TY - JOUR
T1 - Anesthetic and obstetric outcomes in pregnant women undergoing cesarean delivery according to body mass index
T2 - Retrospective analysis of a single-center experience
AU - Riveros-Perez, Efrain
AU - McClendon, Jacob
AU - Xiong, Jennifer
AU - Cheriyan, Thomas
AU - Rocuts, Alexander
N1 - Publisher Copyright:
© 2018 The Author(s)
PY - 2018/12
Y1 - 2018/12
N2 - Aim: To evaluate maternal, neonatal and anesthetic outcomes according to BMI in women undergoing cesarean section. Background: Increased incidence rates of obesity and morbid obesity have been reported in the United States. Pregnant obese patients are at increased risk of maternal and fetal complications, and obstetric and anesthetic management of these patients is especially challenging. Methods: A retrospective chart review of patients who underwent cesarean section in a single center between 2015 and 2016 was conducted. Anesthetic, obstetric and neonatal outcomes were analyzed in relation to levels of BMI. Results: Seven hundred and seventy one patients underwent cesarean section during the study period. The number of patients with normal BMI, obesity and morbid obesity was 213 (27.6%), 365 (47.3%) and 193 (25%), respectively. Sixty-one percent of the patients in morbidly obese group had at least one comorbidity (p < 0.01). We found no significant differences with respect to perioperative obstetric complications. Intraoperative blood loss was significantly higher in the morbidly obese group. Conclusion: Increasing BMI is associated with comorbidities such as hypertension and diabetes mellitus, and with increased intraoperative blood loss. We were unable to detect differences in other obstetric, anesthetic and neonatal outcomes.
AB - Aim: To evaluate maternal, neonatal and anesthetic outcomes according to BMI in women undergoing cesarean section. Background: Increased incidence rates of obesity and morbid obesity have been reported in the United States. Pregnant obese patients are at increased risk of maternal and fetal complications, and obstetric and anesthetic management of these patients is especially challenging. Methods: A retrospective chart review of patients who underwent cesarean section in a single center between 2015 and 2016 was conducted. Anesthetic, obstetric and neonatal outcomes were analyzed in relation to levels of BMI. Results: Seven hundred and seventy one patients underwent cesarean section during the study period. The number of patients with normal BMI, obesity and morbid obesity was 213 (27.6%), 365 (47.3%) and 193 (25%), respectively. Sixty-one percent of the patients in morbidly obese group had at least one comorbidity (p < 0.01). We found no significant differences with respect to perioperative obstetric complications. Intraoperative blood loss was significantly higher in the morbidly obese group. Conclusion: Increasing BMI is associated with comorbidities such as hypertension and diabetes mellitus, and with increased intraoperative blood loss. We were unable to detect differences in other obstetric, anesthetic and neonatal outcomes.
KW - Anesthesia
KW - Body mass index
KW - Maternal outcomes
KW - Morbid obesity
KW - Pregnancy
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U2 - 10.1016/j.amsu.2018.10.023
DO - 10.1016/j.amsu.2018.10.023
M3 - Article
AN - SCOPUS:85056480668
SN - 2049-0801
VL - 36
SP - 129
EP - 134
JO - Annals of Medicine and Surgery
JF - Annals of Medicine and Surgery
ER -