Obesity And The Influences Its Has On Maternity Care

2390 Words10 Pages
Introduction: This literature review will look into obesity in pregnancy and the influences its has on maternity care. The review will explore specifically health promotion including weight, dietary and exercise advice given to obese women, and will explore the challenges that come with giving weight related advice for the midwife and the women involved. Rationale: Obesity is usually defined by using the body mass index (BMI). A persons BMI is worked out by dividing the persons weight in kilograms by their height in meters squared. To be classified as obese a person’s BMI will be equal to or over 30. (CDC, 2015) Obesity is a worldwide epidemic with 67.1% of adults (aged 16 and over) in the UK being overweight or obese according to the…show more content…
The initial limitations I set to search for the articles were articles published within the years of ‘2000 to 2015’ and only those which were in full text. Using the search terms ‘Obesity in pregnancy’ yielding 202,023 results, then further using the words and phrases ‘midwives role, health promotion postnatally and maternity care’ to refine my search yielding 3,567 results. The risks associated with maternal obesity: The risks associated with obesity in pregnancy do not only surround physical issues it also affects effective care given to obese women using maternity services and the outcomes of their delivery. Schmied et al (2010) found a that obesity affects the appropriate care that obese women receive. The midwives documented difficulties palpating the abdomen of obese women and not being able to determine fetal position or auscultation of the fetal heart, in return making it hard to assess fetal well being. In agreeance Singleton and Furber (2013) suggest that a midwife’s role is to promote normality, but for high risk obese women in labour, it is increasingly difficult to do so. The study found that auscultation using a pinard stethoscope and sonicaid proved difficult in many cases for women with a BMI of over 30, therefore the use of a cardiotocography (CTG) was needed to monitor fetal well being. Slavin, Fenwick and Gamble (2013) found that the use of CTG in labour reduces mobility of
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