title: Obesity in pregnancy: a big problem and getting bigger.
abstract: Obesity has increased dramatically in the United States over the last several decades, with approximately 40% of women now considered overweight or obese. Obesity has been shown to be associated with poor pregnancy outcomes, including increased rates of cesarean delivery, preeclampsia, gestational diabetes, fetal macrosomia, stillbirth, and postterm pregnancy. In this review, we discuss the association of obesity with maternal, fetal, and pregnancy outcomes as well as the recommendations for care of the obese gravida.
  
  
  BACKGROUND
  Obstetricians and gynecologists and family physicians.
  
  
  OBJECTIVE
  After completing the CME activity, physicians should be better able to describe the maternal, neonatal, and intrapartum complications associated with obesity in pregnancy and implement additional changes to prenatal care appropriate for the obese gravida.
authors.affiliation: Department of Obstetrics and Gynecology, Oregon Health and Science University, Portland, OR 97239, USA. mission@ohsu.edu
authors.forename: John F
authors.initials: JF
authors.lastname: Mission
authors.forename: Nicole E
authors.initials: NE
authors.lastname: Marshall
authors.forename: Aaron B
authors.initials: AB
authors.lastname: Caughey
mesh_terms: D000022:Abortion, Spontaneous / Q000209:etiology / Q000517:prevention & control; D036861:Delivery, Obstetric / Q000379:methods; D016640:Diabetes, Gestational / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D005260:Female; D005315:Fetal Diseases / Q000175:diagnosis / Q000209:etiology; D015390:Gastric Bypass; D006801:Humans; D046110:Hypertension, Pregnancy-Induced / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D009765:Obesity / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D007744:Obstetric Labor Complications / Q000209:etiology / Q000628:therapy; D011181:Postnatal Care / Q000379:methods; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000628:therapy; D011256:Pregnancy Outcome; D011295:Prenatal Care / Q000379:methods; D050497:Stillbirth; D014481:United States / Q000453:epidemiology; D054556:Venous Thromboembolism / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D061217:Weight Reduction Programs