TY - JOUR T1 - Obezite ve Gebelik AU - Duman, Gülhan AU - Bayram, Fahri PY - 2018 DA - December Y2 - 2018 JF - Turkish Journal of Diabetes and Obesity JO - Turk J Diab Obes PB - Zonguldak Bülent Ecevit Üniversitesi WT - DergiPark SN - 2587-0335 SP - 101 EP - 106 VL - 2 IS - 3 LA - tr AB - Doğurganlık çağındaki kadınların %50’si fazla kilolu [vücutkitle indeksi (VKI): 24.9-29.9kg/m²] ya da obezdir (BMI>30 kg/m²), %18’igebeliğe başlarken obezdir. Amerika Birleşik Devletleri ve Avrupa’da %20-40kadın gebelik sırasında önerilenden fazla kilo almaktadır, bu ise maternal vefetal komplikasyonların artışı ile sonuçlanmaktadır. Gebelik, doğum ve doğumsonrasında ölen kadınların yarıdan fazlası kilolu ya da obezdir. Obezitenin ciddi problem olduğu günümüzde gebeliğe obez başlayan veya gebelik sırasında fazla kilo alan gebelerin yönetimi hem anne hem fetüs sağlığı için önemlidir. özellikle sağlıksız bir mikroçevreye maruz kalan fetüste ileride de ciddi metabolik problemler gelişmektedir. KW - obezite KW - gebelik CR - 1- Thangaratinam S, Rogozińska E, Jolly K, Glinkowski S, Duda W, Borowiack E, Khan K. Interventions to reduce or prevent obesity in pregnant women: a systematic review. Health Technology Assessment. 2012; 16(31):1366-5278. CR - 2- Davies GA. L, Maxwell C, McLeod L. Obesity in Pregnancy, SOGC Clinical Practice Guideline. JOGC. 2010; 209:165-73. CR - 3- Tenenbaum,- Gavish K, Hod M. Fetal Diagnosis and Therapy: Impact of maternal obesity on fetal health Karger.2013; 34: 1-7. CR - 4- Hajagos-Tóth J, Ducza E, Samavati R, Vari S.G, Gaspar R. Obesity in pregnancy: a novel concept on the roles of adipokines in uterine contractility. Croatian Medical Journal. 2017; 58(2), 96-104. CR - 5- Lashen H, Fear K, Sturdee DW, Obesity is associated with increased risk of first trimester and recurrent miscarriage: matched case-control study. Hum Reprod. 2004; 19: 1644-1646. CR - 6- Abdollahi M, Cushman M, Rosendaal FR, Obesity: risk of venous thrombosis and the interaction with coagulation factor levels and oral contraceptive use. Thromb Haemost. 2003; 89: 493-498. CR - 7- Yogev Y, Catalano PM. Pregnancy and Obesity. Obstet Gynecol Clin N Am. 2009;36: 285-300. CR - 8- Davies GA, Maxwell C, McLeod L. SOGC Clinical Practice Guidelines: Obesity in pregnancy. Int J Gynaecol Obstet. 2010; 110:1673- Tenenbaum,- Gavish K, Hod M. Fetal Diagnosis and Therapy: Impact of maternal obesity on fetal health. Karger.2013; 34 :1-7. CR - 9- Caughey AB, Stotland NE, Washington AE, Escobar GJ. Who is at risk for prolonged and postterm pregnancy? Am J Obstet Gynecol. 2009;200: 683-5.10- American College of Obstetricans and Gynecologists Committee on Obstetric Practice. 2013; 549. CR - 11- James A. Committee on Practice Bulletins-Obstetrics. Tromboembolism in pregnancy. Obstet Gynecol. 2011;118:718. CR - 12- IOM (Institute of Medicine) and NRC (National ResearchCouncil). Weight Gain During Pregnancy:Reexamining the Guidelines. The National Academies Pres. Washington, DC; 2009. CR - 13- The Thessaloniki ESHRE/ASRM-Sponsored PCOS Consensus Workshop Group. Consensus on infertility treatment related to polycystic ovary syndrome. Fertil Steril. 2008; 89: 505-522. CR - 14- Jain A. P, Gavard J. A, Rice J. J, Catanzaro R. B, Artal R, Hopkins S. A. The Impact of Interpregnancy Weight Change on Birthweight in Obese Women. Obstetrical & Gynecological Survey. 2013; 68(6): 409-411. CR - 15- Glazer N. L, Hendrickson A. F, Schellenbaum G. D, Mueller B. A. Weight Change and the Risk of Gestational Diabetes in Obese Women. Epidemiology. 2004; 15(6): 733-737. CR - 16- American Diabetes Association. 2. Classification and Diagnosis of Diabetes. Diabetes Care. 2017; 40 (Supplement 1):11-24. CR - 17- Clinical practice guidelines for healthy eating for the preventıon and treatment of metabolic and endocrine diseases in adults:cosponsored by the Amerıcan Association of clinical endocrinologists/ the American College of Endocrınology. Endocrine Practice. 2013;19 (Suppl 3). CR - 18- Harborne L, Sattar N, Norman J.E, Fleming, R. Metformin and weight loss in obese womenwith polycystic ovary syndrome: comparison of doses. J Clin Endocrinol Metab. 2005; 90: 4593-8. CR - 19- Li Z, Magione M, Tu W, et al (RAND Health Division, Santa Monica, Calif; Greater Los Angeles VA Healthcare System; Dept of Veterans Affairs, Cincinnati, Ohio). Meta - analysis: pharmacologic treatment of obesity. Ann Intern Med. 2005; 142: 532-46. CR - 20- Snow V, Barry P, Fitterman N, Qaseem A, Weiss K. Pharmacologic and Surgical Management of Obesity in Primary Care: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2005;142: 525-31. UR - https://dergipark.org.tr/tr/pub/tudod/issue//482438 L1 - https://dergipark.org.tr/tr/download/article-file/611152 ER -