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[Anesthesia for 15 morbidly obese parturients undergoing cesarean section]
Keiko Kinouchi1, Akihiro Taniguchi, Kazuo Fukumitsu
1Department of Anesthesiology, Osaka Medical Center, Research Institute for Maternal and Child Health, Izumi 594-1101.
Masui. the Japanese Journal of Anesthesiology
|March 26, 2003
Summary
Cesarean sections in women over 100 kg are associated with higher risks of preeclampsia and diabetes. While most mothers had live births, wound dehiscence occurred in four patients.
Area of Science:
- Obstetrics and Gynecology
- Anesthesiology
- Maternal-Fetal Medicine
Context:
- Retrospective review of 15 parturients weighing over 100 kg who underwent cesarean section between 1994 and 2001.
- Analysis of medical and anesthetic records to identify maternal characteristics and complications.
Purpose:
- To evaluate the maternal complications and anesthetic considerations for cesarean sections in obese parturients (body weight > 100 kg).
Summary:
- The study included 15 obese parturients (mean BMI 41.6 kg/m²), with common complications including preeclampsia (46.7%) and diabetes mellitus (40%).
- Cesarean sections were performed under spinal (n=11) or epidural (n=4) anesthesia; no general anesthesia was used.
- Intraoperative hypotension (n=6) and nausea (n=3) were noted. Postoperative complications were minimal, with wound dehiscence occurring in four patients.
Impact:
- Highlights the increased risk of specific maternal complications in obese parturients undergoing cesarean delivery.
- Provides insights into anesthetic techniques and intraoperative challenges in this patient population.
- Informs clinical practice regarding the management of high-risk pregnancies involving obesity.