Exposure to prenatal stress is linked to health consequences in the offspring. The objective of this systematic review was to synthesize and critically appraise primary human studies that have examined the association between prenatal exposure to psychosocial stress, or adverse life events, stress hormones, and later risk of developing obesity. We searched Medline, Embase, ScienceDirect, WorldCat, and OpenGrey up to January 2019 to identify relevant literature. We critically appraised the identified studies, assessed their quality, and summarized their findings. From a total of 5930 search results and references of studies that authors considered pertinent, we identified 15 relevant studies among which three were of high quality and the rest were medium-quality studies. We found direct association between exposure to stress in fetal life and different measures of obesity in the offspring in eight studies.The direct association was usually observed in studies that involved measurement of stress among mothers exposed to natural disasters. Due to lack of adequate and comparable data from the included studies, we did not conduct a meta-analysis. We concluded that there may be direct association between prenatal stress and later obesity, but further research with more comparable sources of stressors is recommended.BMI, life events, obesity, prenatal stress 1 | BACKGROUND The rising burden of overweight and obesity in all age groups across most parts of the world is a major global health challenge 1 . The health risks of obesity are well accepted in scientific communities 2-4 .Children with obesity are likely to also be overweight or obese in adulthood and the consequent health risks increase with age 5-8 . The morbidities related to obesity also have large economic consequences 9 . Thus, there is a public health urgency to identify preventable causes to intervene against obesity.Excessive intake of energy dense foods and low levels of physical activity are two major factors that contribute to obesity 10,11 . In addition, several studies have established clear associations between maternal exposure to an adverse external environment such as famine or undernutrition during pregnancy, and various short-and long-term Abbreviations: BMI, body mass index; CRH, corticotropin-releasing hormone; DXA, dualenergy X-ray absorptiometry; DNBC, Danish National Birth Cohort; FMI, fat mass index; HPA axis, hypothalamic-pituitary-adrenocortical axis; MOOSE, meta-analyses and systematic reviews of observational studies; PNMS, prenatal maternal stress; PROSPERO, international prospective register of ongoing systematic reviews; SS, subscapular thickness; TR, triceps thickness; WHtR, waist-to-height ratio.