Obesity in pregnancy

Cabrera Ramos S. · Revista Peruana de Ginecologia y Obstetricia (2025) · DOI: 10.31403/rpgo.v71i2743

Resumen

The pathophysiology of obesity includes adipose tissue dysfunction, alterations in adipokine secretion and chronic infammation, which contribute to insulin resistance. During pregnancy, this increases the risk of complications such as gestational diabetes, preeclampsia, miscarriage, premature delivery and fetal death. In addition, obesity is linked to an increased risk of cesarean section, anesthetic complications, postoperative infections and venous thromboembolism. Management of obesity in this setting focuses on behavioral and lifestyle interventions, limiting excessive weight gain. The use of weight-reducing medications is contraindicated, while bariatric surgery may be an option if performed in the preconceptional state.

Instituciones: Universidad Nacional Mayor de San Marcos