Retrospective cohort study examines anesthetic methods and pain incidence in women with class 3 obesity, suggesting important standards compliance issues.
( Int J Obstet Anesth . 2025;62:104343 doi: 10.1016/j.ijoa.2025.104343) Maternal obesity continues to present challenges for anesthesiologists and is a risk factor for anesthetic complications as well as overall maternal morbidity and mortality. A retrospective multicenter study examined anesthetic practices for cesarean delivery (CD) in women with class 3 obesity (BMI ≥40 kg/m²) across 9 consultant-led maternity units in North-West England between October 2022 and September 2023. It aimed to identify variations in anesthetic technique across BMI subgroups (40 to 49.99, 50 to 59.99, and ≥60 kg/m²), assess compliance with Royal College of Anaesthetists (RCOA) and Royal College of Obstetricians and Gynaecologists (RCOG) standards, and determine the incidence of pain during CD (PDCD).
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Bhatia et al. (2026) studied this question.
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