REVIEW ARTICLE |
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Year : 2015 | Volume
: 28
| Issue : 2 | Page : 308-314 |
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Challenge of morbid obesity in obstetric anesthesia
Ashraf Magdy Eskandr, Ashraf Mohamed Mostafa, Ahmed Abdel-Raouf Metwally, Noha Abd Allah Afify MSc
Department of Anesthesiology and Intensive Care, Faculty of Medicine, Menoufiya University, Menoufiya, Egypt
Correspondence Address:
Noha Abd Allah Afify Department of Anesthesiology and Intensive Care, Faculty of Medicine, Menoufiya University, Menoufiya 32713 Egypt
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/1110-2098.163874
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Objectives
To discuss the pathophysiology of morbid obesity in pregnant ladies and the anesthetic management of morbidly obese parturients.
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.
Conclusion
Complete understanding of the physiology, pathophysiology, comorbidies and their implications for anesthesia and analgesia in morbidly obese parturients should lead to improvement of safety and anesthetic care.
2- Reviews and Meta-Analyses.
Objective
To determine the anesthetic and obstetric complications in morbidly obese parturient that had caesarean delivery.
Data analysis
was preformed through a search on the pub med, Google and ovid medline data base.
Recent Findings
early epidural analgesia during labor is valuable and that regional anesthesia is usually preferable, but a number of challenges arise.
Conclusions
Morbidly obese women experienced increased complications during pregnancy and childbirth. Due to the high rate of caesarean sections and the potential difficulties of emergency anesthesia among these women, epidural anesthesia during labor should be planned and administered as often as possible. |
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