Anesthesia in Obese Parturient

Obese Parturient – Anesthesia Management

Obese parturients have a higher likelihood of coexisting disease and diseases of pregnancy, especially hypertension, diabetes, and preeclampsia.These diseases, in addition to an increased risk of shoulder dystocia and large-for-gestational-age infants, lead to higher rates of induction of labor in comparison with nonobese parturients. Labor management is complicated by technical difficulties with fetal monitoring. Operative vaginal and intrapartum cesarean delivery (nulliparas) is more common (33% in obese women in comparison with 20% in nonobese women; and nearly 50% in superobese women; BMI >40 kg/m2)2

Placement of neuraxial analgesia inĀ  Obese parturientsĀ  is an extremely challenging, near impossible task. Common landmarks such as the posterior superior iliac spine and the lumbar spinous processes are frequently not palpable. 1

 

Morbidly Obese Parturient

Downloadable PDF’s On the topic

IJA Article

Anesthesia and Analgesia

Obstetric Anesthesia Association UK article

Canadian Journal Article

Medscape Article