Obesity, fertility, and pregnancy (notice n° 190110)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 02135cam a2200205 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250112044254.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Ciangura, Cécile |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Obesity, fertility, and pregnancy |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2022.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 67 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Obesity and overweight have a recognized impact on spontaneous fertility and the chances of success of medically assisted reproduction (MAR), with a decrease in pregnancy and birth rates. Although the positive effect of weight loss on the chances of success of MAR remains poorly demonstrated, weight loss is associated with an improvement in menstrual cycles, a better rate of spontaneous pregnancy, and can contribute to reducing the level of maternal-fetal risk in the event of pregnancy. Nevertheless, it involves postponing the management of the infertile couple, and must therefore be justified either by its action on the improvement of spontaneous fertility or the chances of pregnancy after MAR, or on the improvement of the comorbidities. The indications for management must therefore be discussed in a multidisciplinary manner and early on in the patient’s conception journey, via: 1) an obstetrical preconception consultation to discuss the maternal-fetal risks of pregnancy according to BMI and comorbidities; 2) a consultation in reproductive medicine to define the cause of infertility and the technical possibilities of MAR; and 3) a preconception consultation with a nutritionist doctor to determine the possibilities of weight loss and how to achieve it so the required weight objective is met, and then a follow-up of the pregnant woman. Weight objectives must be discussed early on in the process, taking into account the age of the patient, especially if she is 35 or over. |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Selleret, Lise |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Sermondade, Nathalie |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Nizard, Jacky |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Bachelot, Anne |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Médecine de la Reproduction | 24 | 4 | 2022-10-01 | p. 432-439 | 2650-8427 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/journal-medecine-de-la-reproduction-2022-4-page-432?lang=en">https://shs.cairn.info/journal-medecine-de-la-reproduction-2022-4-page-432?lang=en</a> |
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