Obesity in the United States has reached epidemic proportions and affects women of all ages, races, and socioeconomic levels. Through advanced surgical techniques, bariatric surgery is becoming more widely available and a viable option for many women. Women of childbearing age with significant weight loss find a very quick return of fertility and resolution of chronic comorbidities; in addition, women find increased levels of self-confidence, self-esteem, and an overall healthier psychosocial wellbeing (Harris & Barger, 2010). Many health care providers however, are not aware of other pregnancy risks after bariatric surgery including inadequate weight gain and nutritional deficiencies which are thought to increase risk of pre-term labor and intrauterine growth restriction (Hezelgrave & Oteng-Ntim, 2011). The purpose of this Clinical Doctorate Capstone Project is to implement evidence based antenatal care of a post-bariatric client and to develop an evidenced based Clinical Case Narrative evaluating outcomes and change in practice that occurs utilizing evidence-based practice. This paper is to identify outcome measures, barriers to implementing the project, and a planned strategy to implement the project.