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Obesity and Women’s Health: Resource Overview

Obesity has become a major public health issue in the US, affecting about one third of adults. Obesity increases the risk of many health problems, including heart disease, diabetes, cancer, and hypertension. It may also negatively affect pregnancy, increasing the risk of birth defects, macrosomia, preterm birth, stillbirth, preeclampsia, and gestational diabetes.

Ob-gyns, physicians whose primary responsibility is women’s health, are best suited to counsel women on how to maintain a healthy body weight throughout their lifetime.
 
Here are the key publications and resources for ob-gyns, other women’s health care providers, and patients from the American College of Obstetricians and Gynecologists (ACOG) and other sources.

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Resources for Ob-Gyns and Women’s Health Care Providers
Resources for Women and Patients

Resources for Ob-Gyns and Women’s Health Care Providers

Practice Bulletin: Obesity in Pregnancy (members only)
Obesity in Pregnancy”, issued by ACOG in December 2015, recommends preconception counseling for obese women to address the risks of pregnancy complications. It states that at the first prenatal visit, pregnant women should be given advice on weight gain during pregnancy, as well as nutrition and exercise counseling.

Committee Opinion: Gynecologic Surgery in the Obese Woman
Gynecologic Surgery in the Obese Woman”, issued by ACOG in January 2015, discusses how to manage the complications of gynecologic surgery in obese women, who often have comorbid conditions. It recommends a preoperative consultation with an anesthesiologist for patients for whom obstructive sleep apnea is suspected, who are at risk of CAD, who have a difficult airway, or who have poorly controlled hypertension.

Committee Opinion: Ethical Issues in the Care of the Obese Woman
Ethical Issues in the Care of the Obese Woman”, issued by ACOG in June 2014, advises ob-gyns to care for obese patients in an unbiased and nonjudgmental manner and to be aware of the medical, social, and ethical implications of obesity. It also notes that it is unethical for a physician to refuse to treat a patient solely because she is obese.

Committee Opinion: Challenges for Overweight and Obese Womenn
“Challenges for Overweight and Obese Women”,
issued by ACOG in March 2014, discusses how ob-gyns can help women overcome the barriers they face when adopting a healthy lifestyle. It concludes that physicians must address both individual behaviors and the community environment to reduce obesity rates.

Committee Opinion: Weight Gain During Pregnancy
Weight Gain During Pregnancy”, issued by ACOG in January 2013, recommends that ob-gyns follow the guidelines issued by the Institute of Medicine regarding gestational weight gain. Ob-gyns should determine a woman's body mass index (BMI) during the first visit and discuss the need to limit excessive weight gain during pregnancy.

Practice Bulletin: Bariatric Surgery and Pregnancy (members only)
Bariatric Surgery and Pregnancy”, issued by ACOG in June 2009 (reaffirmed 2013), provides recommendations for the care of patients during pregnancy and delivery after bariatric surgery, including the impact of the surgery on labor and delivery, nutrition, contraception, and medications.

 


Resources for Women and Patients

Patient FAQ: Obesity and Pregnancy
Obesity and Pregnancy,” issued by ACOG in June 2013, discusses how obesity affects pregnancy, including the risks to mom and baby, and provides advice on how to have a safe pregnancy.

Patient FAQ: Weight Control: Eating Right and Keeping Fit
Weight Control: Eating Right and Keeping Fit ,” issued by ACOG in June 2013, provides information on maintaining a healthy weight, including weight loss through diet and exercise and surgical options.

Patient FAQ: Exercise and Fitness
Exercise and Fitness,” issued by ACOG in May 2011, gives an overview of exercise: the types,  benefits, and advice on how to exercise safely and effectively. 

 


The American College of Obstetricians and Gynecologists (ACOG), a 501(c)(3) organization, is the nation’s leading group of physicians providing health care for women. As a private, voluntary, nonprofit membership organization of more than 57,000 members, ACOG strongly advocates for quality women’s health care, maintains the highest standards of clinical practice and continuing education of its members, promotes patient education, and increases awareness among its members and the public of the changing issues facing women’s health care.

American Congress of Obstetricians and Gynecologists
409 12th Street SW, Washington, DC  20024-2188 | Mailing Address: PO Box 70620, Washington, DC 20024-9998