Obstetrics and Gynecology · 2005 · 258 citations · 0 references
MedicineObstetricsPerioperative MedicineHigh-risk PregnancyMaternal-fetal MedicineObstetric ComplicationsAntenatal CareMaternal ComplicationsMaternal ObesityObesity In PregnancyPregnancyPrenatal CareAnesthesia Considerations In ObesityAntenatal Weight ManagementMaternal Obesity In PregnancyMaternal Obesity ManagementObesity Management Before PregnancyObesity-related Anesthetic ComplicationsPregnancy-related Obesity ManagementWeight Management Before Pregnancy
One third of adult women in the United States are obese. During pregnancy, obese women are at increased risk for several adverse perinatal outcomes, including anesthetic, perioperative, and other maternal and fetal complications. Obstetricians should provide preconception counselling and education about the possible complications and should encourage obese patients to undertake a weight reduction program before attempting pregnancy. Obstetricians also should address prenatal and peripartum care considerations that may be especially relevant for obese patients, including those who have undergone bariatric surgery.