Morbid Obesity, Cesarean Section Complications, Pregnancy Related
Conditions
Brief summary
Given that morbid obesity has been strongly associated with obstetric, neonatal and anesthetic complications, and that scarce reports have evaluated anesthetic and obstetric outcomes after cesarean delivery in morbidly obese patients; This study retrospectively analyzed anesthetic, obstetric and neonatal outcomes in morbidly obese pregnant patients who underwent cesarean delivery at Augusta University Medical Center, during a 2-year period (2015-2016).
Detailed description
This study compared non-obese, obese and morbidly obese patients with respect to maternal, perinatal and anesthetic outcomes. Obstetric aspects included emergent procedure, estimated blood loss, obstetric complications, maternal disposition, length of stay and in-hospital mortality. Neonatal aspects included Apgar scores. Anesthetic aspects included anesthetic technique, intraoperative hemodynamic instability, failed regional anesthesia and anesthetic complications.
Interventions
A retrospective chart review was conducted to evaluate the effect of body mass index on obstetric, anesthetic and neonatal complications in patients who underwent cesarean section at our institution
Sponsors
Augusta University
Study design
Observational model
CASE_ONLY
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Pregnant patients who underwent cesarean section at Augusta University Medical Center. * Patients older than 18 years.
Exclusion criteria
* Gestational age \<37 weeks. * Patients with chronic pain conditions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Obstetric complications | From beginning to end of cesarean section (2 hours) | Perioperative bleeding |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Anesthetic complications | From beginning to end of cesarean section (2 hours) | Failed epidural |
| Neonatal complications | 1 and 5 minutes after delivery | Apgar scores |
| Other anesthetic complications | From beginning to end of cesarean section (2 hours) | Intraoperative hypotension |
Countries
United States
Outcome results
None listed