Weighing In Pregnancy

INTERVENTION: weighing will be included in the routine antenatal check at each visit. The number and length of the antenatal visits will remain routine ie 10 visits in the pregnancy at 15 to 30minute consults. CONDITION: Weight gain above the World Health Organisation and Institute of Medicine recommendations during pregnancy. PRIMARY OUTCOME: Weight gain within the ideal range according to the American Institute of Medicine (IOM) and the World Health Organisation (WHO) recommendations SECONDARY OUTCOME: Fetal/neonatal ; o admission to Speacial Care Nursery (SCN) / Neonatal Intensive Care Unit (NICU) fetal/neonatal ; o complications relating to macrosomia including hypoglycemia, hyperbilirubinemia, shoulder dystocia, infant birth trauma (palsy, fracture) ; ; infant BSL, LFT, and review of the notes fetal/neonatal ; o birth weight ; ; Using scales for the mother: ; o Breast feeding ; ; We will review the notes post delivery to see if the mother is breast feeding or using formular for the mother: ; o Mode of birth (vaginal vs instrumental vs Caesarean section) ; ; We will review the notes post delivery for the mother: ; o Post partum complication: Post partum hemorrhage, wound infection, need for antibiotics, endometritis, perineal trauma, thromboembolic disease, death ; ; Determined by blood loss, FBE, vaginal swabs and review of the notes for the mother: ; o medical complications of pregnancy ie Pre‐eclampsia or eclampsia, hypertension, gestational diabetes ; ; Determined by blood pressure (BP), urine analysis and full blood exam (FBE) and electrolytes, urea and Creatinine (EUC), blood sugar level (BSL), liver function tests (LFT) o Need for an induction of labour ; ; We will review the notes post delivery INCLUSION CRITERIA: Pregnant women at < 20 weeks gestation.