A tertiary care centre study of Anaesthetic and Obstetric challenges of morbid obesity in caesarean deliveries

Sumita Kumari; Uzma Kausar; Sujit Rai

Volume : IX, Issue : VIII, August - 2020

A tertiary care centre study of Anaesthetic and Obstetric challenges of morbid obesity in caesarean deliveries

Sumita Kumari, Uzma Kausar, Sujit Rai

Abstract :

Background The association between obesity and pregnancy can result in further limitation of parturient physiological reserve. Indeed, maternal obesity is associated with an increased risk of delivery and postpartum complications. Objective: To evaluate the impact of maternal morbid obesity on the anaesthetic and obstetric difficulties and complications in morbidly obese parturient that had caesarean delivery in a tertiary care centre. Methods: The obstetric theatre records and case files were reviewed for caesarean deliveries in the MRA Medical college ,Ambedkarnagar(U.P), from January 2017 to January 2020. About 254 patients underwent caesarean section during the said period and of them the available records showed that about 31 patients in the said period were morbidly obese (Body Mass Index of greater than or equal to 35kg/m2). Results: There were thirty–one patients with morbid obesity (12.2%). The average Body Mass Index (BMI) was 38.3kg/m2 (SD � 2.99). Other findings included macrosomia (7 or 25.8%), gestational diabetes (13%) and pregnancy induced hypertension (7 or 22.5%).There were two neonatal deaths but no maternal deaths. Conclusion: . Obesity has a multitude of adverse effects on the mother and the fetus. The anesthetic complications can be fatal, and it is essential to have a multidisciplinary management plan that includes the obstetrician, anesthesiologist, and neonatologist to help avoid emergent interventions.