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This article is from the Research Concerning Big Folks FAQ, by sharon@ecs.ox.ac.uk (Sharon Curtis) with numerous contributions by others.

A3) Conception and Pregnancy in Fat Women

[GSK] T.Gross, R.J.Sokol & K.C.King:
"Obesity in pregnancy: risks and outcome"
Obstetrics and Gynecology, October 1980, vol. 56, no. 4, pp. 446--450
This studied 2746 consecutive deliveries, 279 of whom were
obese. Those in the obese group were at increased risk
before birth (increased frequencies of chronic hypertension,
inadequate pregnancy weight gain, twin gestation and
diabetes mellitus). They also had slightly longer gestations.
Infant outcome was similar for obese and non-obese mothers
(similar Apgar scores and perinatal infant mortality).

[IM+] Isaacs et al.:
"Obstetric challenges of massive obesity complicating pregnancy"
Journal of Perinatology, Jan-Feb 1994, vol. 14, no. 1, pp. 10--14

[LT+] Le Thai et al.:
"Grossesse et obesite. A propos d'une etude cas-temoins de 140 cas
(Pregnancy and obesity. A case control study of 140 cases)"
Journal de Gynecologie, Obstetrique et Reproduction Biologique 1992,
vol. 21, no. 5, pp. 563--567

[SVS] Gary M. Shaw, Ellen M. Velie, Donna Schaffer:
"Risk of Neural Tube Defect-Affected Pregnancies Among Obese Women"
Journal of the American Medical Association 1996, vol.275, pp. 1093--1096

[WLSM] Martha M. Werler, Carol Louik, Samuel Shapiro, Allen A. Mitchell:
"Prepregnant Weight in Relation to Risk of Neural Tube Defects"
Journal of the American Medical Association 1996, vol.275, pp. 1089--1092

[Zaa+] B.M.Zaadstra et al.
"Fat and female fecundity: prospective study of effect of body
fat distribution on conception rates",
British Medical Journal, February 1993, vol. 306, no. 6876, pp. 484--7
542 women were studied at a fertility clinic in the
Netherlands. They found that a larger waist-hip ratio led to
a decrease in fertility.
Also they found that underweight women were slightly slower
to conceive than average weight women. Obese women were as
fast to conceive as average weight women, but the conception
rate was noticeably reduced for very obese women (BMI > 38),
lower than the underweight group.
They concluded than body fat distribution had more impact on
fertility than age or obesity.

 

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