The era of not doing any work and sitting twenty-four hours round on bed, every work done with just some clicks and scrolls have made us all fall in an obesitic environment. Clearly, obesity is defined as a person having a BMI of more than 25.
Nowadays, people have the thought that during pregnancy one should not work at all and have rest because it can lead to problems like miscarriage, which is not really true. An active would-be-mother will give a healthy and active child. According to us, if you have never exercised before, pregnancy is a great time to start. Your goal should be to stay active for 30 minutes on most—preferably all—days of the week. Walking is a good choice if you are new to exercise.
Being obese during pregnancy puts the mother in many problems like gestational Diabetes, preeclampsia, sleep apnea, as well as the child with neural tube effects, Macrosomia, preterm, congenital abnormalities, stillbirth and these cases come up now days very frequently.
The postpartum period may be a critical time for long-term weight gain and the development of maternal obesity. Excess weight gain during pregnancy and persistent weight retention 1 year postpartum are strong predictors of being overweight a decade or more later.
What is the Effect of Obesity on Maternal Complications in Pregnancy?
- Maternal obesity increases the risk of complications during pregnancy and, as such, requires adjustment to routine prenatal care.
- Maternal obesity is a risk factor for spontaneous abortion (for both spontaneous conceptions and conceptions achieved through assisted reproductive technology), as well as for unexplained stillbirth (intrauterine fetal demise).
- Obese women are at increased risk of complications at the time of labor and delivery. The rate of successful vaginal delivery decreases progressively as maternal BMI increases.
- In addition to an increased rate of operative delivery, obese women are also at increased risk of intraoperative complications, including increased infectious morbidity and thromboembolic events.
- There is also an increased risk of anaesthetic complications, such as failed intubation at the time of general endotracheal anaesthesia.
- Increased risk of miscarriage increases double fold with an overweight and obese individual in infertility treatment.
- Maternal obesity is known to be an important risk factor for gestational diabetes (GDM) with a number of large cohort studies reporting a three-fold increased risk compared to women with a healthy weight.
Being active and always maintaining the weight and being away from the obesitic environment is always a preventive discipline. Self-control, positive direction and regulation steps when taken beforehand is the only pivotal.