The Resource Obesity : a ticking time bomb for reproductive health, edited by Tahir A. Mahmood, Sabaratnam Arulkumaran

Obesity : a ticking time bomb for reproductive health, edited by Tahir A. Mahmood, Sabaratnam Arulkumaran

Label
Obesity : a ticking time bomb for reproductive health
Title
Obesity
Title remainder
a ticking time bomb for reproductive health
Statement of responsibility
edited by Tahir A. Mahmood, Sabaratnam Arulkumaran
Contributor
Subject
Language
eng
Summary
Obesity is a continuing issue around the world and in many contexts. The growing number of obese people is an increasing concern for those in the medical profession, and obesity can pose specific challenges in relation to fertility and pregnancy. Patients who are obese require specific considerations and knowledge. Bringing together experts from a variety of specialties to examine the issues and challenges of obesity, this book discusses how obesity affects fertility, reproduction, and pregnancy. Beginning with an exploration of the epidemiology of obesity, further chapters focus on specific issues related to obesity and both male and female reproduction, the complications of obesity during pregnancy and labour, and the long term effects of obesity. This is the most comprehensive resource to examine the topic of obesity and reproductive issues, making it invaluable for medical students, professionals, and researchers in public policy and medicine. Comprehensive examination of fertility issues arising from male and female obesity. Clinical knowledge and expertise given to the subjects. In-depth examination through 47 chapters of a growing, but often overlooked, issue in fertility and pregnancy--
Member of
Cataloging source
StDuBDS
Dewey number
616.692
Illustrations
illustrations
Index
no index present
LC call number
RC628
LC item number
.O2258 2013
Literary form
non fiction
Nature of contents
bibliography
Series statement
Elsevier insights
Label
Obesity : a ticking time bomb for reproductive health, edited by Tahir A. Mahmood, Sabaratnam Arulkumaran
Publication
Note
Formerly CIP.
Bibliography note
Includes bibliographical references
http://library.link/vocab/branchCode
  • net
Contents
  • Machine generated contents note: Section 1 Epidemiology -- 1.Worldwide Epidemic of Obesity / Upul Senarath -- Introduction -- Definitions of Overweight and Obesity -- The Extent of the Problem -- Temporal Trends -- Factors Associated with Overweight and Obesity -- Disease Burden and Impact on Health and Economy -- International Response to the Epidemic -- Conclusions -- References -- 2.Social and Ethnic Determinants of Obesity / Omar Thanoon -- Introduction -- Ethnic Factors -- Social Factors -- Socio-economic Status -- Dietary Factors -- Conclusion -- References -- 3.Genetic and Molecular Basis of Obesity / Tahir Mahmood -- Introduction -- Hereditary Factors Influencing BMI -- Genetic-Molecular Interaction of Obesity -- Regulation of Energy Balance-Molecular Basis -- Regulation of Food Energy Intake -- The Role of Hypothalamus -- The Role of Leptin -- Melanocortin Signalling Pathway -- Control of Energy Expenditure -- Adipogenesis --
  • Contents note continued: Interactions Among Social, Environmental, Genetic and Behavioural Factors in Obesity -- Conclusion -- References -- 4.The Psychological Basis of Obesity / Zsolt Demetrovics -- Introduction -- Eating Behaviour -- Early Attachment and Trauma -- Emotion Regulation -- Personality Traits -- Depression and Anxiety -- Cognitive Factors -- Summary -- Acknowledgements -- References -- 5.Obesity in Adolescence / Mourad W. Seif -- Introduction -- Prevalence of Childhood Obesity: A Global Perspective -- Obesity and the Pubertal Transition -- Factors Affecting Childhood and Adolescent Obesity -- Adolescent Obesity - Adverse Outcomes -- General -- Psychological Effects -- The Metabolic Syndrome -- Polycystic Ovarian Syndrome in Adolescence -- Obstetric Outcomes in Obese Adolescents -- The Impact of Childhood and Adolescent Obesity on Adult Health -- Management Principles -- Prevention -- Lifestyle Interventions -- Drugs -- Surgery --
