Abstract
The combination of obesity and unintended pregnancy can have far-reaching consequences, both for the mother and the baby. The problem is compounded by the fact that while obese women are less likely to access contraceptive health-care services, their risk of falling pregnant is similar to their normal-weight counterparts. There are genuine concerns as well as misconceptions regarding the efficacy and safety of contraception in obese women. Evidence-based counseling for obese women are made more difficult by the lack of well-designed trials on contraceptive safety and efficacy in such a population. Medical eligibility criteria for contraceptive use by major associations give useful guidance to clinicians on the appropriate contraceptive method in obese women. Further, urgent large-scale studies investigating the pharmacodynamics, safety, and efficacy of contraception in obese women are the need of the hour.
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