Obesity causes many problems in pregnancy ...3

Obesity causes many problems in pregnancy ...3

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Obesity causes many problems in pregnancy ...3
Posted in 2014

Many women who carry excess weight still ovulate, but it appears the quality of the eggs they produce is reduced. The evidence for this is that among women who ovulate, each unit of BMI above 29 reduces the chance of achieving a pregnancy within 12 months by about 4%.

This means that for a woman with a BMI of 35, the likelihood of getting pregnant within a year is 26% lower, and for a woman with a BMI of 40 it is 43% lower compared with women with a BMI between 21 and 29.

And when couples use IVF to conceive, the chance of a live birth is lower for women who are overweight or obese than for women with normal BMI. On average, compared to women in the healthy weight range, the chance of a live birth with IVF is reduced by 9% in women who are overweight and 20% in women who are obese

My advise

1... Being overweight is defined as having a body mass index (BMI) of 25–29.9. Obesity is defined as having a BMI of 30 or greater. Within the general category of obesity, there are three levels that reflect the increasing health risks that go along with increasing BMI:

• Lowest risk is a BMI of 30–34.9.
• Medium risk is a BMI of 35.0–39.9.
• Highest risk is a BMI of 40 or greater.

2,,,  Obesity causes many risks on pregnancy, her health and child birth

a.... Gestational diabetes is diabetes that is first diagnosed during pregnancy. This condition can increase the risk of having a cesarean delivery. Women who have had gestational diabetes also have a higher risk of having diabetes in the future, as do their children. Obese women are screened for gestational diabetes early in pregnancy and also may be screened later in pregnancy as well.

b...  Preeclampsia is a high blood pressure disorder that can occur during pregnancy or after pregnancy. It is a serious illness that affects a woman’s entire body. The kidneys and liver may fail. Preeclampsia can lead to seizures, a condition called eclampsia. In rare cases, stroke can occur. Severe cases need emergency treatment to avoid these complications. The baby may need to be delivered early.

c....  leep apnea is a condition in which a person stops breathing for short periods during sleep. Sleep apnea is associated with obesity. During pregnancy, sleep apnea not only can cause fatigue but also increases the risk of high blood pressure, preeclampsia, eclampsia, and heart and lung disorders.

d...  Pregnancy loss—Obese women have an increased risk of pregnancy loss (miscarriage) compared with women of normal weight.

e...  Birth defects—Babies born to obese women have an increased risk of having birth defects, such as heart defects and neural tube defects.

f..... Macrosomia—In this condition, the baby is larger than normal. This can increase the risk of the baby being injured during birth. For example, the baby’s shoulder can become stuck during delivery. Macrosomia also increases the risk of cesarean delivery. Infants born with too much body fat have a greater chance of being obese later in life.

g...  Preterm birth—Problems associated with a woman’s obesity, such as preeclampsia, may lead to a medically indicated preterm birth. This means that the baby is delivered early for a medical reason. Preterm babies are not as fully developed as babies who are born after 39 weeks of pregnancy. As a result, they have an increased risk of short-term and long-term health problems.

h... Stillbirth—The higher the woman’s BMI, the greater the risk of stillbirth.

3...  I advise woman who is obese should reduce her obesity with her healthy life style before conceiving.

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