title: Managing Obesity in Pregnancy: A Change in Focus from Harm Minimization to Prevention.
abstract: Obesity represents a significant global health problem, contributing to the overall burden of disease worldwide and a 30% increase in cost of health care provision. Over 50% of women who enter pregnancy are classified as overweight or obese resulting in short and long term effects on maternal and child health outcomes.There is a substantial amount of literature focusing on interventions in the antenatal period have been associated with modest changes in weight gain during pregnancy. There has been little effect on clinical pregnancy and birth outcomes.The article discusses the evidence supporting the shift from harm minimization via antenatal intervention, to one of prevention by targeting the time prior to conception to optimize maternal weight.
authors.affiliation: The Robinson Research Institute, and Discipline of Obstetrics and Gynaecology, The University of Adelaide, Adelaide, South Australia, Australia.
authors.forename: Rosalie M
authors.initials: RM
authors.lastname: Grivell
authors.affiliation: The Robinson Research Institute, and Discipline of Obstetrics and Gynaecology, The University of Adelaide, Adelaide, South Australia, Australia.
authors.forename: Cecelia M
authors.initials: CM
authors.lastname: O'Brien
authors.affiliation: The Robinson Research Institute, and Discipline of Obstetrics and Gynaecology, The University of Adelaide, Adelaide, South Australia, Australia.
authors.forename: Jodie M
authors.initials: JM
authors.lastname: Dodd
mesh_terms: D005260:Female; D005298:Fertility; D040261:Harm Reduction; D006304:Health Status; D006801:Humans; D007247:Infertility, Female / Q000453:epidemiology / Q000503:physiopathology / Q000517:prevention & control*; D000068097:Maternal Health; D008427:Maternal Health Services / Q000639:trends; D009765:Obesity / Q000453:epidemiology / Q000503:physiopathology / Q000517:prevention & control*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology / Q000503:physiopathology / Q000517:prevention & control*; D011314:Preventive Health Services / Q000639:trends; D012098:Reproduction; D018570:Risk Assessment; D012307:Risk Factors; D040242:Risk Reduction Behavior; D015430:Weight Gain