  • Contents note continued: Management of PCOS in Adolescence -- Combined Oral Contraceptive Pills -- Insulin Sensitisers -- Conclusion -- References -- Section 2 Obesity and Reproduction -- 6.Obesity and Contraception / Krishnan Swaminathan -- Introduction -- Risks of Obesity in Pregnancy -- Classification of Obesity Based on Body Mass Index -- Potential Concerns with Obesity and Contraception -- Obesity and Contraceptive Efficacy -- Evidence (or Lack of) for Contraceptive Efficacy in Overweight or Obese Women -- Mechanisms by Which Obesity Could Affect Contraceptive Efficacy -- Contraceptives and Weight Gain: Myth or Truth? -- Safety of Hormonal Contraceptives in Obese Women -- Obesity, Contraception and Cardiovascular Disease -- Obesity, Contraception and VTE -- Obesity, Contraception and Cancer -- Contraceptive Issues After Bariatric Surgery -- IUCDs in Obese Women -- Sterilisation Procedures in Obese Women -- What Do the Guidelines Say? -- Conclusion -- References --
  • Contents note continued: 7.Sexual Health and Obesity / Sharon Cameron -- Introduction -- Obesity and Sexual Behaviour -- Obesity and Sexual Dysfunction -- Obesity and Sexual Health Outcomes -- Conclusion -- References -- 8.Obesity in PCOS and Infertility / Konstantinos Dafopoulos -- Introduction -- Obesity and Infertility - Possible Mechanisms -- Hyperandrogenism -- Hypersecretion of LH -- Hyperinsulinaemia -- Adipokines -- Impact of Obesity on Infertility Treatment -- Diet and Life-style Changes -- Clomiphene Citrate -- Aromatase Inhibitors -- Low-Dose FSH -- Laparoscopic Ovarian Drilling -- Insulin Sensitisers -- In Vitro Fertilisation -- References -- 9.Obesity and Recurrent Miscarriage / Siobhan Quenby -- Introduction -- Obesity and Miscarriage -- Obesity and Recurrent Miscarriage -- Metabolic Effects of Obesity on Ovary -- Polycystic Ovarian Syndrome -- Ovarian Dysfunction -- Endometrial Changes in Obesity -- Luteal-phase Deficiency -- Leukaemia Inhibitory Factor --
  • Contents note continued: Leptin -- Endometrial Proteins -- Management -- Role of Weight Reduction -- Role of Insulin-Sensitising Agents -- Conclusion -- References -- 10.Obesity and Assisted Reproduction / Abha Maheshwari -- Introduction -- Prevalence of Obesity in the Assisted Reproduction Sector -- Evidence of Reduced Fertility in Obese Women -- Cycle Effects -- Specific Issues Relating to Art -- Effects on the Oocyte -- Effects on Embryos -- Effects on the Endometrium -- Rationale for the Use of Assisted Reproduction -- Practical Management of Obese Women Undertaking Art -- Patient Selection -- Stimulation Regimes -- Monitoring of Stimulation -- Clinical Procedures -- Egg Collection -- Embryo Transfer -- hCG Trigger -- Luteal Support -- Effect of Obesity on the Results of Art -- Pregnancy Rate -- Miscarriage Rate -- Live-Birth Rate -- Safety Issues for Mothers and Offspring -- Ethical Issues Relevant to Access to Services -- Conclusion -- References --
  • Contents note continued: Section 3 Obesity and Male Reproduction -- 11.Obesity and Sexual Dysfunction / Laurent Voucher -- Physiology of Sexual Function -- Sexual Dysfunction and Obesity-Related Co-morbidities -- Hypercholesterolaemia -- Hypertension -- Peripheral Vascular Disease -- Coronary Artery Disease -- Diabetes Mellitus -- Evaluation -- Treatment -- Weight Management -- Pharmacological Therapy -- Summary -- References -- 12.Male Obesity-Impact on Semen Quality / Sarah Martins da Silva -- Background -- Impact on Semen Quality -- Sperm Concentration and Count -- Sperm Motility -- Sperm Morphology -- Combined Semen Parameters -- Sperm DNA Damage -- Aetiological Theories -- Endocrine Theory -- Genetic Theory -- Sexual Dysfunction Theory -- Testicular Hyperthermia Theory -- Reactive Oxygen Species Theory -- Treatment -- Conclusions -- References -- 13.Obesity, Bariatric Surgery and Male Reproductive Function / Richard Anderson -- Introduction --
