Given that morbid obesity has been strongly associated with obstetric, neonatal and anesthetic complications, and that scarce reports have evaluated anesthetic and obstetric outcomes after cesarean delivery in morbidly obese patients; This study retrospectively analyzed anesthetic, obstetric and neonatal outcomes in morbidly obese pregnant patients who underwent cesarean delivery at Augusta University Medical Center, during a 2-year period (2015-2016).
This study compared non-obese, obese and morbidly obese patients with respect to maternal, perinatal and anesthetic outcomes. Obstetric aspects included emergent procedure, estimated blood loss, obstetric complications, maternal disposition, length of stay and in-hospital mortality. Neonatal aspects included Apgar scores. Anesthetic aspects included anesthetic technique, intraoperative hemodynamic instability, failed regional anesthesia and anesthetic complications.
Study Type
OBSERVATIONAL
Enrollment
771
A retrospective chart review was conducted to evaluate the effect of body mass index on obstetric, anesthetic and neonatal complications in patients who underwent cesarean section at our institution
Augusta University
Augusta, Georgia, United States
Obstetric complications
Perioperative bleeding
Time frame: From beginning to end of cesarean section (2 hours)
Anesthetic complications
Failed epidural
Time frame: From beginning to end of cesarean section (2 hours)
Neonatal complications
Apgar scores
Time frame: 1 and 5 minutes after delivery
Other anesthetic complications
Intraoperative hypotension
Time frame: From beginning to end of cesarean section (2 hours)
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