Anesthesia complications during scheduled cesarean delivery for morbidly obese women

Anesthetic management of super-morbidly obese parturients for cesarean delivery with a double neuraxial catheter technique: a case series

“…Super-morbid obesity, or body mass index (BMI) P50 kg/m 2 , and its comorbid conditions place the parturient and fetus at increased risk of complications related to pregnancy, surgery and anesthesia. 1,2 The peripartum care of these patients for cesarean delivery is challenging, and requires careful, multidisciplinary planning and communication to optimize patient outcomes.…”

“…1 The procedure is often performed 48 h after the onset of symptoms. 2 The optimal amount of autologous blood for an EBP would appear to be 20 mL.…”

“…2 The optimal amount of autologous blood for an EBP would appear to be 20 mL. 1 The procedure is considered to be safe, although complications do occur and can be serious. 3-6 Repeat EBP may improve success rate but is controversial.…”

What’s new in obstetric anesthesia: the 2011 Gerard W. Ostheimer lecture

“…11 One study published in 2010 evaluated anesthesia outcomes during scheduled cesarean deliveries for morbidly obese women. 12 In this retrospective cohort study, demographic and anesthetic information were collected for women who had term, singleton gestations scheduled for elective cesarean delivery. Women were stratified as being either normal weight (BMI < 25 kg/m 2 ), overweight or obese (BMI 25-39 kg/m 2 ), or morbidly obese (BMI P40 kg/m 2 ).…”

The Association of Maternal Obesity With Fetal pH and Base Deficit at Cesarean Delivery

“…2 Obesity is associated with an increased risk of many pregnancy complications, and the effect is dosedependent; these complications include hypertension, gestational diabetes, venous thromboembolism, fetal death, preterm birth, postterm birth, birth defects, macrosomia, shoulder dystocia, and anesthesia complications. [3][4][5][6][7][8][9][10][11][12] Additionally, obesity is associated with an increased likelihood of labor induction, failure to progress in labor (whether the labor is spontaneous or induced), cesarean delivery, and cesarean delivery complications such as increased operative time, wound infection or disruption, and hemorrhage. [13][14][15][16][17] Using BMI, classes of obesity have been described: BMI values of 30-34.9, 35-39.9, and 40 or higher define individuals as having class I, II, or III obesity, respectively.…”