Management of pregnancy - VA/DoD Clinical Practice Guidelines ...

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VA/DoD Clinical Practice Guideline For Pregnancy Management I 25. Assessing (Inappropriate) Weight Gain: Weeks 1012; All following visits BACKGROUND Pregnant women who experience inappropriate weight gain may be at risk for a number of complications. Excessive weight gain may increase the risk for macrosomic infants, shoulder dystocia, operative delivery and postpartum obesity. Inadequate weight gain is associated with preterm delivery, intrauterine growth restriction, and low birth weight. Screening for inappropriate weight gain allows for early intervention to prevent these complications. Obesity is defined as a BMI of 30 kg/m 2 or greater and affects approximately one-third of adult women. Obese women are at increased risk for several pregnancy complications (see I-27). RECOMMENDATIONS 1. Recommend assessing and documenting body mass index (BMI) of all pregnant women at the initial visit. [B] 2. Pregnant women found to have a BMI
VA/DoD Clinical Practice Guideline For Pregnancy Management EVIDENCE TABLE Recommendations Sources of Evidence LE QE SR 1 Routine assessment of BMI at first visit Sebire et al., 2001 II-2 Fair B 2 Nutrition counseling for inadequate weight gain or initial BMI
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Management of pregnancy - VA/DoD Clinical Practice Guidelines ...

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