Management of obesity across women's life course: FIGO Best Practice Advice.
Journal: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
Volume: 160 Suppl 1
Issue: Suppl 1
Year of Publication: 2023
Affiliated Institutions:
Maternal Fetal Medicine; Sinai Health and Women's College Hospital, University of Toronto, Toronto, Ontario, Canada.
Maternal Fetal Medicine, Sinai Health, University of Toronto, Toronto, Ontario, Canada.
Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York-Presbyterian, New York, New York, USA.
Institute for Women's Health, University College London, London, UK.
Helen Schneider Hospital for Women, Rabin Medical Center, Petah Tikva, Israel.
UCD Perinatal Research Centre, School of Medicine, University College Dublin, National Maternity Hospital, Dublin, Ireland.
Department of Obstetrics and Gynecology, Faculty of HealthUniversidad del Valle, Clínica Imbanaco Quirón Salud, Universidad Libre, Cali, Colombia.
Department of Obstetrics and Gynecology, Kingston Health Sciences Centre, Queen's University, Kingston, Ontario, Canada.
Institute of Developmental Sciences, University Hospital Southampton, Southampton, UK.
Department of Obstetrics and Gynecology, School of Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, SAR, China.
World Diabetes Foundation, Bagsvaerd, Denmark.
Mater Health, University of Queensland, Mater Health Campus, South Brisbane, Queensland, Australia.
Department of Obstetrics and Gynecology, Sahlgrenska University Hospital/Ostra, Gothenburg, Sweden.
Department of Obstetrics and Gynecology, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong, SAR, China.
Department of Obstetrics and Gynecology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Imperial College London, London, UK.
The World Association of Trainees in Obstetrics & Gynecology, Paris, France.
Abstract summary
Obesity is a chronic, progressive, relapsing, and treatable multifactorial, neurobehavioral disease. According to the World Health Organization, obesity affects 15% of women and has long-term effects on women's health. The focus of care in patients with obesity should be on optimizing health outcomes rather than on weight loss. Appropriate and common language, considering cultural sensitivity and trauma-informed care, is needed to discuss obesity. Pregnancy is a time of significant physiological change. Pre-, ante-, and postpartum clinical encounters provide opportunities for health optimization for parents with obesity in terms of, but not limited to, fertility and breastfeeding. Pre-existing conditions may also be identified and managed. Beyond pregnancy, women with obesity are at an increased risk for gastrointestinal and liver diseases, impaired kidney function, obstructive sleep apnea, and venous thromboembolism. Gynecological and reproductive health of women living with obesity cannot be dismissed, with accommodations needed for preventive health screenings and consideration of increased risk for gynecologic malignancies. Mental wellness, specifically depression, should be screened and managed appropriately. Obesity is a complex condition and is increasing in prevalence with failure of public health interventions to achieve significant decrease. Future research efforts should focus on interprofessional care and discovering effective interventions for health optimization.
Authors & Co-authors:
Maxwell Cynthia V CV
Shirley Rachelle R
O'Higgins Amy C AC
Rosser Mary L ML
O'Brien Patrick P
Hod Moshe M
O'Reilly Sharleen L SL
Medina Virna P VP
Smith Graeme N GN
Hanson Mark A MA
Adam Sumaiya S
Ma Ronald C RC
Kapur Anil A
McIntyre Harold David HD
Jacobsson Bo B
Poon Liona C LC
Bergman Lina L
Regan Lesley L
Algurjia Esraa E
McAuliffe Fionnuala M FM
Study Outcome
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