.
.
SPORTS MEDICINE :
MEDICAL: CONDITIONS: OBESITY : GUIDELINES :
ORGANIZATIONS: NAMED ORGANIZATIONS:
AMERICAN COLLEGE OF OBSTETRICS AND GYNECOLOGY (ACOG):
ACOG Updates Guidelines on Prenatal Obesity, Exercise
.
.
ACOG Updates Guidelines on Prenatal Obesity, Exercise
Troy Brown, RN
December 28, 2015
Medscape
http://www.medscape.com/viewarticle/856536
.
.
Two new guidelines from the American College of Obstetrics and Gynecology
(ACOG) emphasize the need for exercise during pregnancy and the
post-postpartum period to prevent or correct maternal weight issues.
.
Practice Bulletin Number 156, "Obesity in Pregnancy," and Committee
Opinion Number 650, "Physical Activity and Exercise During Pregnancy and
the Postpartum Period," appear in the December issue of Obstetrics &
Gynecology. Together, the documents address the clinical management of
overweight and obese women before and during pregnancy, and the need for
women to exercise regularly to prevent or correct overweight or obesity.
.
More than half of all women of childbearing age in the United States are
overweight or obese, the group writes, and obesity in pregnancy is
associated with significant and extensive risks for both the mother and
her fetus.
.
Even Small Preconception Weight Loss Improves Pregnancy Outcomes
.
snip
.
The updated practice bulletin recommendations include the following:
.
behavioral interventions that use diet and exercise can improve postpartum
weight loss better than exercise alone (level A recommendation);
use body mass index calculated at the initial prenatal visit to counsel
women on diet and exercise according to Institute of Medicine
recommendations for prenatal weight gain (level A);
even small prepregnancy weight reductions can improve pregnancy outcomes
(level B recommendation);
consider permitting a longer first stage of labor before performing
cesarean delivery for arrest of labor in obese women (level B);
venous thromboembolism thromboprophylaxis dosage based on weight may be
more effective than dosage based on body mass index in class III obese
women after cesarean delivery (level B); and
between-pregnancy weight loss in obese women may lower the risk for a
large-for-gestational-age newborn in a later pregnancy (level B).
.
.
The complete article may be read at the URL above.
.
.
Physical Activity and Exercise During Pregnancy and the Postpartum Period
ACOG
http://www.acog.org/Resources-And-Publications/Committee-Opinions/
Committee-on-Obstetric-Practice/
Physical-Activity-and-Exercise-During-Pregnancy-and-the-Postpartum-Period
OR
http://tinyurl.com/j44odar
.
.
Obstetrics and Gynecology
Issue: Volume 126(6),
December 2015, p 13211322
Publication Type: [College Publications]
DOI: 10.1097/AOG.0000000000001206
ISSN: 0029-7844
Accession: 00006250-201512000-00050
http://journals.lww.com/greenjournal/Citation/2015/12000/
Practice_Bulletin_No__156_Summary___Obesity_in.50.aspx
OR
http://tinyurl.com/j8dpal5
.
.
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David Dillard
Temple University
(215) 204 - 4584
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