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Obesity and Pregnancy

Hall, Lanniece F. MD*; Neubert, A George MD†

Obstetrical & Gynecological Survey: April 2005 - Volume 60 - Issue 4 - pp 253-260
CME Program: CATEGORY 1 CME REVIEW ARTICLES 9, 10, AND 11: CME REVIEW ARTICLE 10

Obesity is dramatically increasing throughout the world and is known to be a major cause of preventable morbidity and mortality. By screening women for obesity and obesity-related complications, the obstetrician/gynecologist can help improve health outcomes for women and their infants. Many pregnancy complications have been linked to obesity ranging from increased risk of gestational diabetes and hypertension to increased risk of cesarean delivery and postoperative wound infection. This article reviews antepartum, intrapartum, and postpartum complications associated with obesity in pregnancy and offers suggestions to optimize care and improve outcomes.

Target Audience: Obstetricians & Gynecologists, Family Physicians

Learning Objectives: After completion of this article, the reader should be able to define obesity in pregnancy, to list the various complications associated with obesity, and to describe the limitations of ultrasonography in obese gravidas.

*Resident, Department of Obstetrics and Gynecology, and † Chief, Section of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, The Reading Hospital and Medical Center, West Reading, Pennsylvania

Chief Editor’s Note: This article is part of a series of continuing education activities in this Journal through which a total of 36 AMA/PRA category 1 credit hours can be earned in 0. Instructions for how CME credits can be earned appear on the last page of the Table of Contents.

Dr. Hall has disclosed that she has no financial relationship with or interests in any commercial companies pertaining to this educational activity. Dr. Neubert has disclosed that he is on the speakers bureau for Adeza Biomedical.

Reprint requests to: Lanniece F. Hall, MD, 6th and Spruce Avenues, Department of Obstetrics and Gynecology, TRHMC, West Reading, PA 19611. E-mail: halll@readinghospital.org.

© 2005 Lippincott Williams & Wilkins, Inc.