complications and cancer. These obesity-related health issues extend to pregnancy where they are responsible for producing a variety of medical and obstetric complications resulting in an increased incidence of maternal and fetal adverse outcomes. Management of diet, gestational diabetes and gestational and inter-gestational weight may improve outcomes in women who are obese during pregnancy. Specific recommendations for the management of obesity in pregnancy have recently been published.
authors.affiliation: Department of Medicine, Clinical Sciences Institute, National University of Ireland, Galway, Ireland. cdennedy@gmail.com
authors.forename: Michael Conall
authors.initials: MC
authors.lastname: Dennedy
authors.forename: Fidelma
authors.initials: F
authors.lastname: Dunne
mesh_terms: D050110:Bariatric Surgery; D015992:Body Mass Index; D003924:Diabetes Mellitus, Type 2 / Q000209:etiology; D016640:Diabetes, Gestational / Q000453:epidemiology / Q000503:physiopathology*; D005260:Female; D018149:Glucose Intolerance / Q000209:etiology; D006801:Humans; D009765:Obesity / Q000150:complications* / Q000628:therapy; D007744:Obstetric Labor Complications; D011247:Pregnancy / Q000378:metabolism; D011248:Pregnancy Complications / Q000209:etiology*; D011256:Pregnancy Outcome; D015430:Weight Gain