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May 12, 1945


JAMA. 1945;128(2):87-90. doi:10.1001/jama.1945.02860190023006

Because of a clinical impression that considerable numbers of obese women pass through the obstetric division of the Department of Obstetrics and Gynecology at the University of Iowa College of Medicine, it was decided to review the case histories of all women weighing 200 or more pounds (91 Kg.) at or before birth of a potentially viable baby (1,500 Gm. or more). No record was included in which the child weighed less than 1,500 Gm.

PATIENTS  Seven hundred and sixty records were found and included 641 obese women, of whom 542 were delivered once and 99 two to six times.During the same period, Jan. 1, 1926 to Dec. 31, 1942 inclusive, 16,644 deliveries took place. The incidence of obese women was therefore 3.85 per cent, or 1:26 (641 obese women), and the incidence of deliveries among obese women was 4.57 per cent, or 1: 22 (760 deliveries). These figures