Postpartum weight loss among overweight and obese women using the Etonogestrel implant placed immediately postpartum

Obesity is a major public health issue in the United States. The 2014-2015 National Health and Examination Survey (NHES) revealed that 41.1% of women over the age of 20 are classified as obese (body mass index ≥ 30 kg/m²). More specifically, 37% of reproductive age women, classified as between the age of 20-39, met criteria for obesity. These numbers have been steadily increasing since 1999, highlighting the ongoing nature of the obesity epidemic. Reproductive health providers and advocates must recognize the risks of obesity in young women. Research clearly documents the negative impact of increasing body mass index (BMI) on both maternal and neonatal health outcomes.1 Long-term health complications for the obese patient, outside of the acute obstetrical period, including a higher risk of cardiovascular disease, diabetes, orthopedic conditions, and cancer have been well documented.2 To prevent excessive pregnancy weight gain in a vulnerable population, the American Congress of Obstetricians and Gynecologists recommends a weight gain range of 15-25 lbs. for overweight and 11-20 lbs. for obese women.3 This acute pregnancy-related weight gain recommendation is accompanied by the caveat expectation of weight loss postpartum.