  • Contents note continued: Bariatric Surgical Techniques -- Gastric Banding -- Gastric Bypass -- Biliopancrentic Diversion -- Sleeve Gastrectomy -- Future Directions -- Pathophysiology of the Hypothalamic-Pituitary-Gonadal Axis in Obesity -- Obesity and Leydig Cell Function -- Obesity and Spermatogenesis -- Obesity and Sertoli Cell Function -- Obesity and Erectile Function -- Summary and Practical Considerations -- References -- Section 4 Pregnancy and Obesity -- 14.Maternal Obesity and Developmental Priming of Risk of Later Disease / Mark A. Hanson -- Introduction -- Epidemiological Observations on Maternal Obesity, Macrosomia and Neonatal Adiposity -- Maternal Obesity and Childhood Obesity -- Maternal Pregnancy Weight Gain and Childhood Obesity -- Maternal Diabetes, GDM and Glucose Effects -- Relationship Between Maternal Hyperglycaemia and Neonatal Adiposity -- Maternal Hyperglycaemia and Childhood Obesity -- GDM and Cardiometabolic Diseases in the Offspring --
  • Contents note continued: Maternal Insulin Resistance, Hyperinsulinaemia and Foetal Growth -- Glucose Metabolism and Foetal Growth -- Maternal Lipid Supply and Foetal Growth -- Effects on Vascular Function -- Animal Models Using Maternal Obesity -- Neurohormonal Changes -- Placenta, Foetal Priming and Foetal Development -- Epigenetics as the Unifying Mechanism in Foetal Priming of NCD Risk -- Implications for Public Health Intervention -- Acknowledgements -- References -- 15.Foetal Ultrasound in Obese Pregnancy / Fionnuala M. McAuliffe -- Introduction -- Excess Foetal Risks Associated with Obesity -- Congenital Anomalies -- Stillbirths -- Intrauterine Growth Restriction -- Macrosomia -- Ultrasound Assessment in Obesity -- First Trimester Ultrasound -- Second Trimester Ultrasound -- Foetal Growth Assessment -- Conclusion -- References -- 16.Obesity and Prolonged Pregnancy / Siobhan Quenby -- Introduction -- Prolonged Pregnancy -- Epidemiology -- Mechanisms -- Management --
  • Contents note continued: Conclusion -- References -- 17.Obesity and Venous Thromboembolism / Andrew Thomson -- Introduction -- Epidemiology, Prevalence and Trends -- Maternal Mortality -- Maternal Morbidity -- Obesity and Pregnant Women -- Possible Underlying Mechanisms -- Prevention of VTE in Obese Women During Pregnancy -- Recognition and Assessment of Risk -- Thromboprophylaxis -- Thromboprophylactic Agents -- Investigation and Diagnosis of VTE in the Obese Pregnant Woman -- Treatment of VTE in the Obese Pregnant Woman -- Conclusion -- References -- 18.Obesity and pre-eclampsia / Pamela Loughna -- Definitions -- Blood Pressure Measurement -- Urine Testing -- Changing Incidence of Obesity -- Does Obesity Predispose to Pre-Eclampsia? -- Adipokines -- Is P̀re-Eclampsia' in the Obese Pregnant Women Really Underlying Chronic (Essential) Hypertension? -- Final Considerations -- References -- 19.Obesity, Insulin Resistance and Placental Dysfunction-Foetal Growth / Justin C. Konje --
  • Contents note continued: Introduction -- Obesity and the Endocrine Environment -- Placenta and Insulin Resistance -- Placental Size -- Placental Transporter System -- Placenta and Inflammatory Response -- Prothrombotic State -- Diabetes and the Placenta -- The Intrauterine Growth-Restricted Foetus -- Conclusions -- References -- Section 5 Obesity and Gestational Diabetes -- 20.Screening for Gestational Diabetes / Jeannet Lauenborg -- Introduction -- Overweight as a Risk Factor for GDM -- Pathophysiology -- Diagnosis of GDM -- Treatment of GDM -- Implications Related to GDM -- References -- 21.Obesity and Metabolic Disorders During Pregnancy and Pregnancy Outcome / Yariv Yogev -- Introduction -- Obesity and Gestational Diabetes -- Impact of Obesity and/or Diabetes During Pregnancy on the Offspring -- Interventions -- Conclusions -- References -- 22.Obesity, Polycystic Ovary and Impaired Reproductive Outcome / Hassan Shehata -- Introduction -- Obesity and Reproductive Health --
