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Updated: Sep 19, 2025
05:10
Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
367
High BMI in Pregnancy: A Case for Referral
Shelley Feng1, Elizabeth Hultgren1,2, Rachel Rodel1,3
1University of South Dakota Sanford School of Medicine.
Summary
Obese pregnant patients face increased risks for delivery complications and severe maternal morbidity. Early referral for high-body-mass-index (BMI) pregnancies is crucial for optimal outcomes.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Public Health
Background:
- Obesity is a significant risk factor for adverse pregnancy outcomes.
- Elevated body mass index (BMI) is associated with increased maternal and fetal complications during labor and delivery.
Purpose of the Study:
- To review the impact of obesity on pregnancy and delivery complications.
- To emphasize the importance of timely referral for high-BMI pregnancies.
Main Methods:
- Literature review on obesity in pregnancy.
- Analysis of risks associated with elevated BMI during labor and delivery.
Main Results:
- Obesity increases risks of preterm delivery, shoulder dystocia, operative vaginal delivery, and cesarean delivery.
- A dose-response relationship exists between obesity class and severe maternal morbidity, including acute renal failure, heart failure, and postpartum hemorrhage.
Conclusions:
- Pregnant patients with elevated BMI require specialized care due to heightened complication risks.
- Referral to a tertiary care center, ideally early in pregnancy, is recommended for medical optimization, fetal evaluation, and delivery planning.
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