Obesity and obstetric anaesthesia

K Saravanakumar, S G Rao, G M Cooper

Research output: Contribution to journalArticle

160 Citations (Scopus)

Abstract

The prevalence of obesity continues to increase despite preventive strategies. Obese parturients are at increased risk of having either concurrent medical problems or superimposed antenatal diseases such as pre-eclampsia and gestational diabetes. Moreover, they have a tendency to labour abnormally contributing to increased instrumental delivery and Caesarean section. Obesity is a risk factor for anaesthesia related maternal mortality. Morbidly obese women must be considered as high-risk and deserve an anaesthetic consultation during their antenatal care. The significant difficulty in administering epidural analgesia should not preclude their use in labour. A more liberalised use of regional techniques may be a means to further reduce anaesthesia-related maternal mortality in the obese population. The mother's life should not be jeopardised to save a compromised fetus. Prophylactic placement of an epidural catheter when not contraindicated in labouring morbidly obese women would potentially decrease anaesthetic and perinatal complications associated with attempts at emergency provision of regional or general anaesthesia. Early mobilisation, aggressive chest physiotherapy and adequate pain control are essential components of effective postoperative care.

Original languageEnglish
Pages (from-to)36-48
Number of pages13
JournalAnaesthesia
Volume61
Issue number1
DOIs
Publication statusPublished - Jan 2006

Fingerprint

Obstetrical Anesthesia
Maternal Mortality
Anesthetics
Anesthesia
Obesity
Early Ambulation
Epidural Analgesia
Prenatal Care
Gestational Diabetes
Conduction Anesthesia
Postoperative Care
Pre-Eclampsia
Cesarean Section
General Anesthesia
Fetus
Emergencies
Thorax
Referral and Consultation
Catheters
Mothers

Keywords

  • Adolescent
  • Adult
  • Analgesia, Obstetrical
  • Anesthesia, Obstetrical
  • Cesarean Section
  • Female
  • Humans
  • Obesity
  • Postoperative Care
  • Pregnancy
  • Pregnancy Complications
  • Pregnancy Outcome

Cite this

Saravanakumar, K., Rao, S. G., & Cooper, G. M. (2006). Obesity and obstetric anaesthesia. Anaesthesia, 61(1), 36-48. https://doi.org/10.1111/j.1365-2044.2005.04433.x

Obesity and obstetric anaesthesia. / Saravanakumar, K; Rao, S G; Cooper, G M.

In: Anaesthesia, Vol. 61, No. 1, 01.2006, p. 36-48.

Research output: Contribution to journalArticle

Saravanakumar, K, Rao, SG & Cooper, GM 2006, 'Obesity and obstetric anaesthesia', Anaesthesia, vol. 61, no. 1, pp. 36-48. https://doi.org/10.1111/j.1365-2044.2005.04433.x
Saravanakumar K, Rao SG, Cooper GM. Obesity and obstetric anaesthesia. Anaesthesia. 2006 Jan;61(1):36-48. https://doi.org/10.1111/j.1365-2044.2005.04433.x
Saravanakumar, K ; Rao, S G ; Cooper, G M. / Obesity and obstetric anaesthesia. In: Anaesthesia. 2006 ; Vol. 61, No. 1. pp. 36-48.
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