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Reflective practice in health care and how to reflect effectively
Koshy K, Limb C et al. International Journal of Surgical Oncology. 2017 2:e20
Samad S, Cockerill R. Improving outcomes in obese pregnant women. Practitioner April 2019;263(1825):21-24
Improving outcomes in obese pregnant women
24 Apr 2019
For obese women the risks of adverse outcomes during pregnancy, for both the mother and her child, are significantly higher than for the general population. In 2016, 21% of all women attending antenatal services in the UK were reported to have a BMI of 30 kg/m2 or higher. In 2003-2005, 27% of all maternal deaths occurred in women with a BMI of 30 kg/m2 or higher. Obesity increases the risk of venous thromboembolism, gestational diabetes, pre-eclampsia and hypertension. There is an increased likelihood of induction of labour, instrumental delivery and postpartum haemorrhage. The greatest effect on risk reduction is weight loss prior to conception.
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