Risk assessment of morbidly obese parturient in cesarean section delivery

An, Xiaohu; Zhao, Yuqing; Zhang, Ying; Yang, Qiangzhen; Wang, Yilong; Cheng, Weiwei; Yang, Zeyong

doi:10.1097/md.0000000000008265

Cited by 12 publications

(7 citation statements)

References 28 publications

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“…According to the literature, ADP incidence in the obstetric population is up to 4% in obese pregnant women versus 1% in non-obese ones. 16 , 17 , 18 In our study, complications such as ADP or HP seem to be similar in both groups, although we have not been able to demonstrate that such associations are statistically significant. When all complications related to the neuraxial technique are considered, the rate of these complications in the obese patient is not higher comparing to non-obese in our study.…”

Section: Discussioncontrasting

confidence: 73%

Epidural analgesia in the obese obstetric patient: a retrospective and comparative study with non-obese patients at a tertiary hospital

González-Tascón

Díaz²,

García³

2021

Brazilian Journal of Anesthesiology (English Edition)

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Section: Discussioncontrasting

confidence: 73%

Epidural analgesia in the obese obstetric patient: a retrospective and comparative study with non-obese patients at a tertiary hospital

González-Tascón

Díaz²,

García³

2021

Brazilian Journal of Anesthesiology (English Edition)

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“…It can be used to predict the odds for wound infection and enable measures to be taken to prevent or minimize occurrence. 12,15,37,38 With the globally increasing obesity rates, including in SSA, with parallel trends observed in pregnant women, there is the need to pay attention to weight reduction strategies during the preconception period, as well as to encourage optimum weight gain during the prenatal period to reduce poor maternal and neonatal outcomes associated with obesity. Several strategies have been proposed to help achieve this, including improvements in diet and physical activity levels.…”

Section: Summary Of Evidencementioning

confidence: 99%

Body mass index‐related cesarean section complications in sub‐Saharan Africa: A systematic review and meta‐analysis

Asah‐Opoku

Pijtak

Nuamah

et al. 2021

Intl J Gynecology & Obste

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Background: Obesity and cesarean section (CS) rates are rising in sub-Saharan Africa (SSA), where risks for complications that adversely affect maternal health, such as infections, are high.Objective: To conduct a systematic review and meta-analysis to report on the incidence and types of body mass index (BMI, calculated as weight in kilograms divided by the square of height in meters)-related complications following CS in SSA.Search strategy: A systematic search was conducted in PubMed/MEDLINE, EMBASE, and Global Health Library up to August 2020 using (MeSH) terms related to CS, BMI, and SSA.Selection criteria: Quantitative studies that evaluated BMI-related complications of CS in English.Data collection and analysis: Data were extracted using a standardized form. The risk of bias was assessed using the Newcastle-Ottawa Scale. The incidence of BMIrelated complications at 95% confidence interval was calculated and a meta-analysis conducted.Main results: Of 84 articles screened, five were included. Complications associated with a higher BMI were: wound infection, hemorrhage, post-dural puncture headache, and prolonged surgery time in comparison with patients with a normal BMI. Women with a high BMI (>25.0) have a two-fold increased risk for post-cesarean wound infection compared with women with a normal BMI (20.0-24.9) (odds ratio 1.91, 95% confidence interval 1.11-3.52). Conclusion:Overweight and obesity were associated with CS complications in SSA, but limited research is available.

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“…Regional anesthesia puncture times for epidural and combined spinal-epidural may be prolonged in the obese patient, and may even contribute to delays in decision to delivery times seen in obese women [31,52]. There is a higher chance of regional anesthesia failures needing conversion to general anesthesia, and a higher chance of high block during spinal anesthesia necessitating general anesthesia in super obese women (BMI ≥ 50 kg/m 2) ) [31,53].…”

Section: Anesthetic Considerationsmentioning

confidence: 99%

Obesity: Unique Challenges at the Time of Cesarean Delivery

Roloff¹,

Cao²,

Okekpe³

et al. 2020

Recent Advances in Cesarean Delivery

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The obesity epidemic has touched all aspects of obstetric care, including the practice of cesarean delivery. Obesity is an independent risk factor for cesarean delivery, and the increased prevalence of obesity has contributed to the overall rise in primary cesarean delivery seen over the past few decades. Because of the frequent existence of co-morbidities such as hypertension and diabetes, obesity is a plausible contributor to rising maternal mortality. In addition, obese women who undergo both primary and repeat cesarean delivery have a higher chance to develop surgical and post-operative complications, including wound infection and thromboembolic events. Surgical complications increase steadily with increasing maternal weight. In this chapter, we will review the incidence and contributing factors that lead to cesarean delivery in obese patients, peri-operative complications, and strategies to reduce these risks in obese women undergoing cesarean delivery.

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Risk assessment of morbidly obese parturient in cesarean section delivery

Abstract: Supplemental Digital Content is available in the text

Cited by 12 publications

References 28 publications

Epidural analgesia in the obese obstetric patient: a retrospective and comparative study with non-obese patients at a tertiary hospital

Epidural analgesia in the obese obstetric patient: a retrospective and comparative study with non-obese patients at a tertiary hospital

Body mass index‐related cesarean section complications in sub‐Saharan Africa: A systematic review and meta‐analysis

Obesity: Unique Challenges at the Time of Cesarean Delivery

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