Obesity during Pregnant poses challenges for the midwife due to difficulties related to follow-up. Hypertension, fetal growth and fundal height and. Abnormal and growth scans are suboptimal, especially abnormalities related to the spine, fetal heart, and kidneys, increasing the risk of undetectable abnormalities. Research has shown that there is a double increase in nerve conduction defects in obese mothers and there is a link between maternal obesity and higher embryo complications compared to non-obese patients, which is a burden on health care resources. It is therefore important to implement measures to minimize obstetric risk through the following: Before pregnancy, women should undergo periodic health exams. • The BMI should be calculated for each pregnant patient on the initial visit to the hospital • Obese women of childbearing age should receive counseling on nutrition, weight gain, and food choices • Pregnant women should be informed of the risk of fetal complications and measures to prevent them • Obese patients should be seen by an anesthesiologist during the early stages of delivery to reduce the risk of severe regional anesthesia or failed intubation. • Preventive treatment for thrombolism and early recruitment should be considered in the immediate postpartum period.