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•Of the women who gave birth in Australia in 2018, 47% had overweight or obesity, with obesity being associated with both maternal and fetal complications.•Bariatric surgery improves fertility and some pregnancy‐related outcomes.•Following bariatric surgery, pregnancy should be delayed by at least 12–18 months due to adverse pregnancy outcomes associated with rapid weight loss.•Contraception should be prescribed after bariatric surgery, although the effectiveness of the oral contraceptive pill may be reduced due to malabsorption and contraceptive devices such as intrauterine devices should be considered as first line therapy.•After bariatric surgery, women should undergo close monitoring for nutritional insufficiencies before, during and after pregnancy. Expert opinion recommends these women undergo dietary assessment and supplementation to prevent micronutrient deficiencies.•Bariatric surgeons, bariatric medical practitioners, bariatric dieticians, the patient’s usual general practitioner, obstetricians, and maternity specialists should be involved to assist in the multidisciplinary management of these complex patients.

Morbid obesity is defined as a medical disorder associated with increased morbidity and mortality. Management guidelines published by the National Health and Medical Research Council and by similar UK bodies and US recommend surgery as the most effective treatment available for selected patients with morbid obesity.

•A retrospective analysis of 287 consecutive patients (2005-2016) who underwent laparoscopic hiatal hernia (HH) repair. Preoperative investigations and CT hiatal surface area (HSA) measurements were evaluated.•Overall, sensitivity for preoperative HH detection was 75.3% (n=259) for endoscopy, 77.4% (n=106) for barium swallow, 70.9% (n=110) for HRM and 80.4% (n=56) for standard CT reporting. Preoperative sensitivity for CT HSA was 94.6% (n=37).•Mean CT HSA was significantly higher in the HH group compared to a 1:1 matched control group (8.7cm2vs 2.2cm2, p< 0.01).•The accuracy of independent radiologist and surgeon observers was the same at 94.6%, with an intra-class correlation coefficient of 1.00 (p< 0.01) demonstrating excellent reliability.

Cognitive style is frequently described in terms of performance on the Matching Familiar Figures Test. Because this test has a heavy visual perceptual loading its usefulness as a measure of cognitive style with cerebral palsied students, a population frequently characterized by ocular anomalies and visual perceptual deficits, may be questioned. The test and standardized tests of visual perception and motor accuracy were administered to 46 cerebral palsied students of normal intelligence. Chronological age was the major determiner of visual perceptual and matching performance. The matching data generally suggested that the cerebral palsied students' cognitive styles were qualitatively similar to those of nonhandicapped students, although the extraocular movements of some students appeared to affect the classifications of cognitive style to which they were assigned by the data.

A letter to the editor is presented in response to the article "10th Anniversary of P. L. 94-142: A Visionary Law That Has Worked," by Judith D. Singer in the February 27, 1985 issue.