Obesity in Pregnancy Flashcards Preview

Alice MRCOG Part 2 > Obesity in Pregnancy > Flashcards

Flashcards in Obesity in Pregnancy Deck (14)
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1
Q

What percentage of the antenatal population are obese?

A

21.3

2
Q

What is classed as underweight?
Obese?

What are the three classes of obesity?

A

<18.5
>30

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

3
Q

What are mothers at increased risk of?

8

A
PET
GDM
C-section
VTE
Miscarriage
PPH
Wound infection
Anaesthetic complications
4
Q

Fetal risks?

6

A
Congenital abnormalities
Still birth
Prematurity
Macrosomia
Child hood obesity
Neonatal death
5
Q

Prepregnancy advice?

A

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

6
Q

Who should be offered folic acid 5mg?

A

BMI >30

7
Q

Which other nutritional supplement important in obesity?

A

vitamin d 10mcg

8
Q

What should be recommended re weight loss?

Weight loss drugs?

A

Weight loss should not be recommended in pregnancy

Weight loss drugs not recommended

9
Q

Which BMI should see obstetric anaesthetist?

A

40+

10
Q

Which BMI is a moderate rf for PET?

A

35+

11
Q

BMI RF fo VTE?

A

30+

12
Q

Which obese women can deliver in midwife led unit?

A

If multiparous and no other RFs

13
Q

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

3

A

Shoulder dystocia
EMCS
PPH

14
Q

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

A

12-18 months