Obesity

Question 1

Define obesity

Answer 1

A significant health concern affecting current society where an individuals morbidity and mortality is directly related to their increased weight. Defined as excessive accumulation of fat within fat cells.

Question 2

What risk factors are associated with obseity?

Answer 2

Gender
Age
Postcode
Lifestyle
Social status
Mental wellbeing
Genetics

Question 3

What are some complications with obesity?

Answer 3

• Metabolic complications causing type 2 diabetes
• Circulatory complications causing cardiovascular disease
• Degenerative complications causing oseteoarthritis

Question 4

Why is obesity a significant risk during the intrapartum period?

Answer 4

Increased risk of prolonged labour
Risk of macrosomina - potential shoulder dystocia
Difficulties undertaking instrumental and operative deliveries

Question 5

What is the role of the midwife with obesity?

Answer 5

• Calculate accurate BMI at booking
• Promote balanced diet and light exercise
• Appropriate referral
• Explain risks of raised BMI
• Advice to avoid dehydration during labour and keep as mobile as possible
• Promote breastfeeding as it helps to mobilise fat stores
• Consider thromoprophylaxsis