PREGNANCY OBESITY Flashcards
How is obesity usually defined in the context of pregnancy?
Obesity is usually defined as a body mass index (BMI) >= 30 kg/m² at the first antenatal visit.
What are the maternal risks associated with obesity during pregnancy?
Maternal risks associated with obesity during pregnancy include miscarriage, venous thromboembolism, gestational diabetes, pre-eclampsia, dysfunctional labour, induced labour, postpartum haemorrhage, and wound infections.
What are the fetal risks associated with obesity during pregnancy?
Fetal risks associated with obesity during pregnancy include congenital anomaly, prematurity, macrosomia, stillbirth, increased risk of developing obesity and metabolic disorders in childhood, and neonatal death.
What is the caesarean section rate like in obese pregnant women?
There is a higher caesarean section rate in obese pregnant women.
What advice does NICE give regarding weight loss for pregnant women with a BMI of 30 or more?
NICE advises that women with a BMI of 30 or more at the booking appointment should be informed about the risks to their health and the health of the unborn child. They should not try to reduce this risk by dieting while pregnant, and the risk will be managed by health professionals during their pregnancy.
What dosage of folic acid should obese women take during pregnancy?
Obese women should take 5mg of folic acid, rather than 400mcg, during pregnancy.
When should obese women be screened for gestational diabetes?
All obese women should be screened for gestational diabetes with an oral glucose tolerance test (OGTT) at 24-28 weeks.
Where should women with a BMI of 35 or more give birth?
Women with a BMI of 35 or more should give birth in a consultant-led obstetric unit.
What is the recommended antenatal consultation for women with a BMI of 40 or more?
Women with a BMI of 40 or more should have an antenatal consultation with an obstetric anaesthetist and a plan made.
