Evaluation of Efficiency of Regional Anesthesia for C-section in Obese Women
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2018, Vol 6, Issue 1
Abstract
Background: Obesity is associated with prolonged labor and with significant maternal, fetal, and neonatal complications.The fact that obesity is associated with an increased risk of death during pregnancy is most concerning. Aim:To evaluate efficiency of regional anesthesia for C-section in obese women.Materials and method:The present study was conducted in the Department of Anesthesiology of the Medical institute. We retrospectively viewed the medical records of obese pregnant female patients who underwent cesarean sections at the Obstetric Center of the medical institute. In the study, inclusion of anesthetic forms of the Anesthesiology service of CAISM referring to charts pregnant (BMI> 30 kg/m2) was done. A total of 39 patient’s medical records were reviewed for the study.The patients were divided into three classes, class 1, 2 and 3. The mean operative time for each class was recorded and compared to other classes. The data was recorded and analyzed. Results: A total of 39 patient’s medical records were viewed for the current study. The mean age of the patients was 29.4+8.12 years, mean weight was 79.8 + 8.9 kg, mean height was 1.61+2.6 m and mean BMI was 36.23+6.32 kg/m2. We observed that maximum no of patients belonged to ASA II physical status (n=21) whereas minimum patients belonged to ASA IV physical status (n=3). We observed that maximum mean operative time was seen in patients with Class 3 obesity and least was seen in Class 1 obese patients.Conclusion:The pregnant obese women are more prone to operative difficulties. The mean operative time is increased in obese pregnant women and also, rate of complications is more in patients with BMI < 40 kg/m2.
Authors and Affiliations
Rajeev Kumar Das
Keywords
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