Document Detail


The anesthetic approach to operative delivery of the extremely obese parturient.
MedLine Citation:
PMID:  25146109     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Extreme obesity (BMI ≥ 40) is thought to complicate approximately 5% of deliveries in the United States. Extreme obesity puts a pregnant woman at an increased risk for cardiovascular disease, including hypertension, coronary artery disease, and congestive heart failure; respiratory disease, including obstructive sleep apnea and asthma; as well as pregnancy-specific diseases including pregnancy-induced hypertension and gestational diabetes. Extreme obesity also puts a parturient at a significantly increased risk of requiring cesarean delivery. For the anesthesiologist, the physiologic changes of obesity combined with the normal physiologic changes of pregnancy can make for a complex and challenging case. This review will focus on the anesthetic approach to the extremely obese parturient undergoing scheduled operative delivery. With proper planning and a detailed understanding of the patient׳s comorbidities, a safe and effective anesthetic can be achieved.
Authors:
Laurence E Ring
Related Documents :
15358399 - A scoring system identified near-miss maternal morbidity during pregnancy.
15602999 - Childbirth in ancient egypt.
2909189 - Records, recall loss, and recall bias in pregnancy: a comparison of interview and medic...
19216759 - Rural gambian women's reliance on health workers to deliver sulphadoxine-pyrimethamine ...
1895169 - Birth setting for low-risk pregnancies. an analysis of the current literature.
6702469 - Side preference in women and men when holding their newborn child: psychological backgr...
25194749 - Prenatal xenobiotic exposure and intrauterine hypothalamus-pituitary-adrenal axis progr...
17960529 - Decidualization of the human endometrium: mechanisms, functions, and clinical perspecti...
1509319 - Major complications associated with extra-amniotic prostaglandin f2 alpha termination o...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-8-18
Journal Detail:
Title:  Seminars in perinatology     Volume:  -     ISSN:  1558-075X     ISO Abbreviation:  Semin. Perinatol.     Publication Date:  2014 Aug 
Date Detail:
Created Date:  2014-8-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7801132     Medline TA:  Semin Perinatol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2014 Elsevier Inc. All rights reserved.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Post-dural puncture headache: The worst common complication in obstetric anesthesia.
Next Document:  Salt-Assisted High-Throughput Synthesis of Single- and Few-Layer Transition Metal Dichalcogenides an...