Overview

• BMI >30kg/m2.
• Aetiology ⇒
  • Pre-Existing Obesity → poor diet, lack of exercise.
  • Fluid Retention → polyhydramnios, heart/kidney/liver failure.

Making Diagnosis

Clinical Features

• Associated Conditions → GDM, pre-eclampsia, infections.

Investigations

• BMI Monitoring → measured at every antenatal appointment.
• Bloods → FBC, LFT, U&Es, cholesterol, OGTT.
• USS → foetal growth scans.

Management Plan

• Conservative → exercise, diet, vitamin D supplementation.
• Labour Planning → assess risk of giving birth via vaginal delivery and whether there needs to be induction or CS.
• Post-Natal Follow Up → T2DM testing.

Complications → GDM, pre-eclampsia, infections, overdue pregnancy, labour difficulties, CS, miscarriage.