Obesity and pregnancy Flashcards
Should you try and lose weigth in pregnancy if you’re obese
No - doesnt reduce chance of complications
What cna do to help if obese in pregnancy
Healthy balanced diet
Exercise
Challenges with delivery in obese mums
More likely instrumental delivery
Harder ot do an epidural
What is there an increased chance of in preganncy if you’re obese?
Miscarriage
Gestational diabetes
HPTN and pre-eclampsia
VTEs
Shoulder dystocia
PPH
Emergency C section or instrumental delivery
Stillbirth
Neural tube defect eg spina bifida
Why need high dose folic acid if BMI >30
Prevent neural tube defects that are more likely in obese women
What should pregannat women with a BMI > 30 be prescribed
High dose folic acid 5mg OD