Obesity with Pregnancy
OBG-CLN-GUD-56-Vers.3.0 | Royal Hospital
1 - Introduction
1.1 Obesity is a complex multifactorial disease. In 2023, female obesity prevalence for Oman was 40.9 %.*[1] One third of women delivering in Royal Hospital are obese.*[2] Ob pregnancy is now one of the most important challenges in obstetric care.
1.2 Definition - Obesity is defined as the body mass index > 30.BMI is weight in kilograms divided by height in meters squared (kg/m2).
1.3 Complications for obese women during pregnancy:
Antenatal: | Intrapartum: | Postpartum |
Miscarriage | More Induction of labour, prolonged labour and failure to progress | postpartum haemorrhage |
Gestational diabetes | Higher Rate of instrumental delivery, caesarean section | Delayed wound healing |
Pre-eclampsia | Shoulder dystocia | Increased rates of wound infection |
Difficult screening for structural anomalies | Difficult foetal heart rate monitoring | Greater likelihood of needing support with breastfeeding establishment and continuation |
Abnormalities in foetal growth | Difficulties with labour analgesia | Postnatal depression |
Preterm labour. | Failure of TOLAC . | Long term neonatal consequences: infant weight gain, obesity |
Thromboembolism events Obstructive sleep apnoea Carpal tunnel syndrome Maternal death |
Difficulties with labour analgesia / anaesthesia |
General anaesthesia
|