Maternal Obesity

Question 1

How many women in Australia are overweight?

Answer 1

> 50%

Question 2

Gain too much in preg what happens after preg?

Answer 2

Weight retention

Question 3

Maternal obesity increases risk of

Answer 3

Neural tube defects

Exomphalos
Heart defects

Question 4

Maternal obesity affect neural tube defect detection?

Answer 4

Missed in scan
Likely to be on diets
Pre preg Glucose
Less responsive to B12

Question 5

Macrosomia is?

Answer 5

Birthweight >4kg

Question 6

HTN and Maternal obesity preeclampsia?

Answer 6

Every increase in BMI, 8% increase in preeclampsia

Question 7

VTE risk increased in Maternal obesity ?

Answer 7

Nope.

Question 8

Maternal obesity and onset of labour?

Answer 8

Need more induction

Question 9

Maternal obesity risk of preterm labour?

Answer 9

Notreally

Question 10

Maternal obesity anaesthesia

Answer 10

Dosage
Epidural more challenging
GA- risk of death

Question 11

Maternal obesity labour problems?

Answer 11

Poor uterine contractility

Question 12

Maternal obesity c-section?

Answer 12

Harder, more infection, longer stays, higher cost

Question 13

Maternal obesity lactation?

Answer 13

Less likely to commence
Less likely to continue
More likely to have late arrival

Question 14

Diabetes in Pregnancy Insulin?

Answer 14

Pregnancy is diabetogenic

Question 15

Diabetes in Pregnancy?

Answer 15

Glucose intolerance
More insulin requirements
Nephropathy
Retinopathy
Likely keto
Likely hypos

Question 16

DM1, consider what in Diabetes in Pregnancy if planning?

Answer 16

Laser for retinopathy in pre pregnancy

Question 17

Diabetes in Pregnancy increases risk of what?

Answer 17

Pre-eclampsia
DM1 - POlyhydramnios
Miscarriage
Infection

Question 18

Polyhydramnios increase risk of?

Answer 18

PPROM, premature labour

Question 19

Diabetes in Pregnancy, congenital abnormality of note:

Answer 19

Caudal recession syndrome: small atrophic lower limb

Question 20

Organs of babies Diabetes in Pregnancy?

Answer 20

All a bit underdeveloped

Question 21

MEtofrmin safe in preg?

Answer 21

Apparently

Question 22

Insulin S safe in Diabetes in Pregnancy

Answer 22

Yes

Question 23

Glitazones and sulfonylurea, ACEi and statins safe in preg?

Answer 23

Nope

Question 24

What is not safe Diabetes in Pregnancy drugs?

Answer 24

Statins
Sulphonylureas
Glitazones
ACEis

Question 25

Diabetes in Pregnancy pre preg to do?

Answer 25

``` Optimal DM Review Meds Other autoimmune conditions such as thyroid, Coeliac Smoking More folate Weight loss ```

Question 26

Diabetes in Pregnancy antenatal care?

Answer 26

Multidisciplary care

Question 27

BSL Diabetes in Pregnancy target range?

Answer 27

- Fasting/preprandial 4.0-5.5mmol/l | - Post prandial

Question 28

If decreasing insulin requirements in later preg in Diabetes in Pregnancy, what could that mean?

Answer 28

Placenta not functioning, need delivery

Question 29

Diabetes in Pregnancy Intrapartum care risks?

Answer 29

Shoulder dystonia, | birth trauma

Question 30

Diabetes in Pregnancy a lactation, BSLs?

Answer 30

Allow mild hyperglycaemia

Question 31

What is Barker Hypothesis?

Answer 31

Look it up!

Question 32

Dx of Gestational diabetes?

Answer 32

Fasting: >5.1moL/l or 1hr >10mmol/l 2hr >8.5mmol/l