Bariatric Surgery before Pregnancy — Is This a Solution to a Big Problem?

Obesity has reached epidemic levels in the United States. According to data from the Centers for Disease Control and Prevention (CDC), in 1990 no state in the United States had a prevalence of obesity of 15% or more, but by 2010, no state had a prevalence of obesity below 20%, and a third of states had a prevalence of 30% or higher.1 This trend extends to pregnancy; almost a third of women entering pregnancy in the United States are obese.2 Moreover, the prevalence of extreme obesity is also increasing. For example, in pregnant women, the subcategories of obesity that are . . .

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