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December 1, 1993AnesthesiologyOpen Access

Anesthetic and Obstetric Outcome in Morbidly Obese Parturients

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Why the study?

Does morbid obesity (>136.4 kg) worsen anesthetic and obstetric outcomes in parturients compared to non-obese controls?

Population

Parturients delivering between September 1978 and November 1989 whose weight exceeded 136.4 kg at the time…

Comparison

Morbid obesity (weight > 136.4 kg at delivery) vs Matched control parturients weighing less than…

Design

Cohort

Follow-up

Hospital stay (delivery and postoperative period)

Authors

DHDavid D. HoodDDDavid M. Dewan

Discussion

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Overview

Morbid obesity was associated with higher cesarean rates; leaves open whether targeted interventions improve obstetric and anesthetic outcomes.

Structured PICO

Does morbid obesity (>136.4 kg) worsen anesthetic and obstetric outcomes in parturients compared to non-obese controls?

P
Population
Parturients delivering between September 1978 and November 1989 whose weight exceeded 136.4 kg (300 pounds) at the time of delivery (n=117).
I
Intervention
Morbid obesity (weight > 136.4 kg at delivery)
C
Comparator
Matched control parturients weighing less than 136.4 kg, delivered in the same month by the same obstetrician
O
Outcome
Anesthetic and obstetric outcomes including cesarean section rate, emergency cesarean section rate, epidural anesthesia success/failure, and difficult tracheal intubationhard clinical

Morbid obesity in parturients is associated with significantly higher rates of cesarean delivery, emergency cesarean sections, and anesthetic complications such as initial epidural failure.

Cite This Study

Hood et al. (1993) studied this question.

synapsesocial.com/papers/6a710c6dac440176ef29b8d6https://doi.org/10.1097/00000542-199312000-00011
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Challenge of morbid obesity in obstetric anesthesia2015
  2. 2Anaesthetic Management of a Morbidly Obese Parturient Undergoing Cesarean Section2022
  3. 3Obstetric anesthesia for the obese and morbidly obese patient: an ounce of prevention is worth more than a pound of treatment2007 · 225 citations
  4. 4Anesthesia for the morbidly obese parturient2009 · 75 citations
  5. 5Obesity and obstetric anaesthesia2005 · 222 citations