Summary

Obesity affects 39.7% of reproductive-aged females (body mass index [BMI] ≥30) in the US, with a rising prevalence over the past 2 decades.1 Prepregnancy obesity is associated with an increased risk of almost all pregnancy complications, including gestational diabetes, hypertensive disorders of pregnancy, small for gestational age (SGA) or large for gestational age (LGA) neonates, congenital anomalies, and cesarean delivery.2,3 Obesity has health implications for the offspring due to changes in developmental programming in utero, contributing to increasing rates of childhood obesity and related comorbidities later in life.