LB086 - CLINICAL AUDIT ON MATERNAL OBESITY: EVALUATING FAETAL AND MATERNAL OUTCOMES IN COMPLIANCE WITH RCOG GUIDELINES

LB086

CLINICAL AUDIT ON MATERNAL OBESITY: EVALUATING FAETAL AND MATERNAL OUTCOMES IN COMPLIANCE WITH RCOG GUIDELINES

E. Ubayanarayana^1,*, C. Jayasundara²

¹Post Graduate Institute of Medicine, ²De Soysa Maternity Hospital, Colombo, Sri Lanka

Rationale: Maternal obesity has become an increasing public health concern, linked to higher risks of adverse outcomes for both mother and child. This audit evaluates the current medical nutrition therapy (MNT) practices for maternal obesity and identifies common maternal and faetal complications associated. Based on the findings, recommendations will be made to address the gaps in current practices.

Methods: All pregnant women admitted to obstetric wards at De Soysa Maternity Hospital, Colombo, Sri Lanka, with a booking body mass index (BMI) of ≥ 30 kg/m² during the study period were included. Data on demographics, clinical details, MNT practices, exercise adherence and pregnancy outcomes were collected via an interviewer-administered questionnaire. Audit criteria were based on the Royal College of Obstetricians and Gynaecologists (RCOG) Green-top Guideline no 72, Care of women with Obesity in pregnancy, with standards set at hundred percent. Data were analyzed using Microsoft Excel.

Results: Among the 33 obese pregnant women, the mean BMI was 33.9 kg/m². Only 15% received pre-pregnancy counselling regarding the risks. Antenatal assessments of anthropometry at booking visit and at third trimester, and screening for gestational diabetes (GDM) were conducted in 100% of cases. Only 24% received 5 mg of folic acid. Individualized MNT plans were provided to 52%, and 58% engaged in 30 minutes structured exercise. The commonest maternal complication was GDM affecting 55% of participants. Among infants born, 61% had a birth weight exceeding 3.0 kg.

Conclusion: Women with obesity should be identified and counselled on associated risks during the pre-conception period. Individualized MNT and structured exercise should be started in pre-pregnancy and continue antenatally. Regular follow-up is vital for sustained intervention and improved maternal and fetal outcomes.

Disclosure of Interest: None declared