The complications include gestational hypertension, preeclampsia, preterm birth, gestational diabetes mellitus (GDM), both, small and large for gestational-age offspring, and a higher prevalence of stillbirth and congenital defects. Women (probably comprising more than 50% cases of total obesity cases) are particularly affected and this problem has become a major challenge for obstetric care. But we may consider that pregnancy in obese women can be one of the best possibilities of management and counselling: all pregnant women are prone to a monthly follow-up during 9 months. This kind of intense follow-up and dialogue rarely exists in humans’ lives and, there, we may have a major public health leverage of action.
We have recently shown that “There is a peculiar phenomenon: two separate individuals (mother and foetus) have a mutually interactive dependency concerning their respective weight”. Based on the simple axiom: “what is the optimal gestational weight gain at term (optGWG) to achieve the natural rate of 10% of SGA (small for gestational age) as well as 10% of LGA (Large for gestational age) in newborns in my population”.
Author(s) Details:
Pierre-Yves Robillard,
Service de Néonatologie, Centre Hospitalier Universitaire Sud Réunion, BP 350, 97448 Saint-Pierre Cedex, La Réunion, France and Centre d’Etudes Périnatales Océan Indien (CEPOI), Centre Hospitalier Universitaire Sud Réunion, BP 350, 97448 Saint-Pierre Cedex, La Réunion, France.
