Ošetřovatelské perspektivy 2020, 3(2):13-22 | DOI: 10.25142/osp.2020.014
The influence of overweight and obesity on women’s pregnancy, labour and fetal development
- 1 Faculty of Public Policies in Opava, Silesian University in Opava Institute of Nursing
Background: Obesity is a global disease whose incidence in recent years increases dramatically. It contributes to the occurrence of many serious diseases (diabetes, high blood pressure, diseases of the joints, spine, sleep disorders, infertility), and also involves the human physical condition (increased fatigue, decreased physical fitness, lower performance, feelings of exhaustion and others). Obesity and overweight negatively affect fertility in women, pregnancy and fetal development.
Objective: The aim of the article was to process the available Czech and foreign sources of relevant information regarding the impact of female overweight and obesity on pregnancy, childbirth and fetal development.
Method: The article is designed as a theoretical essay.
Results: It was found that maternal obesity leads to congenital defects in children, increased perinatal mortality, shoulder dystocia, fetal macrosomia and stillbirth. During pregnancy, complications such as gestational diabetes, infertility, miscarriage, thromboembolic diseases, preeclampsia, gestational hypertension and complications at birth (premature birth, higher likelihood of C-section birth, induced labour, prolonged labour, greater post-partum haemorrhage). After birth, obese women suffer of infectious complications and failure of lactation more frequently.
Conclusion: An important role in the issues of overweight and obesity is played by education. Education is most aptly received by the preconception period women, or better still, puberty-aged girls. Women should receive information about the ideal weight, weight gain during pregnancy and healthy lifestyle. This should include calculating their BMI, providing information on the impact of obesity on pregnancy, childbirth and fetal development.
Keywords: obesity, overweight, female fertility, pregnancy, fetal development, results
Received: November 26, 2020; Revised: November 26, 2020; Accepted: December 4, 2020; Published: February 12, 2021 Show citation
References
- ANDĚLOVÁ, K. Problematika diabetu a obezity v těhotenství. Postgraduální medicína. 2013, roč. 15, č. 1, s. 24-26. ISSN 1212-4184.
- BAKUN, O. V. et al. Obesity during pregnancy: literature review. Wiadomosci lekarskie. 2018, vol. 71, no. 4, p. 913-916. ISSN 00435147.
Go to PubMed...
- BRAUNEROVÁ, R. a HAINER, V. Obezita - diagnostika a léčba v praxi. Medicína pro praxi. 2010, roč. 7, č. 1, s. 19-22. ISSN 1803-5310.
- DENISON, F. C. et al. Care of Women with Obesity in Pregnancy: the Norwegian Fit for Delivery randomised controlled trial. Australian and New Zealand Journal of Obstetrics and Gynaecology. 2019, vol. 126, no. 3, p. 62-106. ISSN 14700328.
Go to original source...
Go to PubMed...
- ESPINÓS, J. J. et al. The effect of lifestyle intervention on pregnancy and birth outcomeson obese infertile women: A systematic review and meta-analysis. International journal of fertility and sterility. 2020, vol. 14, no. 1, p. 1-9. ISSN 2008-076X.
Go to PubMed...
- FARKAŠOVÁ, D. et al. Výzkum v ošetřovatelství. Martin: Vydavateľstvo Osveta, 2006. ISBN 80-8063-229-4.
- GLENN, T., HARRIS, A. L. and LINDHEIM, S. R. Impact of obesity on male and female reproductive outcomes. Current opinion in obstetrics and gynecology. 2019. vol. 31, no. 4, p. 201-206. ISSN 1040-872X.
Go to original source...
Go to PubMed...
- HAJAGOS-TÓTH, J. et al. Obesity in pregnancy: a novel concept on the roles of adipokines in uterine contractility. Croatian medical journal. 2017, vol. 58, no. 2, p. 96-104. ISSN 1332-8166.
Go to original source...
Go to PubMed...
- HENDL, J. Kvalitativní výzkum. Praha: Portál, 2016. ISBN 978-80-7367-485-4.
- KANGURU, L. et al. The burden of obesity in women of reproductive age and in pregnancy in a middle-income setting: A population based study from Jamaica. PLoS ONE. 2017, vol. 12, no. 12, p. 1-14. ISSN 19326203.
Go to original source...
- KRAJČOVIČOVÁ, R. a HUDEČEK, R. Nadváha a reprodukční funkce ženy. Praktická gynekologie. 2008, roč. 12, č. 2, s. 109-116. ISSN 1211-6645.
- KREJČÍ, H. Obezita a diabetes v graviditě. Neonatologické listy. 2016, roč. 22, č. 2, s. 22-25. ISSN 1211-1600.
- KUTNOHORSKÁ, J. Výzkum v ošetřovatelství. Praha: Grada, 2009. ISBN 978-80-247- 2713-4.
- MARCHI, J. et al. Risks associated with obesity in pregnancy, for the mother and baby: a systematic review of reviews. Obesity Reviews. 2015, vol. 16, no. 8, p. 621-638. ISSN 1467-7881.
Go to original source...
Go to PubMed...
- MELZER, K. and SCHUTZ, Y. Pre-pregnancy and pregnancy predictors of obesity. International Journal of Obesity. 2010, vol. 34, p. 44. ISSN 0307-0565.
Go to original source...
Go to PubMed...
- MÜLLEROVÁ, D. Obezita u žen. Postgraduální medicína. 2013, roč. 15, č. 1, s. 6-12. ISSN 1212-4184.
- NEUBERGEROVÁ, B. Když nadváha znemožňuje mateřství [online]. Moje zdraví, 9. 2. 2012. [cit. 9. 9. 2020]. Dostupné z: https://www.maminka.cz/clanek/kdyz-nadvahaznemoznuje-materstvi.
- RASMUSSEN, S. A. et al. Maternal obesity and risk of neural tube defects: a metaanalysis. American Journal of obstetrics and gynekology. 2008, vol. 13, no. 4, p. 129-132. ISSN 1356-742X.
Go to original source...
Go to PubMed...
- ULMANNOVÁ, T., ŠPÁLOVÁ, I. a ŠTECHOVÁ, K. Vliv obezity matky na výsledek těhotenství a další vývoj dítěte. Aktuální gynekologie a porodnictví. 2014, roč. 6, s. 33-37. ISSN 1803-9588.
- VAŠÍČKOVÁ, Z. Obezita v gynekologii a porodnictví. Praktická gynekologie. 2003, č. 3, s. 16-20. ISSN 1211-6645.
- VOJTĚCH, J. et al. Obezita a maternální morbidita. Postgraduální medicína. 2013, roč. 15, č. 1, s. 20-23. ISSN 1212-4184.
- YANG, Z. et al. Contribution of maternal overweight and obesity to the occurrence of adverse pregnancy outcomes. The Australian and New Zealand journal of obstetrics and gynaecology. 2019, vol. 59, p. 367-374. ISSN 1479-828X.
Go to original source...
Go to PubMed...
- World Healthy Organization. [online]. WHO copyright. [cit. 01/09/2020]. Available from: https://www.who.int/health-topics/obesity#tab=tab_1.
This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.