Implications of maternal obesity on fetal growth and the role of ultrasound

Published on Jan 1, 2017in Expert Review of Endocrinology & Metabolism
· DOI :10.1080/17446651.2017.1271707
Cecelia M. O'Brien6
Estimated H-index: 6
(University of Adelaide),
Amanda Poprzeczny3
Estimated H-index: 3
(University of Adelaide),
Jodie M Dodd50
Estimated H-index: 50
(University of Adelaide)
ABSTRACTIntroduction: Over fifty percent of women entering pregnancy are overweight or obese. This has a significant impact on short and long term maternal and infant health outcomes, and the intergenerational effects of obesity are now a major public health problem globally.Areas covered: There are two major pathways contributing to fetal growth. Glucose and insulin directly affect growth, while other substrates such as leptin, adiponectin and insulin-like growth factors indirectly influence growth through structural and morphological effects on the placenta, uteroplacental blood flow, and regulation of placental transporters. Advances in ultrasonography over the past decade have led to interest in the prediction of the fetus at risk of overgrowth and adiposity utilizing both standard ultrasound biometry and fetal body composition measurements. However, to date there is no consensus regarding the definition of fetal overgrowth, its reporting, and clinical management.Expert commentary: Maternal dietary in...
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