Obesity: impact on obstetric practice and outcome


Antrim Area Hospital, Bush Road, Antrim, County Antrim BT41 2RL, UK Email: francesstewart1@hotmail.com


  • • 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.