2014. Obesity in Pregnancy. + Objectives. + Outline. Review the pertinent definitions and guidelines related to obesity in pregnancy

12/9/2014 + Obesity in Pregnancy Daniele Feldman, MD, FACOG Marian Regional Medical Center CDAPP Webinar, December 10, 2014 + + Objectives  Rev...
Author: Geraldine Cole
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12/9/2014

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Obesity in Pregnancy Daniele Feldman, MD, FACOG Marian Regional Medical Center CDAPP Webinar, December 10, 2014

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Objectives 

Review the pertinent definitions and guidelines related to obesity in pregnancy



Identify risks of obesity in pregnancy



Discuss management strategies at different stages

Outline 

Background   



Pregnancy Complications   



Maternal Fetal Intrapartum

Management   



Definition and Classification Epidemiology and Incidence Pathophysiology

Preconception care Prenatal Care Intrapartum Care

Special population: Bariatric surgery

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Disclaimer



This webinar is considered a resource, but does not define the standard of care in California. Attendees are advised to adapt the guidelines and resources based on their local facility’s level of care and patient populations served and are also advised to not rely solely on the guidelines presented here.

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Background Definitions Prevalence Basic pathophysiology

Body Mass Index (BMI) http://www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmicalc.htm

BMI

mass (Kg) height (m2)

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Definition, WHO

WHO, Technical Report 2000

Prevalence* of Self-Reported Obesity Among U.S. Adults by State and Territory, BRFSS, 2011 *Prevalence estimates reflect BRFSS methodological changes started in 2011. These estimates should not be compared to prevalence estimates before 2011.

WA MT OR

ID

ME

ND

MN

VT

SD

WI MI

WY IA

NE

NV

PA IL

UT CO

MO

VA

KY

NC

TN

OK

AR

NM

SC MS

TX

AK

OH

IN

WV

KS

CA

AZ

NH MA RI CT NJ DE MD DC

NY

AL

GA

LA FL

HI PR

GUAM

15%–