{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T14:05:39Z","timestamp":1772805939140,"version":"3.50.1"},"reference-count":41,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2009,12,15]],"date-time":"2009-12-15T00:00:00Z","timestamp":1260835200000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Mount Sinai J Medicine"],"published-print":{"date-parts":[[2009,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Obesity in pregnancy (pregravid body mass \u226530) has been linked to several adverse pregnancy outcomes, including spontaneous abortion, preeclampsia, gestational diabetes, fetal macrosomia, cesarean delivery, and wound complications post\u2013cesarean section. Intrapartum and postpartum management of obese gravidas requires multidisciplinary consultations between obstetricians, anesthesiologists, nurses, and pediatricians in order to improve the pregnancy outcomes of the mother and neonate. The American College of Obstetricians and Gynecologists currently supports risk\u2010reducing strategies for obese pregnant patients, including limiting weight gain to 15 lb (standardized by the Institute of Medicine). Interventions to reduce gestational weight gain may be important modifiable risk factors for maternal and fetal perinatal complications. Interventions have targeted modifications of diet and exercise with educational methods such as radio broadcasts, pamphlets, and counseling. Interventions have also focused on motivational methods, such as individual and group classes, and have been implemented both before conception and immediately after birth. Effective interventions appear to be individualized in approach, but there is a lack of data to support any specific model. Prospective interventional studies are needed to demonstrate the benefits of weight limitation on pregnancy outcomes. Mt Sinai J Med 76:539\u2010545, 2009. \u00a9 2009 Mount Sinai School of Medicine<\/jats:p>","DOI":"10.1002\/msj.20148","type":"journal-article","created":{"date-parts":[[2009,12,15]],"date-time":"2009-12-15T21:25:35Z","timestamp":1260912335000},"page":"539-545","source":"Crossref","is-referenced-by-count":13,"title":["Obesity and Pregnancy: Implications and Management Strategies for Providers"],"prefix":"10.1002","volume":"76","author":[{"given":"Taraneh","family":"Shirazian","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sreekala","family":"Raghavan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,12,15]]},"reference":[{"key":"e_1_2_1_2_2","volume-title":"Obesity: Preventing and Managing a Global Epidemic.","year":"2000"},{"key":"e_1_2_1_3_2","volume-title":"Obesity Among Adults in the United States\u2014No Change Since 2003\u20132004.","author":"Ogden CL","year":"2007"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.2006.00569.x"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.291.23.2847"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-006-0115-x"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2005.05.001"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1701-2163(16)34050-6"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000278819.17190.87"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2003.09.058"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2007.11.058"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc06-2559a"},{"key":"e_1_2_1_13_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2006.15.720"},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1753-4887.1996.tb03917.x"},{"key":"e_1_2_1_15_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199801153380302"},{"key":"e_1_2_1_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2008.04.021"},{"key":"e_1_2_1_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2007.03.027"},{"key":"e_1_2_1_18_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0802759"},{"key":"e_1_2_1_19_2","doi-asserted-by":"publisher","DOI":"10.1002\/uog.6393"},{"key":"e_1_2_1_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000142713.53197.91"},{"key":"e_1_2_1_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-789X.2007.00397.x"},{"key":"e_1_2_1_22_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000223871.69852.31"},{"key":"e_1_2_1_23_2","first-page":"431","article-title":"Maternal obesity and pregnancy","volume":"164","author":"Johnson SR","year":"1987","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_1_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/ACO.0b013e328014646b"},{"key":"e_1_2_1_25_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199312000-00011"},{"key":"e_1_2_1_26_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-7-9"},{"key":"e_1_2_1_27_2","volume-title":"Nutrition During Pregnancy.","year":"1990"},{"key":"e_1_2_1_28_2","unstructured":"Weight Gain During Pregnancy: Reexamining the guidelines.IOM Brief Report May 2009. Available at:http:\/\/www.iom.edu. Accessed September 2009."},{"key":"e_1_2_1_29_2","unstructured":"ACOGCommittee Opinion Number 315 September 2005. Available at:http:\/\/www.acog.org. Accessed September2009."},{"key":"e_1_2_1_30_2","doi-asserted-by":"publisher","DOI":"10.1097\/00001648-199903000-00010"},{"key":"e_1_2_1_31_2","doi-asserted-by":"publisher","DOI":"10.1080\/01443610902946911"},{"key":"e_1_2_1_32_2","first-page":"CD001055","article-title":"Interventions for promoting smoking cessation during pregnancy","volume":"4","author":"Lumley J","year":"2004","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_1_33_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6909.2008.00222.x"},{"key":"e_1_2_1_34_2","first-page":"1247","article-title":"Intervening to reduce weight gain in pregnancy and gestational diabetes in Cree communities: an evaluation","volume":"163","author":"Gray\u2010Donald K","year":"2000","journal-title":"CMAJ"},{"key":"e_1_2_1_35_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0802130"},{"key":"e_1_2_1_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.01.027"},{"key":"e_1_2_1_37_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000152349.84025.35"},{"key":"e_1_2_1_38_2","doi-asserted-by":"publisher","DOI":"10.1093\/her\/17.5.531"},{"key":"e_1_2_1_39_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-6-168"},{"key":"e_1_2_1_40_2","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2000.107096"},{"key":"e_1_2_1_41_2","doi-asserted-by":"publisher","DOI":"10.1139\/H08-086"},{"key":"e_1_2_1_42_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318195baef"}],"container-title":["Mount Sinai Journal of Medicine: A Journal of Translational and Personalized Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmsj.20148","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmsj.20148","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/msj.20148","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,14]],"date-time":"2023-11-14T23:20:57Z","timestamp":1700004057000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/msj.20148"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,12]]},"references-count":41,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2009,12]]}},"alternative-id":["10.1002\/msj.20148"],"URL":"https:\/\/doi.org\/10.1002\/msj.20148","archive":["Portico"],"relation":{},"ISSN":["0027-2507","1931-7581"],"issn-type":[{"value":"0027-2507","type":"print"},{"value":"1931-7581","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,12]]}}}