Obesity Flashcards
1
Q
What is obesity?
A
- it is the excessive accumulation of fat within the fat cells as a result of discrepancy between energy intake and energy expenditure
- diagnosed using BMI, BMI over 30
2
Q
What are some of the pre-disposing factors for obesity?
A
- gender - more common in women than men
- postcode - there are more cases in the north of the country than the south
- lifestyle - reliance on cars, fast foods
- mental wellbeing
- social class
- ethnicity
- genetics
3
Q
What are some of the complications?
A
- type 2 diabetes
- cardiovascular disease
- osteoarthritis
- infertility
4
Q
How is it treated?
A
- increasing overall muscle mass
- producing a sense of well-being
- depressing the appetite
- increasing the overall metabolic rate
5
Q
What are some of the issues of being obese in pregnancy?
A
- early miscarriage
- GDM
- hypertension
- pre-eclampsia
- venous thrombo-embolism
- anaesthetic problems
- late stillbirth/neonatal death
- neural tube defects
- fetal macrosomia
- fetal trauma
- NNU admissions
6
Q
What is the role of the midwife antenatally?
A
- calculate each women’s BMI -> any BMI over 30 should be referred to consultant to discuss intrapartum risks and management strategies
- women with BMI over 35 should be booked at a consultant led unit
- advise about healthy eating
- moderate exercise encouraged
- ascertain mobility
- continuity or care to foster self-esteem and self-confidence
7
Q
What are the risks in labour for women who are obese?
A
- prolonged labour
- shoulder dystocia
- operative birth
- difficulty in undertaking instrumental and operative procedures
- difficulty siting an epidural or spinal
8
Q
What is the role of the midwife in labour?
A
- continuous midwifery care
- encourage changes in maternal position throughout labour
- avoid dehydration
- observe progress
- FSE if difficulty with abdominal auscultation
- encourage birth in consultant-led unit
