Maternal Obesity

New Book Chronicles the Heavy Burden of Excess Weight During Pregnancy and Beyond

Maternal Obesity book (maternal-obesity-cover-small.jpg)Around the globe, more than 300 million women are obese—a grave concern given the harmful toll excess weight takes on pregnant women and their children. Maternal Obesity (Cambridge University Press, 2012) compiles the latest research about obesity in women of childbearing age into one comprehensive volume. The book thoroughly examines the adverse health effects of obesity during pregnancy on both mother and child, and it gives clinicians advice on how to respond to this growing global challenge.

Edited by Matthew Gillman of the Harvard Medical School and Harvard School of Public Health and Lucilla Poston of King’s College in London, the book discusses the health risks associated with obesity in women of childbearing age such as infertility, labor complications, and unhealthy birth outcomes. It also explores the “developmental origins” hypothesis, examining the profound effect that an obese mother’s in-utero environment has on the health of her developing child, including the child’s risk of obesity and chronic disease later in life. Finally, it outlines possible approaches to combating maternal obesity and public health policies that could prevent this growing problem.

The book explains the challenges of maternal obesity from individual, public health, and policymaking perspectives. It will be a vital guide for public health practitioners and policymakers pursuing solutions to the maternal obesity crisis, as well as for obstetricians, gynecologists, pediatricians, family practitioners, endocrinologists, midwives, and dietitians.

Dr. Gillman is a professor and Director of the Obesity Prevention Program in the Department of Population Medicine at Harvard Medical School and professor in the Department of Nutrition at Harvard School of Public Health.

Learn more about Maternal Obesity at Cambridge University Press’ website.

Read a related article on The Obesity Prevention Source, Understanding Obesity’s Developmental Origins.

Table of Contents

Part I. Trends and Determinants of Obesity in Women of Reproductive Age

1. Demography of obesity — Maria Regina Torloni, Ana Pilar Betrán and Mario Merialdi

2. Determinants of obesity — Cuilin Zhang and Frank B. Hu

3. Obesity and fertility — Jorge E. Chavarro and Thomas L. Toth

Part II. Pregnancy Outcome

4. Maternal outcomes in obese pregnancies — Eugene Oteng-Ntim and Pat Doyle

5. Potential mechanisms contributing to gestational diabetes and pre-eclampsia in the obese woman — Naveed Sattar and Dilys J. Freeman

6. Fetal and infant outcomes in obese pregnancies — Ruth Bell, Peter W. G. Tennant and Judith Rankin

7. Obesity in pregnancy and mental health — Louise M. Howard and Helen Croker

Part III. Long-Term Consequences

8. Long-term consequences of obesity in pregnancy for the mother — Andrea Deierlein and Anna Maria Siega-Riz

9. Long-term consequences of maternal obesity and gestational weight gain for offspring obesity and cardiovascular risk — intrauterine or shared familial mechanisms? — Abigail Fraser and Debbie A. Lawlor

10. Influences of maternal obesity on the health of the offspring: a review of animal models — Lucilla Poston, Paul D. Taylor and Peter Nathanielsz

11. Developmental origins of obesity: energy balance pathways — appetite. The role of developmental plasticity of the hypothalamus — Sebastian G. Bouret

12. Adipose tissue development and its potential contribution to later obesity — Shalini Ojha, Helen Budge and Michael E. Symonds

13. Maternal diet and nutritional status and risk of obesity in the child: the role of epigenetic mechanisms — Melissa A. Suter and Kjersti Aagaard-Tillery

Part IV. Interventions

14. Interventional strategies to improve outcomes in obese pregnancies: focus on gestational weight gain — Emily Oken and Matthew W. Gillman

15. Interventional strategies to improve outcome in obese pregnancies: insulin resistance and gestational diabetes — Scott M. Nelson and Lucilla Poston

16. Intervention strategies to improve outcomes in obese pregnancies: micronutrients and dietary supplements — Lisa M. Bodnar and Meredith S. Parrott

17. Pre-pregnancy bariatric surgery: improved fertility and pregnancy outcome? — Ronald G. Devlieger and Isabelle Guelinckx

Part V. Management and Policy

18. Clinical management of obesity in pregnancy — Carolyn Chiswick and Fiona C. Denison

19. Public health policies relating to obesity in childbearing women — Kathleen M. Rasmussen

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