12.2e Obesity

Question 1

Obesity Parameters

Answer 1

> 25 - Overweight
30 - Obese
40 - Severely Obese

Question 2

Trends of Obesity

Answer 2

• More likely to have pre-existing medical conditions
• Higher risk of spontaneous abortion and stillbirth
• More likely to get gestational hypertension and diabetes
• Higher risk of congenital anomalies
• Increased risk of post-term pregnancy
• Increased likelihood of induced labor
• Increased risk of c-section, thromboembolism, infection from c-section
• Increased risk of post-partum hemorrhage
• Prolonged labor
• Macrosomic Infant
• Difficulty with locating fundus for fundal massage

Question 3

Care Management

Answer 3

• Continuous FHR and Contraction Monitoring can be Difficult
• Larger OR tables, Extra-Large BP cuffs
• Routine procedures require more time
• TED Hose or Sequential Compression Devices (SCD)
• Heparin prophylaxis to prevent DVT
• Keep incisions clean and dry (wound healing can be more difficult)