Elena Stojanovska
St. Kliment Ohridski†University of Bitola, Macedonia
Title: Obesity as a risk factor for complications during the pregnancy
Biography
Biography: Elena Stojanovska
Abstract
At present, more than one third of women worldwide are obese, more than one half of pregnant women are overweight or obese, and 8% of reproductive-aged women are extremely obese, putting them at a greater risk of pregnancy complications. Therefore, preconception assessment and counseling are strongly encouraged for obese women and should include the provision of specific information concerning the maternal and fetal risks of obesity in pregnancy, as well as encouragement to undertake a weight-reduction program. Lifestyle intervention could help obese pregnant women to limit their weight gain during pregnancy, but has not yet been evaluated in randomized controlled trials. It’s confirmed that a targeted lifestyle intervention programme based on the principles of motivational interviewing reduces gestational weight gain (GWG) and levels of anxiety or depresed mood in obese pregnant women.At the same time pregnant woman needs macronutrients and micronutrients that are essential for her life and fetal life. For all obese and overweight patients, consultation with dietician early in labor, and consultation with weight-reduction specialists before attempting another pregnancy should be encouraged.