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Rigshospitalet - a part of Copenhagen University Hospital
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Maternal obesity in Europe: where do we stand and how to move forward?: A scientific paper commissioned by the European Board and College of Obstetrics and Gynaecology (EBCOG)

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  1. Endometrial scratch injury with office hysteroscopy before IVF/ICSI: A randomised controlled trial

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  2. Predictors of emergency cesarean section in women with preexisting diabetes

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  3. Routine use of antenatal nonstress tests in pregnant women with diabetes-What is the practice?

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  4. High maternal age at first and subsequent child births in Denmark in the mid-1800s-Letter to the editor

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  • Roland Devlieger
  • Katrien Benhalima
  • Peter Damm
  • André Van Assche
  • Chantal Mathieu
  • Tahir Mahmood
  • Fidelma Dunne
  • Annick Bogaerts
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Paralleling the global epidemic of obesity figures in the general population, the incidence of maternal obesity (BMI>30kg/m(2) at the start of pregnancy) has been rising over the last world. While most European countries do not systematically report obesity figures in their pregnant population, the prevalence of maternal obesity varies from 7 to 25% and seems strongly related to social and educational inequalities. Obesity during pregnancy represents an important preventable risk factor for adverse pregnancy outcomes and is associated with negative long-term health outcomes for both mothers and offspring. These effects are often aggravated by the high incidence of abnormal glucose tolerance and excessive gestational weight gain found in this group. The main controversies around the management of the obese pregnant women are related to (1) the value of repeated weighing during pregnancy, (2) the optimal gestational weight gain to advise and the lifestyle messages to deliver in order to achieve this, (3) the optimal strategy and timing of screening for gestational diabetes (GDM) and (4) the optimal timing and mode of delivery. These controversies are reviewed in this review, with the exception of screening for gestational diabetes that is discussed extensively elsewhere in this issue (Benhalima et al.). An agenda for research is proposed with the hope that it will catch the attention of policy-makers and funders and ultimately lead to the development of European-wide evidence-based guidelines for clinicians.

Original languageEnglish
JournalEuropean journal of obstetrics, gynecology, and reproductive biology
Volume201
Pages (from-to)203-8
Number of pages6
ISSN0301-2115
DOIs
Publication statusPublished - Jun 2016

    Research areas

  • Journal Article, Review

ID: 49877158