SOGC Clinical Practice Guidelines: Obesity in pregnancy. No. 239, February 2010.
OBJECTIVE
To review the evidence and provide recommendations for the counselling and management of obese parturients.


RESULTS
OUTCOMES evaluated include the impact of maternal obesity on the provision of antenatal and intrapartum care, maternal morbidity and mortality, and perinatal morbidity and mortality.


METHODS
Literature was retrieved through searches of Statistics Canada, Medline, and The Cochrane Library on the impact of obesity in pregnancy on antepartum and intrapartum care, maternal morbidity and mortality, obstetrical anaesthesia, and perinatal morbidity and mortality. Results were restricted to systematic reviews, randomized controlled trials/controlled clinical trials, and observational studies. There were no date or language restrictions. Searches were updated on a regular basis and incorporated in the guideline to April 2009. Grey (unpublished) literature was identified through searching the websites of health technology assessment and health technology assessment-related agencies, clinical practice guideline collections, clinical trial registries, and national and international medical specialty societies.


METHODS
The evidence obtained was reviewed and evaluated by the Maternal Fetal Medicine and Clinical Practice Obstetric Committees of the SOGC under the leadership of the principal authors, and recommendations were made according to guidelines developed by the Canadian Task Force on Preventive Health Care.


RESULTS
Implementation of the recommendations in this guideline should increase recognition of the issues clinicians need to be aware of when managing obese women in pregnancy, improve communication and consultation amongst the obstetrical care team, and encourage federal and provincial agencies to educate Canadians about the values of entering pregnancy with as healthy a weight as possible.
Davies
Gregory A L
GA
Maxwell
Cynthia
C
McLeod
Lynne
L
Gagnon
Robert
R
Basso
Melanie
M
Bos
Hayley
H
Delisle
Marie-France
MF
Farine
Dan
D
Hudon
Lynda
L
Menticoglou
Savas
S
Mundle
William
W
Murphy-Kaulbeck
Lynn
L
Ouellet
Annie
A
Pressey
Tracy
T
Roggensack
Anne
A
Leduc
Dean
D
Ballerman
Charlotte
C
Biringer
Anne
A
Duperron
Louise
L
Jones
Donna
D
Lee
Lily Shek-Yun
LS
Shepherd
Debra
D
Wilson
Kathleen
K
D015992:Body Mass Index; D005260:Female; D006801:Humans; D009765:Obesity / Q000150:complications* / Q000628:therapy*; D010353:Patient Education as Topic / Q000592:standards; D016742:Preconception Care / Q000592:standards*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D011295:Prenatal Care / Q000592:standards*