My Continuity Case Woman Who Was Clinically Obese At The...

I have chosen to focus my assignment around one of my continuity case woman who was clinically obese at the time of booking. Within the NMC Code of Conduct (2015:6) it states that you must diligent in ensuring people’s right to confidentially is met; this is achieved by respecting their right to privacy. For this reason I will not be using any names or dates within my assignment in order to ensure the anonymity of the woman and her family. Public health is defined by the World Health Organisation as ‘all organised measures to prevent disease, promote health, and prolong life among the population as a whole’ (WHO, 2015). Within this role of public health, the midwife has an essential role. They are in the best position to be able to guide†¦show more content†¦When thinking of public health in regards specifically to obesity, a study into maternal obesity and the long-term health of the offspring, found that ‘maternal obesity has been associated with a number of long-term adverse health outcomes in the offspring, including lifelong risk of obesity and metabolic dysregulation with increased insulin resistance, hypertension and dyslipidaemia, as well as behavioural problems and risk of asthma’ (O’Reilly et al, 2012:1), this highlights to us the implications not just to mother, but the long term effects to her child. Regarding my continuity case, she came into booking with a BMI of 31; meaning she was clinically obese. It is important to take into account that according to NICE guidelines (2014) weight is defined into groups. BMI 18.5-24.9 (Healthy weight); BMI 25.0-29.9 (Overweight) BMI 30.0-34.9 (Obesity class 1); BMI 35.0-39.9 (Obesity class 2); and BMI 40 and over (Obesity class 3 or morbid obesity.) When using this classification method we can see that this lady falls into class 1; meaning that according to NICE they advise at this stage we give general advice on healthy weight and lifestyle, along with diet and physical activity. It is should be remembered that diet is not usually advised before during or immediately after pregnancy; but these women should be encouraged to attempt to eat a healthy, well balanced diet (Nutrition and Development, 2013). Gentle