  • Contents note continued: Pathogenic Mechanisms -- Polycystic Ovary Syndrome -- Obesity in Pregnancy -- Gestational Weight Gain in Obese Women -- Guidelines for Management for Obese Women of Reproductive Age -- Management of Obesity in Pregnancy -- Dietary Approaches -- Physical Activity -- Behavioural Interventions -- Pharmacological Interventions -- Bariatric Surgery -- References -- 23.Pregnancy and Metabolic Syndrome of Obesity / Scott M. Nelson -- Introduction -- Lipid Metabolism and Fat Deposition in Lean Pregnancy -- Lipid Metabolism and Fat Deposition in Obese Women -- Glucose Metabolism in Lean and Obese Pregnancy -- Adiposity, Obesity and IR: Potential Mechanisms -- Amino Acid Metabolism in Lean and Obese Pregnancy -- Pre-eclampsia, Obesity and Metabolic Syndrome of Pregnancy -- Intervention Strategies in Maternal Obesity and Effects on Metabolism -- Conclusion -- References -- Section 6 Obesity and Labour -- 24.Induction of Labour in Obese Women / Fiona C. Denison --
  • Contents note continued: Background -- Indications for Induction of Labour -- Post-Dates Pregnancy -- Hypertensive Disorders of Pregnancy -- Diabetes -- Induction of Labour for Foetal Macrosomia -- Stillbirth -- S̀oft' Indications for Induction of Labour -- Women with a Previous Caesarean Section -- Assessment Prior to Induction of Labour -- Methods of Inducing Labour -- Foetal Well-Being -- Summary -- References -- 25.Challenges of Intrapartum Care in Obese Women / Boon H. Lim -- Introduction -- Preterm and Post-term Pregnancy -- Induction of Labour -- Place of Delivery -- Equipments Required -- Labour and Intrapartum Monitoring -- Labour Dystocia -- Caesarean Section in the Obese Woman -- Macrosomia and Shoulder dystocia -- Post-partum Care -- Perinatal Morbidity -- Risks in Subsequent Pregnancy -- Conclusion -- References -- 26.The Role of the Midwife During Pregnancy, Labour and Post-partum / Tina Lavender -- The Role of the Midwife in Pregnancy -- Background --
  • Contents note continued: Weighing Women -- Maternity Care Pathways -- Specialist Clinics for Women with a BMI [≥] 30 kg/m2 -- Advice on Weight Management -- Diabetes -- Folic Acid Intake -- Abdominal Palpation -- Blood Pressure -- Venous Thromboembolism -- The Role of the Midwife in Labour -- The Role of the Midwife in the Post-partum Period -- Conclusion -- References -- 27.Anaesthetic Issues During Labour / Alistair Lee -- Introduction -- The Cardiovascular System -- The Respiratory System -- The Gastrointestinal System -- The Endocrine System -- Anaesthetic Considerations -- The Anaesthetic Clinic -- The Labour Ward -- The Operating Theatre -- The Post-Operative Period -- Conclusion -- References -- 28.Maternal Obesity and the Risk of Stillbirth / Siladitya Bhattacharya -- Background -- Epidemiology -- Pathophysiology -- Direct Risk Factors -- Gestational Diabetes -- Hypertensive Disorders -- Vascular Pathology and Placental Dysfunction -- Metabolic Syndrome --
