akusherstvoObstetrics, Gynecology and ReproductionАкушерство, Гинекология и Репродукция2313-73472500-3194IRBIS LLCakusherstvo-253Research ArticleGYNECOLOGYГИНЕКОЛОГИЯPREGNANCY MONITORING IN PATIENTS WITH EXCESS WEIGHT OR OBESITYВЕДЕНИЕ БЕРЕМЕННОСТИ У ПАЦИЕНТОК С ИЗБЫТОЧНЫМ ВЕСОМ И ОЖИРЕНИЕМБоровковаЕ. И.BorovkovaE. L.

к.м.н., доцент кафедры акушерства и гинекологии ФППОВ ММА им. И.М. Сеченова

M.D., dozent Department of Obstetrics and Gynecology, FPPOV

ММА им. И.М. СеченоваРоссияSechenov Moscow Medical AcademyRussian Federation201030082016422125Copyright © Borovkova E.L., 20162016Боровкова Е.И.Borovkova E.L.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.gynecology.su/jour/article/view/253

It is known that pregnancy monitoring in patients with excess weight or obesity is associated with many problems due to increased risk of occurrence of serious obstetric and somatic complications in such patients. The article gives practical recommendations over management of such patients (pregnancy is the only period in life of obese female when she is allowed to gain weight). The medicinal therapy should be administered with care. Reasonable choice of food products allows better control of pregnancy course. The optimal labor time for obese patient is 38 weeks, and the method of delivery is defined according to obstetric indications.

Как известно, ведение беременности у пациентки с избыточным весом или ожирением сопряжено со многими трудностями, что связано с повышенным риском развития у таких пациенток серьезных акушерских и соматических осложнений. В статье даются практические рекомендации по ведению таких пациенток (беременность - это единственный период в жизни женщины с ожирением, когда ей позволяется набрать вес). Медикаментозная терапия должна назначаться с осторожностью. Рациональный выбор продуктов позволит лучше контролировать течение беременности Оптимальным срокомродоразрешения пациенток с ожирением является 38 недель, а метод родоразрешения определяется по акушерским показаниям.

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The authors declare that there are no conflicts of interest present.