Abstract
The increased obstetric risks of maternal obesity have been well described. These
include increased risks of gestational diabetes mellitus, preeclampsia, stillbirth,
and cesarean delivery. The fetal/neonatal consequences of prenatal maternal obesity
have received less attention. In addition to an increased risk of stillbirth, the
fetal/neonatal consequences include increased adiposity and a metabolic status that
increases the lifetime risk of obesity and diabetes. This review focuses on the clinical
obstetric consequences of maternal obesity and highlights recent mechanistic insights
on fetal programming as well as evidence suggesting that prenatal care provides a
unique opportunity to ameliorate these risks and decrease the cycle of childhood obesity.
Keywords
obesity - pregnancy - high fat diet - placenta - programming