7 Citations (Scopus)

Abstract

Recent years have witnessed a rise in maternal obesity, which is independently associated with an increased risk of stillbirth. The pathophysiology is unclear, but it is likely related to abnormal placental function, and inflammatory, metabolic and hormonal imbalances in the mother. Obesity is associated with conditions such as diabetes, which can also cause stillbirth. In order to reduce the risk of obesity-associated stillbirth, women of reproductive age should be actively encouraged to optimise their pre-pregnancy weight as the safety of weight loss interventions during pregnancy is unproven. Obese and extremely obese women should be treated as high-risk obstetric patients, with increased antenatal surveillance and specialist input. The postnatal period may be a useful time to provide weight management advice to women to prevent interpregnancy weight gain and reduce the risk of stillbirth in subsequent pregnancies.

Original languageEnglish
Pages (from-to)415-426
Number of pages12
JournalBest Practice & Research Clinical Obstetrics & Gynaecology
Volume29
Issue number3
Early online date16 Oct 2014
DOIs
Publication statusPublished - Apr 2015

Fingerprint

Stillbirth
Obesity
Pregnancy
Mothers
Weights and Measures
Obstetrics
Weight Gain
Weight Loss
Safety

Keywords

  • Stillbirth
  • intrauterine death
  • late foetal death
  • obesity
  • overweight

Cite this

Obesity and stillbirth. / Woolner, Andrea M. F.; Bhattacharya, Siladitya.

In: Best Practice & Research Clinical Obstetrics & Gynaecology, Vol. 29, No. 3, 04.2015, p. 415-426.

Research output: Contribution to journalArticle

@article{e1cabbf7f7b14978a4b1b42152a45554,
title = "Obesity and stillbirth",
abstract = "Recent years have witnessed a rise in maternal obesity, which is independently associated with an increased risk of stillbirth. The pathophysiology is unclear, but it is likely related to abnormal placental function, and inflammatory, metabolic and hormonal imbalances in the mother. Obesity is associated with conditions such as diabetes, which can also cause stillbirth. In order to reduce the risk of obesity-associated stillbirth, women of reproductive age should be actively encouraged to optimise their pre-pregnancy weight as the safety of weight loss interventions during pregnancy is unproven. Obese and extremely obese women should be treated as high-risk obstetric patients, with increased antenatal surveillance and specialist input. The postnatal period may be a useful time to provide weight management advice to women to prevent interpregnancy weight gain and reduce the risk of stillbirth in subsequent pregnancies.",
keywords = "Stillbirth, intrauterine death, late foetal death, obesity, overweight",
author = "Woolner, {Andrea M. F.} and Siladitya Bhattacharya",
note = "Copyright {\circledC} 2014 Elsevier Ltd. All rights reserved. Acknowledgements Thank you to Margery Heath for secretarial support.",
year = "2015",
month = "4",
doi = "10.1016/j.bpobgyn.2014.07.025",
language = "English",
volume = "29",
pages = "415--426",
journal = "Best Practice & Research Clinical Obstetrics & Gynaecology",
issn = "1521-6934",
publisher = "Bailliere Tindall Ltd",
number = "3",

}

TY - JOUR

T1 - Obesity and stillbirth

AU - Woolner, Andrea M. F.

AU - Bhattacharya, Siladitya

N1 - Copyright © 2014 Elsevier Ltd. All rights reserved. Acknowledgements Thank you to Margery Heath for secretarial support.

PY - 2015/4

Y1 - 2015/4

N2 - Recent years have witnessed a rise in maternal obesity, which is independently associated with an increased risk of stillbirth. The pathophysiology is unclear, but it is likely related to abnormal placental function, and inflammatory, metabolic and hormonal imbalances in the mother. Obesity is associated with conditions such as diabetes, which can also cause stillbirth. In order to reduce the risk of obesity-associated stillbirth, women of reproductive age should be actively encouraged to optimise their pre-pregnancy weight as the safety of weight loss interventions during pregnancy is unproven. Obese and extremely obese women should be treated as high-risk obstetric patients, with increased antenatal surveillance and specialist input. The postnatal period may be a useful time to provide weight management advice to women to prevent interpregnancy weight gain and reduce the risk of stillbirth in subsequent pregnancies.

AB - Recent years have witnessed a rise in maternal obesity, which is independently associated with an increased risk of stillbirth. The pathophysiology is unclear, but it is likely related to abnormal placental function, and inflammatory, metabolic and hormonal imbalances in the mother. Obesity is associated with conditions such as diabetes, which can also cause stillbirth. In order to reduce the risk of obesity-associated stillbirth, women of reproductive age should be actively encouraged to optimise their pre-pregnancy weight as the safety of weight loss interventions during pregnancy is unproven. Obese and extremely obese women should be treated as high-risk obstetric patients, with increased antenatal surveillance and specialist input. The postnatal period may be a useful time to provide weight management advice to women to prevent interpregnancy weight gain and reduce the risk of stillbirth in subsequent pregnancies.

KW - Stillbirth

KW - intrauterine death

KW - late foetal death

KW - obesity

KW - overweight

U2 - 10.1016/j.bpobgyn.2014.07.025

DO - 10.1016/j.bpobgyn.2014.07.025

M3 - Article

VL - 29

SP - 415

EP - 426

JO - Best Practice & Research Clinical Obstetrics & Gynaecology

JF - Best Practice & Research Clinical Obstetrics & Gynaecology

SN - 1521-6934

IS - 3

ER -