  • Contents note continued: Previous Obstetric History -- Foetal Abnormalities -- Sleep Disorders -- Failed Antenatal Screening -- Post-maturity -- Indirect Risk Factors -- Age -- Parity -- Social Class and Dietary Habits -- Ethnicity -- Obesity as an Independent Risk Factor -- Management -- Prevention -- Public Health Implication -- References -- 29.Obesity, Diabetes, Placental Pathology and Foetal Malformations / Margaret J. Evans -- Introduction -- Obesity, Diabetes and the Umbilical Cord Coiling -- Obesity, Diabetes and the Placenta -- Obesity and Other Placental Changes -- Obesity, Diabetes and Foetal Pathology -- Conclusion -- References -- 30.Post-Nalal Care for the Recently Delivered Obese Women / Sarah Beake -- Introduction -- Background -- For the Woman -- For the Baby -- Centre for Maternal and Child Enquiries -- Implications of Obesity for Planning of Post-Nalal Care -- Post-Natal Morbidity -- Pre-Eclampsia -- Thromboembolism -- Infection -- Cardiac Disease --
  • Contents note continued: Post-parlum Haemorrhage -- Severe Maternal Morbidity as an Indicator of Quality of Maternity Care -- Planning Post-Nalal Care -- Current Guidance to Inform the Content and Timing of Post-Natal Care -- Physical Observations and Examinations -- Severe Morbidity -- Commonly Experienced Morbidity -- Care Following Caesarean Section -- Diabetes -- Infant Feeding -- Weight Management Post-Birth -- Implications for Health Service Resource Use -- Implications for Safely of Maternity Care -- The Importance of Women's Views -- References -- Section 7 Interventions to Improve Care of Women During Pregnancy -- 31.Anti-Obesity Drugs for Obese Women Planning Pregnancy / Pak Chung Ho -- Introduction -- Classification of Anti-Obesity Drugs -- Drugs for Weight Reduction in Reproductive-Age Women: Pharmacology and Clinical Efficacy -- Orlistat (Xenical®) -- Sibutramine -- Rimonabanl -- Metformin (Glucophage®) -- Phentermine and Diethylpropion --
  • Contents note continued: Pharmacological Anti-Obesity Treatment in Women Contemplating Pregnancy -- Indications of Pharmacological Treatment: A Review of Evidence -- Safety Data in Pregnancy -- Timing of Intervention -- Concluding Remarks -- References -- 32.Anti-Obesity Surgery for Women Planning Pregnancy? / Surujpal Teelucksingh -- Introduction and Background -- The Global Obesity Epidemic -- Obesity and Reproductive Function -- The Effects of Obesity on Pregnancy -- Bariatric Surgery: Overview and Indications -- The Surgical Options -- Laparoscopic Adjustable Gastric Band -- Sleeve Gastrectomy -- Bilio-Pancreatic Diversion -- Roux en Y Gastric Bypass -- Pre-Operative Assessment for Bariatric Surgery -- Special Considerations in a Post-Bariatric Patient -- Nutrient Replacement -- Anaemia -- Gastrointestinal Problems in Pregnancy -- Role of Bariatric Surgery to Treat Obesity-Related Female Reproductive Abnormalities -- United Slates AHRQ --
  • Contents note continued: Royal College of Obstetrics and Gynaecologists Scientific Advisory Committee Opinion Paper 17 -- American College of Obstetrics and Gynecologists -- Conclusion -- References -- 33.Evidence-Based Approach to the Management of Obese Pregnant Women / Khalid S. Khan -- Background -- Pre-Pregnancy Weight Management -- Weight Management Interventions in Pregnancy -- Recommended Weight Gain in Pregnancy -- Effects of Interventions on Maternal and Foetal Weight -- Diet-Based Intervention -- Physical Activity-Based Intervention -- Mixed Approach Intervention -- Safety of Weight Management Interventions and Weight Loss in Pregnancy -- Women's Views on Weight Management Interventions in Pregnancy -- Health Professionals' Views on Weight Management Interventions -- Nutritional Supplementation for Obese Women in Pregnancy -- Prophylaxis for Pre-Eclampsia and Thromboembolism -- Screening for Gestational Diabetes -- Public Health Measures on Obesity --
