Obesity in pregnancy

When you have completed this course, you will be able to

• classify obesity and outline possible interventions prior to conception
• discuss maternal complications related to obesity in pregnancy
• summarise the specific risks that obesity poses to intrapartum care
• outline the risks to the fetus, both antenatally and intrapartum
• outline a management plan for women with obesity in pregnancy and during labour and delivery
• tailor the antenatal management plan for a patient with previous bariatric surgery.

Dr Nivedita Aedla MRCOG (2023)

Dr Nivedita R Aedla is a consultant Obstetrician at Simpsons Centre for Reproductive Medicine, Royal Infirmary of Edinburgh

 

 

This course is intended to help clinicians gain core knowledge for O&G training and the MRCOG examinations. It can also be used by O&G consultants to refresh their knowledge of the area or for teaching.

The content of this course relates to the following Capabilities in Practice (CiPs) and key skills:

CiP 1: Clinical skills and patient care
All key skills covered

CiP 2: Working in health organisations
Adheres to legal, professional requirements
Understands ethical principles
Working in a digital environment

CiP 3: Leadership
Demonstrates insight
Effective use of resources

CiP 5: Human factors
Maintains situational awareness
Demonstrates insight into decision making
Team working
Understands systems and organisational factors

CiP 6: Developing self & others
Commits to continued learning
Develops people
Promotes excellence
Performance management

CiP 7: Innovation and research
Critical thinking

CiP 8: Educator
Effective teaching
Interprofessional learning

CiP 10: Emergency obstetrics
Manages concerns about fetal wellbeing
Manages labour
Manages intrapartum fetal surveillance
Manages induction, augmentation of labour
Manages emergency birth, postpartum problems
Manages labour ward

CiP 12: Non-emergency obstetrics
All key skills covered

CiP 14: Health promotion
Promotes a healthy lifestyle

Further details about each CiP can be found within the O&G Core Curriculum 2024 Definitive Document, available here.

Royal College of Obstetricians and Gynaecologists. Care of Women with Obesity in Pregnancy. Green-top Guideline No. 72. London: RCOG; 2018.

National Institute for Health and Care Excellence. Maternal and child nutrition: nutrition and weight management in pregnancy, and nutrition in children up to 5 years. NG247. NICE; 2010.

Stewart FM, Ramsay JE, Greer IA. Review. Obesity: impact on obstetric practice and outcome. The Obstetrician & Gynaecologist 2009;11(1):25–31.

Royal College of Obstetricians and Gynaecologists. Placenta Praevia and Placenta Accreta: Diagnosis and Management. Green-top Guideline No. 27a. London: RCOG; 2018.