Preconception Care of the Obese Woman

Clin Obstet Gynecol. 2016 Mar;59(1):129-39. doi: 10.1097/GRF.0000000000000182.

Abstract

One third of obese women report obtaining preconception care. Only one third of those women state that weight issues were discussed at their visit. Obese women should be educated about the risks of pregnancy so they can make informed choices as to whether and when to conceive. Women should be encouraged to mitigate risk by losing weight and exercising before conception and understand complications of pregnancy within specific pregravid body mass index strata. This manuscript describes the risks and provides guidance on topics to include in the preconception visit of an obese woman.

Publication types

  • Review

MeSH terms

  • Cesarean Section / statistics & numerical data
  • Comorbidity
  • Congenital Abnormalities / epidemiology
  • Congenital Abnormalities / prevention & control
  • Diabetes, Gestational / epidemiology
  • Diabetes, Gestational / prevention & control
  • Female
  • Fetal Macrosomia / epidemiology
  • Fetal Macrosomia / prevention & control
  • Folic Acid / therapeutic use
  • Humans
  • Hypertension, Pregnancy-Induced / epidemiology
  • Hypertension, Pregnancy-Induced / prevention & control
  • Maternal Age
  • Motor Activity*
  • Obesity / epidemiology
  • Obesity / therapy*
  • Patient Care Planning
  • Pre-Eclampsia / epidemiology
  • Pre-Eclampsia / prevention & control
  • Preconception Care / methods*
  • Pregnancy
  • Pregnancy Complications / epidemiology
  • Pregnancy Complications / prevention & control*
  • Pregnancy Complications / therapy
  • Premature Birth / epidemiology
  • Premature Birth / prevention & control
  • Risk
  • Thromboembolism / epidemiology
  • Thromboembolism / prevention & control
  • Vitamin B Complex / therapeutic use
  • Weight Loss*

Substances

  • Vitamin B Complex
  • Folic Acid