8. Special Considerations in Prenatal Care

  1. Deborah L. Conway MD
  1. Hugh M. Ehrenberg MD

Published Online: 18 FEB 2011

DOI: 10.1002/9781444391183.ch8

Pregnancy in the Obese Woman: Clinical Management

Pregnancy in the Obese Woman: Clinical Management

How to Cite

Ehrenberg, H. M. (2011) Special Considerations in Prenatal Care, in Pregnancy in the Obese Woman: Clinical Management (ed D. L. Conway), Blackwell Publishing Ltd., Oxford, UK. doi: 10.1002/9781444391183.ch8

Editor Information

  1. Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Texas School of Medicine, San Antonio, Texas, USA

Author Information

  1. Division of Maternal Fetal Medicine, Ohio State University Medical Center, Columbus, Ohio, USA

Publication History

  1. Published Online: 18 FEB 2011
  2. Published Print: 18 MAR 2011

ISBN Information

Print ISBN: 9781405196482

Online ISBN: 9781444391183



  • special considerations in prenatal care;
  • pregnancy management, in obese woman - challenge facing obstetricians;
  • obesity at conception, excess weight gain - fetus risk, perturbations in fetal growth, malformation and miscarriage;
  • preconceptual counseling, steps for obese women - facing pregnancy, less employed;
  • adverse effects of maternal obesity - offset by loss of weight prior to pregnancy to approach ideal body weight;
  • obesity, interfering with sonographic imaging - routine prenatal care;
  • mid-trimester sonographic survey, for fetal anomalies - and mid-trimester management concerns;
  • late pregnancy and early labor - Obese Gravida, planning and counseling for delivery;
  • fetal malpresentation management - difficulty in at-risk groups;
  • route of delivery, debate around - issue of trial of labor in obese women


This chapter contains sections titled:

  • Preconceptual counseling

  • First-trimester interventions

  • Mid-trimester testing (Box 8.4)

  • Late pregnancy and early labor

  • Management of breech presentation

  • Route of delivery

  • Conclusions

  • References