Pushing the Envelope in Obstetric Care: A Case Report of Cesarean Delivery in a Parturient with a BMI >100 kg m(−2)

An increasing number of women with a body mass index (BMI) ≥ 60 kg m(−2), referred to as super-super obesity, are requiring anesthetic care for labor and delivery. Management of these patients presents obstetric, anesthetic, and logistical challenges. We report our experience in the management of ce...

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Autores principales: Kumaraswami, Sangeeta, Futterman, Itamar, Pothula, Suryanarayana, Rajendran, Geetha P., Kaul, Ashutosh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7341382/
https://www.ncbi.nlm.nih.gov/pubmed/32685215
http://dx.doi.org/10.1155/2020/5498584
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author Kumaraswami, Sangeeta
Futterman, Itamar
Pothula, Suryanarayana
Rajendran, Geetha P.
Kaul, Ashutosh
author_facet Kumaraswami, Sangeeta
Futterman, Itamar
Pothula, Suryanarayana
Rajendran, Geetha P.
Kaul, Ashutosh
author_sort Kumaraswami, Sangeeta
collection PubMed
description An increasing number of women with a body mass index (BMI) ≥ 60 kg m(−2), referred to as super-super obesity, are requiring anesthetic care for labor and delivery. Management of these patients presents obstetric, anesthetic, and logistical challenges. We report our experience in the management of cesarean delivery in a parturient with a BMI of 112 kg m(−2). Use of epidural anesthesia and performance of a supraumbilical transverse surgical incision with caudal placement of the panniculus resulted in optimal hemodynamic and ventilatory parameters. Effective multidisciplinary planning and communication is key. We present this case to highlight decision-making strategies and elucidate our approach in the management of this complex obstetric case.
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spelling pubmed-73413822020-07-17 Pushing the Envelope in Obstetric Care: A Case Report of Cesarean Delivery in a Parturient with a BMI >100 kg m(−2) Kumaraswami, Sangeeta Futterman, Itamar Pothula, Suryanarayana Rajendran, Geetha P. Kaul, Ashutosh Case Rep Anesthesiol Case Report An increasing number of women with a body mass index (BMI) ≥ 60 kg m(−2), referred to as super-super obesity, are requiring anesthetic care for labor and delivery. Management of these patients presents obstetric, anesthetic, and logistical challenges. We report our experience in the management of cesarean delivery in a parturient with a BMI of 112 kg m(−2). Use of epidural anesthesia and performance of a supraumbilical transverse surgical incision with caudal placement of the panniculus resulted in optimal hemodynamic and ventilatory parameters. Effective multidisciplinary planning and communication is key. We present this case to highlight decision-making strategies and elucidate our approach in the management of this complex obstetric case. Hindawi 2020-05-27 /pmc/articles/PMC7341382/ /pubmed/32685215 http://dx.doi.org/10.1155/2020/5498584 Text en Copyright © 2020 Sangeeta Kumaraswami et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kumaraswami, Sangeeta
Futterman, Itamar
Pothula, Suryanarayana
Rajendran, Geetha P.
Kaul, Ashutosh
Pushing the Envelope in Obstetric Care: A Case Report of Cesarean Delivery in a Parturient with a BMI >100 kg m(−2)
title Pushing the Envelope in Obstetric Care: A Case Report of Cesarean Delivery in a Parturient with a BMI >100 kg m(−2)
title_full Pushing the Envelope in Obstetric Care: A Case Report of Cesarean Delivery in a Parturient with a BMI >100 kg m(−2)
title_fullStr Pushing the Envelope in Obstetric Care: A Case Report of Cesarean Delivery in a Parturient with a BMI >100 kg m(−2)
title_full_unstemmed Pushing the Envelope in Obstetric Care: A Case Report of Cesarean Delivery in a Parturient with a BMI >100 kg m(−2)
title_short Pushing the Envelope in Obstetric Care: A Case Report of Cesarean Delivery in a Parturient with a BMI >100 kg m(−2)
title_sort pushing the envelope in obstetric care: a case report of cesarean delivery in a parturient with a bmi >100 kg m(−2)
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7341382/
https://www.ncbi.nlm.nih.gov/pubmed/32685215
http://dx.doi.org/10.1155/2020/5498584
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