20. weight management over the reproductive years

Question 1

for gestatinal weight gain in women with obesity, what will you prescribe during pregnancy or breastfeeding?

Answer 1

nothing - metformin should not be prescribed

Question 2

why do you need additional breastfeeding support for women with obesity?

Answer 2

decreased rates of initiation and continuation of breastfeeding

Question 3

what is target weight gain during pregnancy?

Answer 3

5-9 kg

Question 4

when should you expect returning to at least the pre-pregnancy BMI ?

Answer 4

in the year after delivery

Question 5

for women with obesity who become pregnant, a BMI of ≥ 30 kg/m2 has been consistently associated with what complication?

Answer 5

infertility, congenital malformations, numerous clinically important adverse pregnancy outcomes (in a dose-response relationship by BMI), including hypertensive disorders of pregnancy, gestational diabetes, Caesarean delivery, pre-term birth, etc.

Question 6

what were associated with significant reductions
in gestational weight gain once pregnant?

Answer 6

combined behavioural health interventions (ie. nutrition and physical activity)

Question 7

What factors influence gestational weight gain for women with obesity?

Answer 7

depression, health behaviours, patient expectations and knowledge, educational attainment/socio-economic
status, maternal age, parity and ethnicity;
obesity prior to pregnancy is also an independent risk factor for excess gestational weight gain

Question 8

what tool is available to support primary care providers in discussing healthy pregnancy weight gain?

Answer 8

The 5As of Healthy Pregnancy Weight Gain