New research shows that too much or too little maternal weight gain in pregnancy is associated with the child’s risk of being overweight or obese in early childhood.
Pregnancy and Birth
Not losing any baby weight within 1 year after delivery increases a woman’s risk of diabetes and heart disease, new research shows.
All pregnant women should be tested for diabetes by 13 weeks’ gestation and tested again for gestational diabetes between 24 and 28 weeks’ gestation, say new guidelines.
Low levels of adiponectin before pregnancy were associated with a 5-fold increased risk of gestational diabetes. This risk was 7-fold in obese or overweight women.
The current treatment of mild gestational diabetes mellitus results in fewer cases of preeclampsia, shoulder dystocia, and macrosomia but seems to have no effect on neonatal hypoglycemia or future poor metabolic outcomes, concluded a systematic review and meta-analysis.
Women should wait 12 to 18 months after weight-loss surgery before trying to become pregnant, according to an evidence-based literature review.
Proper weight management during pregnancy is beneficial to both the mother and the fetus. Overweight women are at an increased risk for gestational diabetes, gestational hypertension, preterm birth and intrauterine death.
The Role of Practical Lifestyle Changes
PCOS is a metabolic disorder that affects 5 – 7.5% of all women. It is the number one cause of infertility and if left untreated, can increase risk of endometrial cancer. In addition, women with PCOS are at a greater risk for heart disease and diabetes.
In 1935 Drs Stein and Leventhal described 7 women with irregular periods (oligomenorrhea), increased body hair (hirsutism) and obesity, who at the time of surgery were found to have enlarged ovaries with a smooth "pearly white" appearance.