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Obesity: impact on obstetric practice and outcome

^1. Antrim Area Hospital, Bush Road, Antrim, County Antrim BT41 2RL, UK Email: francesstewart1{at}hotmail.com (corresponding author)
^2. Ayrshire Maternity Unit, Crosshouse Hospital, Kilmarnock KA2 OBE, UK
^3. Hull York Medical School, University of York, Heslington, York YO10 5DD, UK

Key content:

• Prepregnancy obesity is increasingly common.
  
• More than half of all women who died from direct or indirect causes in the 2003–05 report, Saving Mothers’ Lives, were overweight or obese.
  
• Obese mothers have an increased risk of complications.
  

Learning objectives:

• To learn about the increased incidence of miscarriage, congenital malformation and metabolic complications.
  
• To learn about the increased risks of intrapartum complications.
  

Ethical issues:

• Should medical assistance to conceive be withheld until BMI 35?
  
• More of the healthcare budget should be spent on prevention rather than treatment of obesity.
  

Please cite this article as: Stewart FM, Ramsay JE, Greer IA. Obesity: impact on obstetric practice and outcome. The Obstetrician & Gynaecologist 2009;11:25–31.

Keywords congenital abnormality / deep vein thrombosis / gestational diabetes mellitus / hypertension / perinatal mortality