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Obesity in Pregnancy: A Big Problem and Getting Bigger

Mission, John F. MD*; Marshall, Nicole E. MD, MCR; Caughey, Aaron B. MD, PhD

Obstetrical & Gynecological Survey: May 2013 - Volume 68 - Issue 5 - p 389–399
doi: 10.1097/OGX.0b013e31828738ce
CME Articles: Obesity in Pregnancy

Obesity has increased dramatically in the United States over the last several decades, with approximately 40% of women now considered overweight or obese. Obesity has been shown to be associated with poor pregnancy outcomes, including increased rates of cesarean delivery, preeclampsia, gestational diabetes, fetal macrosomia, stillbirth, and postterm pregnancy. In this review, we discuss the association of obesity with maternal, fetal, and pregnancy outcomes as well as the recommendations for care of the obese gravida.

Target Audience: Obstetricians and gynecologists and family physicians

Learning Objectives: After completing the CME activity, physicians should be better able to describe the maternal, neonatal, and intrapartum complications associated with obesity in pregnancy and implement additional changes to prenatal care appropriate for the obese gravida.

*Resident, †Assistant Professor, ‡Professor and Chair, Department of Obstetrics and Gynecology, Oregon Health and Science University, Portland, OR

All authors and staff in a position to control the content of this CME activity and their spouses/life partners (if any) have disclosed that they have no financial relationships with, or financial interests in, any commercial organizations pertaining to this educational activity.

Correspondence requests to: John F. Mission, MD, Department of Obstetrics & Gynecology, OHSU, Mail Code L466, 3181 SW Sam Jackson Park Rd, Portland, OR 97239. E-mail:

© 2013 by Lippincott Williams & Wilkins.