Gewichtszunahme Schwangerer und postpartale Gewichtsretention: Vom Frauenarzt zu Beachtendes

Overweight and particularly obese women (BMI∈≥∈30 kg/m ²) are at risk for complications in pregnancy. One third of overweight and more than 50% of obese pregnant women gain more weight than generally recommended. Both increased prepregnancy BMI and excessive weight gain during pregnancy are crucial predictors of perinatal outcome (e.g. higher risk for childhood obesity and cardiovascular diseases). Apart from preconceptional weight loss, detailed information and determination of individual weight gain goals (IOM guidelines) as well as diet and exercise recommendations are of particular importance for obstetric care professionals. Overweight and obese women should be encouraged to breastfeed. Detailed advice should be offered regarding postpartum weight retention, lifestyle interventions and physical activity.