Obesity in pregnancy Flashcards
What is obesity?
BMI >30 kg/m^2
What is the aetiology of obesity in pregnancy?
o Pre-existing obesity – poor diet, lack of exercise
o Fluid retention – polyhydramnios, heart, kidney, liver failure
What is the epidemiology of obesity in pregnancy?
16% of women are obese at the start of pregnancy
What are the signs and symptoms of obesity in pregnancy?
obesity; associated conditions may be present:
o GDM
o Pre-eclampsia
o Infections
What investigations would you do for obesity in pregnancy?
o BMI monitoring
o Bloods – FBC, LFT, UE, cholesterol, OGTT
o USS – liquor volume, foetal growth scans
What is the management of obesity in pregnancy?
o Conservative – more exercise, better diet, vitamin D supplementation
o Labour planning – assess risk of giving birth via vaginal delivery and whether there needs to be induction/CS
o Post-natal follow up – T2DM testing
What are the complications of obesity in pregnancy?
o GDM, pre-eclampsia, infections, overdue pregnancy, labour difficulties, CS or miscarriage
o Prognosis – almost 1/3 maternal deaths are in obese mothers
