Obesity in pregnancy

Most women know that smoking and drinking don't go with pregnancy and automatically will reduce or stop before getting pregnant. However few know that obesity and extreme underweight carry just as much risk if not more. Obesity may not be so common in the local context but I am increasingly seeing this as our foreign population in Singapore rises. Obesity is associated with hypertension, diabetes, beta streptococcal infection, large babies, premature labour, stilbirths, higher chance of caesarean section, greater risks than normal from caesarean section complications, postnatal depression. So counselling for those over and underweight should be part of the preconception consultation