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Obesity in pregnancy — DRCOG MCQ

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ModerateAntenatal CareObesity in pregnancyDRCOG

A 34-year-old woman attends booking with a BMI of 42 kg/m². She is 10 weeks pregnant and has no other medical history. She asks whether any additional planning is needed. What is the most appropriate management?

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Correct answer: D — Arrange consultant-led risk assessment and screen for gestational diabetes

Class III obesity in pregnancy increases risks including gestational diabetes, hypertensive disease, anaesthetic difficulty and VTE, so additional antenatal planning is appropriate. Weight-loss dieting and orlistat are not recommended during pregnancy. Caesarean birth is not required solely because of BMI. Risk assessment should include blood pressure, diabetes screening, thromboprophylaxis considerations and place-of-birth planning.

Reference: NICE NG201; NICE PH27; RCOG Green-top Guideline No. 72