Résumé
Au cours de la grossesse, l’obésité augmente le risque de complications maternelles (hypertension artérielle [HTA] gravidique, diabète gestationnel) et fœtales (malformations, macrosomie). Les conditions de l’accouchement sont également plus difficiles avec plus de césariennes et d’échecs de l’analgésie péridurale. Une organisation spécifique au sein des réseaux périnataux doit permettre une prise en charge optimale de ces patientes en particulier en cas d’obésité morbide (OM).
Abstract
Obesity during pregnancy increases the risk of complications for both the mother (gestational hypertension, diabetes mellitus) and the newborn (malformations and macrosomia). Deliveries are also more difficult with more c-section and failure in peridural analgesia. A specific organization in the perinatal network should improve the management of these women, especially for morbid obesity.
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Deruelle, P. ≪ 3es rencontres médecins-chirurgiens ≫ sur la chirurgie de l’obésité ≫ Obésité et grossesse. Le point de vue de l’obstétricien. Obes 4, 153–155 (2009). https://doi.org/10.1007/s11690-009-0197-x
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DOI: https://doi.org/10.1007/s11690-009-0197-x