Low uptake of contraception has been reported as the cause of up to 75% of unintended pregnancies in South Africa. Fear of side effects leading to discontinuation of contraception and fear of infertility are two frequently cited reasons for not using contraception in the literature. However, these reasons could indicate inadequate knowledge about the various safe and reversible contraception options available. Women with a Body Mass Index (BMI) greater than 35kg/m2 are less likely to use contraceptives than women with a BMI less than 25kg/m2.

It is important for clinicians to address family planning needs of obese patients to prevent unintended pregnancy and subsequent obstetrical complications

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