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dc.contributor.authorEllwood, David A
dc.contributor.authorCallaway, Leonie K
dc.date.accessioned2020-01-22T05:39:35Z
dc.date.available2020-01-22T05:39:35Z
dc.date.issued2018
dc.identifier.issn0025-729X
dc.identifier.doi10.5694/mja17.01128
dc.identifier.urihttp://hdl.handle.net/10072/390734
dc.description.abstractThe report by Cheney and colleagues in this issue of the MJA clearly shows the increasing contribution by the effects of overweight and obesity during pregnancy to adverse perinatal outcomes.1 The authors analysed pregnancy outcomes at a large teaching hospital in central Sydney, and found that the population attributable fractions (PAFs) of pre‐eclampsia, gestational diabetes, and fetal macrosomia associated with overweight and obesity (defined by maternal body mass index [BMI] categories) have risen significantly during the past 25 years. As troubling as these findings are, it is worth noting that nearly 80% of the study population had BMIs in the low or normal ranges. However, in the parts of Australia where overweight and obesity are more prevalent, intertwined with socio‐economic disadvantage, the PAF associated with overweight and obesity will be higher. Cheney and her co‐authors also report interesting trends in their nulliparous population with respect to other risk factors for adverse pregnancy outcomes, such as increasing age and falling smoking rates, and changes in the ethnic profile and dramatic improvements in socio‐economic status of the hospital catchment area. The authors modelled the impact of reducing the overall BMI category distribution of first‐time mothers, and the prospective improvements in outcomes are remarkable, suggesting that pre‐pregnancy weight loss interventions need to be a priority for improving perinatal health.
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley Blackwell
dc.relation.ispartofpagefrom112
dc.relation.ispartofpageto113
dc.relation.ispartofissue3
dc.relation.ispartofjournalMedical Journal of Australia
dc.relation.ispartofvolume208
dc.subject.fieldofresearchBiomedical and clinical sciences
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchcode32
dc.subject.fieldofresearchcode52
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsMedicine, General & Internal
dc.subject.keywordsGeneral & Internal Medicine
dc.subject.keywordsPERINATAL OUTCOMES
dc.titleMaternal overweight and obesity: where to from here? (Editorial)
dc.typeJournal article
dc.type.descriptionC3 - Articles (Letter/ Note)
dcterms.bibliographicCitationEllwood, DA; Callaway, LK, Maternal overweight and obesity: where to from here? (Editorial), Medical Journal of Australia, 2018, 208 (3), pp. 112-113
dcterms.dateAccepted2017-12-06
dc.date.updated2020-01-22T05:38:06Z
gro.hasfulltextNo Full Text
gro.griffith.authorEllwood, David A.


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