Obesity in pregnancy

Question 1

What are the three pre-pregnancy strategies for weight control.

Answer 1

-Diet
-Exercise
-Behavioral modification

Question 2

List four maternal conditions which obese women are at high risk for developing in pregnancy.

Answer 2

-Gestational diabetes.
-Hypertension.
-Pre-eclampsia.
-Thromboembolism.

Question 3

List four perinatal risk for babies of obese women.

Answer 3

-Stillbirth
-Meconium aspiration
-Macrosomia
-Shoulder dystocia

Question 4

List the investigations you would order in an obese patient in the pre-pregnancy period.

Answer 4

-Renal function.
-LFTs
-Cholesterol
-Triglycerides
-Thyroid function
-ECG
-Pulmonary function if positive Berlin questionnaire.
-Echocardiogram if chronic hypertension for 5 or more years.