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In the United States, 59% of women of reproductive age (20-39 years of age) are either overweight or obese (defined as body mass index (BMI) ≥ 25 kg/m2). Almost a third of women in this age group are obese (BMI ≥ 30 kg/m2). Among women delivering live born infants in 20 states in 2009, pre- pregnancy obesity prevalence was estimated at over 20%. The prevalence of pre-pregnancy obesity in these 20 states displayed an increasing trend between 2003 and 2009. This is of concern since obesity is associated with an increased risk of preeclampsia, gestational diabetes, congenital anomalies, stillbirths and other adverse birth outcomes.
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