Clinical Case Database / Category: Clinical Care
Obesity in pregnancy
Dr Evangelos C. Tselos MD, MRCOG, Fadi Alfhaily, MBChB, MSc, DFFP, MRCOG, MA Khaled, FRCOG, PhD,
Foundation Years Journal, volume 5, issue 5, p.15 (123Doc Education, London, June 2011)
Obesity during pregnancy is an increasing problem in current obstetrics and general practice that takes the dimensions of an epidemic. Optimal management of obese patients and use of resourses is of paramount importance. Education of the public regarding the risks of obesity during pregnancy is essential part of preventive medicine, as weight loss before conception results in significant risk reduction (1,3). It is the duty of all health professionals involved with the care of women of childbearing age, to assess, inform and advice them regarding the risks of obesity and strategies to overcome the problem, with dietary and physical exercise being the most important aspects. During pregnancy, specialist care and close monitoring for complications is essential. This should take place in all levels of care.
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Dr Evangelos C. Tselos MD, MRCOG
MRCOG, ST 6 in Obstetrics and Gynaecology
Colchester Hospital University NHS Foundation
Fadi Alfhaily, MBChB, MSc, DFFP, MRCOG
Consultant Obstetrician and Gynaecologists, Colchester Hospital University NHS Foundation Trust
MA Khaled, FRCOG, PhD,
Professor of Education Consultant Obstetrician and Gynaecologist
Colchester Hospital University NHS Foundation Trust
1. Centre for Maternal and Child Enquiries/ Royal College of Obstetricians and Gynaecologists. Joint guideline. Management of Women with Obesity in Pregnancy. London 2010.
2. Royal College of Obstetricians and Gynaecologists. Green-Top Guideline No. 37. Reducing the risk of thrombosis and embolism during pregnancy and puerperium. London: Royal College of Obstetricians and Gynaecologists, 2009.
3. Society of Obstetricians and Gynaecologists of Canada. Clinical practice guideline, Obesity in pregnancy. J Obstet Gynaecol Can 2010;32(2):165â€“73.
4. Royal College of Obstetricians and Gynaecologists. Scientific Advisory Committee.
5. National Institute for Health and Clinical Excellence. Diabetes in pregnancy: Management of diabetes and its complications from pre-conception to the postnatal period. London: National Institute for Health and Clinical Excellence, 2008.
6. National Institute for Health and Clinical Excellence. Hypertension in pregnancy: The management of hypertensive disorders during pregnancy. London: National Institute for Health and Clinical Excellence, 2010.
7. Naomi E. Stotland. Obesity and pregnancy. BMJ 2008; 337:a2450
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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