ABSTRACT
Obesity, classified as a body mass index (BMI) greater than 30 kg/m2 is associated with significant long-term health risks including Type 2 diabetes and cardiovascular disease. Pregnancy offers a unique opportunity for midwives to work with women who may be more motivated to improve their own health and that of their baby regarding weight-related health issues. However, the causes of obesity are complex, and midwives need to be mindful of the societal, psychological and environmental influences that affect weight gain, providing sensitive individual care, in partnership with women to optimise outcomes. Of concern is the range of complications of pregnancy associated with obesity including venous thromboembolism, hypertension, pre-eclampsia, an increased risk of congenital abnormality, increased rates of infection and surgical complications. Thorough midwifery assessment at all points of care and a well-coordinated multidisciplinary approach is required to ensure complications are minimised.
