ReviewThe lancet. Diabetes & endocrinology2016
Clinical management of pregnancy in the obese mother: before conception, during pregnancy, and post partum.
Review in The lancet. Diabetes & endocrinology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
59 citing papers in PubMed, 4 syntheses or guidelines pooled it, 121 citations in OpenAlex.
- Preconceptional maternal weight loss and hypertensive disorders in pregnancy: a systematic review and meta-analysis.European journal of clinical nutrition · 2021Pooled it
- Pooled it
- Maternal body mass index and risk of neonatal adverse outcomes in China: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2019Pooled it
- Gestational weight gain across continents and ethnicity: systematic review and meta-analysis of maternal and infant outcomes in more than one million women.BMC medicine · 2018Pooled it
- Preconception Micronutrient Supplementation Affects Maternal BMI and Body Composition Postpartum: A Randomized Controlled Trial in Vietnam.The Journal of nutrition · 2024Trial
- The Effect of Calcium Supplementation on Body Weight Before and During Pregnancy in Women Enrolled in the WHO Calcium and Preeclampsia Trial.Food and nutrition bulletin · 2020Trial
- How can we best use opportunities provided by routine maternity care to engage women in improving their diets and health?Maternal & child nutrition · 2020Trial
- Maternal pre-pregnancy overweight/obesity and gestational diabetes interaction on delayed breastfeeding initiation.PloS one · 2018Trial
- Awareness, Preferences, and Willingness to Download Pregnancy Health Management Apps Among Women in Louisiana: Cross-Sectional Survey.JMIR formative research · 2026Article
- Dynamics of Body Composition and Metabolic Risk in Adolescents With Obesity Under GLP-1 Receptor Agonist Therapy.Acta paediatrica (Oslo, Norway : 1992) · 2026Article
- A retrospective study of the relationship between low-density lipoprotein cholesterol and pregnancy outcomes after assisted reproductive technology treatments in women with diabetes mellitus and infertility.AJOG global reports · 2026Article
- Quantum leadership: new approach in managing shoulder dystocia in simulation-based training.Future science OA · 2025Article
- Female Fertility Outcome Following Bariatric Surgery: Five-Year Follow Up.Obesity surgery · 2025Article
- Diabetes and women's health.Journal of diabetes investigation · 2025Review
- Review
- Managing obstetric and gynecologic complications in obese women: Evidence-Based Strategies for Optimizing Outcomes and Reducing Risks.Annals of medicine and surgery (2012) · 2025Review
- Maternal obesity, lifestyle factors and associated pregnancy outcomes in Ibadan, Nigeria: a Nigerian cohort study.Scientific reports · 2025Article
- Reconsideration of lowering gestational weight gain guidelines in pregnant women diagnosed with gestational diabetes: evidence from a Belgian study.BMC medicine · 2025Article
- Maternal obesity in low-resource settings: a multicenter cohort study of labor and neonatal outcomes in Guinea.Frontiers in medicine · 2025Article
- Mexican Clinical Practice Guidelines for Adult Overweight and Obesity Management.Current obesity reports · 2024Review
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 4 countries.
Funding
Abstract
The global epidemic of obesity has led to an increasing number of obese women of reproductive age. Obesity is associated with reduced fertility, and pregnancies complicated by maternal obesity are associated with adverse outcomes, including increased risk of gestational diabetes, pre-eclampsia, preterm birth, instrumental and caesarean births, infections, and post-partum haemorrhage. The medical and obstetric management of obese women is focused on identifying, addressing, and preventing some of these associated complications, and is a daunting challenge given the high percentage of patients with obesity and few therapeutic options proven to improve outcomes in this population. The UK's National Institute for Health and Care Excellence guidelines and the American College of Obstetricians and Gynecologists recommend that all pregnant women follow a healthy diet, and consider at least half an hour of moderate physical activity per day during pregnancy. However, although obese women are often directed to seek the advice of a nutritionist and to limit gestational weight gain, guidelines for the management of pregnancy and delivery in this high-risk group are lacking. The post-partum period represents an important opportunity to optimise maternal health before the next pregnancy. As many of the physiological changes of pregnancy associated with maternal obesity are present from early pregnancy onward, reducing maternal obesity before conception is probably the best strategy to decrease the health burden associated with maternal obesity.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.