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Cesarean delivery of the obese woman


Cesarean delivery is a frequent occurrence among pregnant obese women and requires careful perioperative planning to ensure optimal maternal and newborn outcomes [1,2]. The risks and challenges of the procedure increase as the severity of obesity increases.

The following body mass index (BMI) classifications for obesity were adopted by the National Institute of Health (NIH) and World Health Organization (WHO) a nd have been endorsed by most expert groups [3,4]. For whites, Hispanics, and blacks:

Class I obesity — BMI of 30.0 to 34.9 kg/m2

Class II obesity — BMI of 35.0 to 39.9 kg/m2

Class III obesity — BMI ≥40 kg/m2 (also called severe, morbid, or extreme obesity)


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Literature review current through: Sep 2014. | This topic last updated: Oct 23, 2014.
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