Before conception and ante partum |
Reduced fertility; pregnancy loss |
.. |
Intra partum |
Obstructive sleep apnoea; gestational diabetes; pre-eclampsia; gastro-oesophageal reflux disease; gestational hypertension; preterm delivery |
Congenital anomalies; small for gestational age; large for gestational age and macrosomia; preterm delivery |
Peri partum |
Operative delivery; caesarean delivery; failed vaginal birth after caesarean delivery; endometritis; wound disruption |
Fetal distress; adiposity; neonatal birth injuries |
Post partum |
Post-partum depression; venous thromboembolism; dyslipidaemia; hypertension; type 2 diabetes; osteoarthritis; obstructive sleep apnoea; malignancies (eg, breast, endometrial, liver, colon, haematological) |
Less likely to be breastfed; increased adiposity |
Long-term impact on offspring4
|
.. |
Obesity; diabetes; hypertension; dyslipidaemia; autism spectrum disorder; cognitive abnormality |