ENHANCING PREGNANCY AND DELIVERY MANAGEMENT IN OBESE WOMEN: STRATEGIES FOR OPTIMIZED MATERNAL AND FETAL OUTCOMES
DOI:
https://doi.org/10.55640/Keywords:
Obesity, Pregnancy Management, Maternal-Fetal Outcomes, Intrapartum Care, Clinical GuidelinesAbstract
Obesity has reached epidemic proportions worldwide and is associated with increased risks during pregnancy, including gestational diabetes, hypertensive disorders, and complications during labor and delivery. This article reviews current evidence on the management of pregnancy in obese women and proposes an integrative approach for optimizing both maternal and fetal outcomes. A systematic review of recent literature and clinical guidelines was undertaken, focusing on preconception counseling, antepartum care, intrapartum management, and postpartum follow-up. The methodology emphasized interdisciplinary collaboration, risk stratification, and individualized care plans. Our findings indicate that tailored interventions—such as nutritional counseling, physical activity promotion, pharmacologic management for coexisting conditions, and specialized obstetric care—can significantly reduce adverse outcomes. In addition, emerging technologies (e.g., ultrasound imaging modifications and noninvasive fetal monitoring) and simulation-based obstetric training have the potential to further refine care protocols. Despite promising advances, challenges persist in standardizing protocols across diverse healthcare settings and in ensuring equitable access to comprehensive care. In conclusion, a multifaceted strategy that integrates evidence-based clinical practices, patient education, and policy-level support is essential for improving the trajectory of pregnancy and delivery in obese women. Future research should focus on long-term maternal and child health outcomes, cost-effectiveness of interventions, and the development of standardized protocols adaptable to various resource settings.
References
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