  • Contents note continued: Recommendations for Clinical Practice -- Recommendations for Research -- References -- 34.Multimodal Framework for Reducing Obesity-Related Maternal Morbidity and Mortality / Leroy C. Edozien -- Introduction -- Obesity in Women of Reproductive Age -- Obesity-Related Maternal Mortality -- Obesity-Related Maternal Morbidity -- The Concept of a Multimodal Framework -- Primary Prevention of Obesity-Related Maternal Mortality and Morbidity -- Secondary Prevention of Obesity-Related Maternal Mortality and Morbidity -- Dedicated Clinic -- The Booking Visit and Follow-Up Arrangements -- Anaesthetic Consultation -- Facilities -- Staff -- Weight Control in Pregnancy -- Intrapartum Care -- Caesarean Section -- Thromboembolism Prophylaxis -- Breastfeeding -- Post-Natal Care -- Tertiary Prevention of Obesity-Related Maternal Mortality and Morbidity -- Dealing with Co-Morbidities -- Vaginal Birth After Caesarean Section -- Pregnancy After Bariatric Surgery --
  • Contents note continued: Conclusion -- References -- 35.Developing Standards of Care for Obese Women During Pregnancy / Tahir Mahmood -- Introduction -- What Is a Standard in Health Care? -- How to Develop Standards -- What Measures Should be Used When Defining Standards of Care? -- The Obesity Epidemic -- Pre-Pregnancy Care -- Early Pregnancy Care -- Dietary Advice -- Aspects of Care During Pregnancy -- Maintaining and Monitoring Maternal Well-Being -- Blood Pressure Measurement -- Obesity and Gestational Diabetes -- Foetal Anomaly Screening and the Assessment of Foetal Growth -- Thromboembolic Disease -- Prophylaxis and Treatment -- Planning for Labour and Delivery -- Care During Labour and Delivery -- Team Management on Delivery Suite -- Post-Natal Care -- Organisation -- Organisational Requirements -- References -- Section 8 Long-Term Impact of Obesity -- 36.Maternal Obesity-The Road to Diabetes and Cardiovascular Risk / Grigoropoulou Pinelopi -- Introduction --
  • Contents note continued: Impact of Maternal Obesity on Offspring Obesity, Diabetes and Cardiovascular Disease Risk-Evidence from Experimental Studies -- The Link Between Maternal Obesity and Offspring Obesity, Diabetes and Cardiovascular Risk-Hypotheses and Possible Mechanisms -- The Developmental Overnutrition Hypothesis -- Predictive Adaptive Response Hypothesis -- Maternal Obesity, Inflammation and Foetal Skeletal Muscle Development -- Epigenetics -- Leptin Central Processes Regulating Food Intake in Offspring -- Maternal Obesity and Glucose Metabolism in Mother and Offspring -- Maternal Obesity and Programming of Blood Pressure and Vascular Function -- Conclusions -- References -- 37.Obesity and Female Malignancies / Mahmood I. Shafi -- Introduction -- Epidemiology -- Obesity and Endometrial Carcinoma -- Obesity and Breast Cancer -- Obesity and Ovarian Cancer -- Obesity and Cervical Cancer -- Mechanisms Relating Obesity to Female Malignancies Risks --
  • Contents note continued: Effect of Obesity on Management of Female Malignancies -- Future Directions -- References -- 38.Obesity and Menstrual Disorders / Rebecca M. Reynolds -- Obesity: The Problem -- Obesity and Abnormal Uterine Bleeding -- Polyps -- Malignancy and Hyperplasia -- Ovulatory Dysfunction -- The Endometrium -- Polycystic Ovary Syndrome -- Obesity in the Absence of PCOS -- Summary -- Acknowledgements -- References -- 39.Developing HRT Prescribing in Obese Women / Nick Panay -- Introduction -- Effect of Menopause on Metabolic Factors -- Managing Menopausal Symptoms in Obese Women -- Hormone Replacement Therapy -- Shared Effects of HRT and Obesity -- Prescribing HRT in Obese Women -- Alternatives to HRT -- Conclusion -- References -- 40.Incontinence and Prolapse in the Obese Woman / Douglas G. Tincello -- Introduction -- Incidence and Prevalence -- Normal Bladder Function and Causes of Incontinence in Women -- Urodynamic Stress Incontinence -- Detrusor Overactivity --
