It is fairly common knowledge that there is an epidemic of obesity in America and obesity can not only affect your ability to get pregnant, it can cause additional complications during a pregnancy.
Obesity is common, serious and costly
- About one-third of U.S. adults (33.8%) are obese.
- No state has met the government effort to make people healthy
- Obesity-related conditions include heart disease, stroke, type 2 diabetes and certain types of cancer, some of the leading causes of death.
- In 2008, medical costs associated with obesity were estimated at $147 billion; the medical costs paid by third-party payors for people who are obese were $1,429 higher than those of normal weight.
- For a startling graphic of the trend to obesity by state in the US, follow this link
- Obstetric risks increase with the mother’s weight, commonly grouped by BMI
- Body mass index (BMI) is defined as the individual’s body weight divided by the square of his or her height.
- Lower weight gain during pregnancy improves outcomes
- Obesity related to many other health risks
The following table outlines some of the risks from a few recent publications
Current Institute of Medicine Guidelines for Weight Gain in Pregnancy (published in 2009)
- Our medical group decided that we would ask for a preconception consult with maternal-fetal-medicine for women over BMI 35
- Our anesthesia team will not provide office egg retrieval for women BMI 40 and higher. They have the equipment but they do not have back-up personnel for complications which are more common with a BMI over 40
- We will not initiate IVF therapy for women over BMI 45
If you have any questions, please feel free to contact us.