The maneuver, adjusted for pregnant women and generally obese individuals is to utilize chest thrusts instead of abdominal thrusts. According to WebMD:

• Place your hands under the victim’s armpits.
• Wrap your arms around the victim’s chest.
• Place the thumb side of your fist on the middle of the breastbone.
• Grab your fist with your other hand and thrust backward. Continue this until the object is expelled or until the person becomes unconscious.

For more information on general visit http://firstaid.webmd.com/choking_treatment_firstaid.htm

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The Heimlich Maneuver for pregnant women