Pushing the Envelope in Obstetric Care: A Case Report of Cesarean Delivery in a Parturient with a BMI >100 kg m−2

An increasing number of women with a body mass index (BMI) ≥ 60 kg m−2, referred to as super-super obesity, are requiring anesthetic care for labor and delivery. Management of these patients presents obstetric, anesthetic, and logistical challenges. We report our experience in the management of cesa...

Full description

Saved in:
Bibliographic Details
Published in:Case reports in anesthesiology 2020-01, Vol.2020 (2020), p.1-7
Main Authors: Rajendran, Geetha P., Pothula, Suryanarayana, Futterman, Itamar, Kumaraswami, Sangeeta, Kaul, Ashutosh
Format: Article
Language:English
Subjects:
Anesthesia
Blood pressure
Body mass index
Case Report
Case reports
Catheters
Cesarean section
Epidural
Fentanyl
Gastrointestinal surgery
Obesity
Obstetrics
Pregnancy
Thromboembolism
Ultrasonic imaging
Weight control
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:An increasing number of women with a body mass index (BMI) ≥ 60 kg m−2, referred to as super-super obesity, are requiring anesthetic care for labor and delivery. Management of these patients presents obstetric, anesthetic, and logistical challenges. We report our experience in the management of cesarean delivery in a parturient with a BMI of 112 kg m−2. Use of epidural anesthesia and performance of a supraumbilical transverse surgical incision with caudal placement of the panniculus resulted in optimal hemodynamic and ventilatory parameters. Effective multidisciplinary planning and communication is key. We present this case to highlight decision-making strategies and elucidate our approach in the management of this complex obstetric case.
ISSN:2090-6382
2090-6390
DOI:10.1155/2020/5498584