Obesity in Pregnancy

Question 1

What percentage of the antenatal population are obese?

Answer 1

21.3

Question 2

What is classed as underweight?
Obese?

What are the three classes of obesity?

Answer 2

<18.5
>30

Class 1- 30-35
2- 35-40
3- >40

Question 3

What are mothers at increased risk of?

8

Answer 3

PET
GDM
C-section
VTE
Miscarriage
PPH
Wound infection
Anaesthetic complications

Question 4

Fetal risks?

6

Answer 4

Congenital abnormalities
Still birth
Prematurity
Macrosomia
Child hood obesity
Neonatal death

Question 5

Prepregnancy advice?

Answer 5

Weight loss reduced risk of still birth, htn and fetal macrosomia and increases chance of successful vaginal birth

Question 6

Who should be offered folic acid 5mg?

Answer 6

BMI >30

Question 7

Which other nutritional supplement important in obesity?

Answer 7

vitamin d 10mcg

Question 8

What should be recommended re weight loss?

Weight loss drugs?

Answer 8

Weight loss should not be recommended in pregnancy

Weight loss drugs not recommended

Question 9

Which BMI should see obstetric anaesthetist?

Answer 9

40+

Question 10

Which BMI is a moderate rf for PET?

Answer 10

35+

Question 11

BMI RF fo VTE?

Answer 11

30+

Question 12

Which obese women can deliver in midwife led unit?

Answer 12

If multiparous and no other RFs

Question 13

Which intrapartum risks should women with class 1+2 obesity be made aware of?

3

Answer 13

Shoulder dystocia
EMCS
PPH

Question 14

How long should women be advised to wait before conceiving after bariatric surgery?

Answer 14

12-18 months