title: Safety and efficacy of contraception--Why should the obese woman be any different?
abstract: The public health impact of obesity and unintended pregnancy is profound with far reaching consequences. Obese women are less likely to use contraception due to a variety of self-induced and systems-based barriers but their risk of becoming pregnant is similar to their normal weight counterparts. However, pregnancy-associated risks for obese women are higher than that of normal weight women and thus, pregnancy generally outweighs the risks of contraceptive use. Adequate counselling to prevent and/or plan for pregnancy is imperative for these women. Research that investigates the relationship between obesity and contraceptive use is urgently needed.
authors: Department of Obstetrics & Gynecology, Oregon Health & Science University, Portland, OR 97239, USA. rodrigma@ohsu.edu
authors: Maria I
authors: MI
authors: Rodriguez
authors: Alison B
authors: AB
authors: Edelman
references: J Am Med Womens Assoc (1972). 2003 Spring;58(2):112-6
references: 12744425
references: Am J Obstet Gynecol. 2009 Sep;201(3):263.e1-9
references: 19481720
references: Arch Pediatr Adolesc Med. 2006 Jan;160(1):40-5
references: 16389209
references: Obstet Gynecol. 2004 Feb;103(2):359-73
references: 14754709
references: Ann N Y Acad Sci. 2010 Sep;1205:148-55
references: 20840267
references: Contraception. 2005 May;71(5):319-26
references: 15854630
references: Eur J Contracept Reprod Health Care. 2000 Sep;5 Suppl 2:21-8
references: 11246604
references: Contraception. 2009 Jan;79(1):15-23
references: 19041436
references: Acta Obstet Gynecol Scand. 1999 Sep;78(8):716-21
references: 10468065
references: Adolesc Med Clin. 2005 Oct;16(3):569-84
references: 16183540
references: Contraception. 2004 Oct;70(4):269-75
references: 15451329
references: Obstet Gynecol. 2010 Jan;115(1):206-218
references: 20027071
references: Obstet Gynecol. 2008 Sep;112(3):586-92
references: 18757656
references: Int J Fertil Menopausal Stud. 1995;40 Suppl 2:98-104
references: 8574257
references: Am J Obstet Gynecol. 1998 Sep;179(3 Pt 1):577-82
references: 9757954
references: Matern Child Health J. 2005 Dec;9(4):413-20
references: 16235025
references: Contraception. 2010 Oct;82(4):314-23
references: 20851224
references: Contraception. 2010 Feb;81(2):107-11
references: 20103446
references: Obstet Gynecol. 2011 Jan;117(1):33-40
references: 21213475
references: Contraception. 2007 May;75(5):328-36
references: 17434013
references: Contraception. 1993 Feb;47(2):177-91
references: 8449018
references: Int J Obes Relat Metab Disord. 2003 Dec;27(12):1516-22
references: 14634683
references: Am J Obstet Gynecol. 2010 Mar;202(3):214-20
references: 20207237
references: Eur J Contracept Reprod Health Care. 1998 Jun;3(2):85-91
references: 9710712
references: Contraception. 2010 Jun;81(6):474-80
references: 20472113
references: MMWR Recomm Rep. 2010 Jun 18;59(RR-4):1-86
references: 20559203
references: Contraception. 2009 Dec;80(6):583-90
references: 19913155
references: Int J Gynaecol Obstet. 2001 Oct;75(1):93-106
references: 11732484
references: Contraception. 1992 Jun;45(6):523-32
references: 1535580
references: Contraception. 2010 Jun;81(6):510-4
references: 20472118
references: Thromb Haemost. 2003 Mar;89(3):493-8
references: 12624633
references: Contraception. 2010 Feb;81(2):102-6
references: 20103445
references: Contraception. 2009 Aug;80(2):119-27
references: 19631786
references: Pediatrics. 2005 Mar;115(3):e290-6
references: 15741354
references: Am J Obstet Gynecol. 1990 Oct;163(4 Pt 2):1388-93
references: 2220963
references: Contraception. 2005 Jul;72(1):1-4
references: 15964284
references: N Engl J Med. 1990 Nov 15;323(20):1375-81
references: 2146499
references: Adolesc Med Clin. 2005 Oct;16(3):539-51
references: 16183538
references: J Clin Endocrinol Metab. 2008 Jun;93(6):2097-103
references: 18334585
references: Obstet Gynecol. 2010 Nov;116(5):1206-7
references: 20966707
references: Perspect Sex Reprod Health. 2006 Jun;38(2):90-6
references: 16772190
references: Obstet Gynecol. 1990 Feb;75(2):217-22
references: 2300348
references: J Obstet Gynaecol Can. 2010 Feb;32(2):165-173
references: 20181319
references: Obstet Gynecol. 2010 Nov;116(5):1191-5
references: 20966705
references: Am J Obstet Gynecol. 2009 Mar;200(3):329.e1-8
references: 19254592
references: Diabetes Care. 2003 Jan;26(1):216-25
references: 12502684
references: Cochrane Database Syst Rev. 2010 Jul 07;(7):CD008452
references: 20614470
references: Contraception. 2006 May;73(5):528-31
references: 16627040
references: Fam Plann Perspect. 1996 Jul-Aug;28(4):154-8
references: 8853280
references: Ann N Y Acad Sci. 2010 Sep;1205:240-4
references: 20840279
references: Contraception. 2005 Nov;72(5):323-7
references: 16246655