296 Pages
    by CRC Press

    Unlike other areas of medicine where statistics are meticulously kept by governments and global organizations, there are no accurate data to describe the number of the world's inhabitants who are overweight, obese, or morbidly obese. Despite this knowledge deficit, it should come as no surprise to readers that the medical community is facing an epidemic. Obesity is present in many of the developed countries and can also be observed in some urban areas of developing nations. The cause of this epidemic, simply stated, is overeating, but the overriding concern is more complex. Social factors, such as growing affluence since the 1950s, increasing reliance on pre-prepared meals, and the popularity of fast foods and sweetened drinks, have all contributed to the problem.

    Without doubt, the obesity epidemic has had adverse effects on both men and women, but in the case of women, some of its worse complications occur with those who are severely obese and pregnant. Obviously, this combination has been seen in the past, but it has increased so dramatically in its frequency that research has yet to catch up. Studies may discuss one or another aspect of caring for the obese pregnant patient, but until now, there has been no attempt to draw all such material together to try and present a comprehensive appraisal of the problem.

    Written by international experts, this practical guide draws on evidence-based material and is an invaluable resource for healthcare professionals dealing with obese pregnant women on a day-to-day basis.


    Epidemiology and long-term health consequences of obesity - Hamisu M Salihu and Alice R Richman
    Pregravid obesity and excessive weight gain: implications on pregnancy - Galia Oron, Yariv Yogev and Moshe Hod
    The psychology of obesity in women and pregnancy - Georgina Jones
    The molecular biology of obesity - David CW Lau
    Obesity and conception - Erica E Marsh and Randall B Barnes
    Maternal risks: hypertension, thromboembolism, and gestational
    diabetes - Daghni Rajasingam and Hannah Rickard
    Fetal risks: early and late pregnancy, and long-term complications
    in adult life - Eyal Sheiner and Adi Y Weintraub
    Antenatal care and ultrasound monitoring - Rebecca Black
    Intrapartum care - Leslie Iffy and Lisa Gittensâ€"Williams
    Postpartum care - Kirsten Duckitt
    Obesity and contraception - Ailsa E Gebbie
    Diet and anti-obesity drugs - Manny Noakes and Jane Scott
    Surgical treatment of chronic overnutrition - John G Kral
    Diabetes and obesity - Orli Most and Oded Langer
    Operative delivery - LaTasha Nelson and Alan M Peaceman
    Anaesthetic techniques - Melanie J Woolnough and Steven M Yentis


    Margaret Rees
    Reader in Reproductive Medicine and Honorary Consultant in Medical Gynaecology, John Radcliffe Hospital, Oxford, UK; Visiting Professor, University of Glasgow, Glasgow, UK

    Mahantesh Karoshi
    Specialist Registrar, Department of Obstetrics and Gynaecology, Frimley Park Foundation Hospital NHS Trust, Frimley, UK

    Louis Keith
    Professor Emeritus and Former Head, Department of Obstetrics and Gynecology, Northwestern University Medical School, Chicago, USA

    With the dramatic increase in the incidence of obesity in the UK and many other developed nations in recent years, this text, incorporating largely evidence-based material, has been released at an appropriate time and will serve as a useful guide for healthcare professionals.
    Journal of Obstetrics and Gynaecology, Feb 2009

    In the absence of national guidelines in the UK to improve the management of these women, this is an invaluable book and it should be available to all clinicians caring for obese pregnant women.
    The Obstetrician & Gynaecologist, Nov 2009