  • Contents note continued: Obesity and Urinary Incontinence -- Obesity and Faecal Incontinence -- Obesity and Prolapse -- Weight Loss and the Effects Upon Continence and Prolapse -- Continence and Prolapse Surgery in the Obese Woman -- Conclusion -- References -- 41.Laparoscopic Surgery in Obese Women / Sanjay Vyas -- Introduction -- Obesity -- Physiological Changes in the Obese Patient -- Benefits of Laparoscopic Surgery -- Laparoscopic Surgery and Obesity -- Morbid Obesity -- Alternatives -- Pre-Operative Preparation -- Anaesthesia in Obesity -- Patient Positioning -- Medication -- Laparoscopic Surgical Techniques -- Post-Operative -- Conclusion -- References -- Section 9 The Future Research and Health Service Planning -- 42.Obese Women and Quality of Life / Cindy M. Gray -- Quality of Life -- Obesity and Quality of Life -- Physical Functioning -- Psychological Functioning -- Social Functioning -- Body linage -- Obesity and Quality of the Childbearing Experience -- Conclusion --
  • Contents note continued: References -- 43.Understanding Eating Behaviour and Lifestyle Issues in Women-Implications for Obesity Development and Prevention / Angela M. Craigie -- Introduction -- Current Diet and Lifestyle Issues -- Socio-Culiural Influences on Ealing and Lifestyle Behaviours -- Individual-level Influences -- Conclusion -- Acknowledgements -- References -- 44.Planning for the Future: Maternity Services in 2035 / Tahir Mahmood -- Planning for the Future: Maternity Services in 2035 -- Projected Prevalence of Obesity in 2035 -- Key Health Burdens of Obesity in Pregnancy -- Direct Health Burdens -- Indirect Health Burdens -- Current Model of Care -- Future Model of Care -- Pre-Conceptual Care -- Weight-Loss Strategies -- Antenatal Care -- Weight Management During Pregnancy -- Risk Management -- Previous Gastric Banding -- Intrapartum Care -- Posi-Naial Care -- How Can We Deliver this Care? -- Predicted New Service Delivery Model --
  • Contents note continued: Health Service Planning Assumptions and Inpatient Beds Requirements -- Research Needed to Inform Future Planning -- Summary -- References -- 45.Providing Infertility Services for Obese Women / Abha Maheshwari -- Introduction -- What Is the Current Situation? -- Evidence for BMI Restriction lo Fertility Services and Not Providing Service -- What Is the Need? -- What Are the Potential Barriers? -- Awareness of the Problem Both by Patients and Clinics -- Focusing on Short-Term Gain -- Limited Advice -- Limitation of Resources -- Generalised Rather than Individualised Approach -- What Can We Offer? -- Individualised Care -- Education and Awareness -- Preconception Counselling -- Multidisciplinary Approach -- Group Therapy -- Pharmacotherapy -- Bariatric Surgery -- Follow-Up/Support from the Clinic -- How Much Weight Do You Need to Lose? -- Maintenance of Weight Loss -- Cost-Effectiveness of Weight-Loss Strategies --
  • Contents note continued: How Can We Improve the Services and Promote Weight Loss? -- Conclusions -- References -- 46.Summary and Research Recommendations / Sabaratnam Arulkumaran -- Introduction -- Environmental, Genetic and Psychological Factors -- Sexual Health -- Reproduction -- Male Reproduction -- Impact of Pre-Pregnancy Obesity -- Issues Related to Pregnancy -- Gestational Diabetes and Metabolic Syndrome -- Intrapartum Care and Pregnancy Outcome -- Interventions to Improve Care of Women During Pregnancy -- Long-Term Impact of Obesity -- Obesity and Gynaecology -- Health Service Planning -- Research Agenda -- Sexual Health and Fertility -- Infertility -- Pregnancy Care -- Intrapartum Care -- Gynaecological Disorders -- The Future Service Planning
Control code
000050087737
Dimensions
24 cm
Edition
1st ed
Extent
xxxv, 658 p.
Isbn
9780124160453
Isbn Type
(hbk.)
Lccn
2012948171
Other physical details
ill.
http://library.link/vocab/recordID
.b29960277
System control number
(OCoLC)828716104

Library Locations

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      75 Pigdons Road, Waurn Ponds, Victoria, 3216, AU
      -38.195656 144.304955
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