Incidence of Complications Associated With Anesthesia in Obesity Parturient Undergoing Cesarean Delivery

  • STATUS
    Recruiting
  • days left to enroll
    27
  • participants needed
    380
  • sponsor
    Mahidol University
Updated on 28 January 2021

Summary

The incidence of obesity parturient has been increasing worldwide. There was a report revealing one third of pregnant women in United state considered obesity.

Obesity is associated with increased in maternal and neonatal complications. Also, there was an increasing in the rate of cesarean delivery. Anesthetic management of the obese parturient is differ from non-obese parturients. There were higher risk of difficult intubation, failed intubation, pulmonary aspiration and difficult regional anesthesia such as spinal anesthesia or epidural catheter placement comparing with non-obese parturient.

The aim of the study is to report complication associated with anesthesia in obese patients undergoing cesarean delivery in Single University hospital, Bangkok, THAILAND.

Description

The incidence of obesity parturient has been increasing worldwide. There was a report revealing one third of pregnant women in United state considered obesity.

Obesity is associated with increased in maternal and neonatal complications. Also, there was an increasing in the rate of cesarean delivery. Anesthetic management of the obese parturient is differ from non-obese parturients. There were higher risk of difficult intubation and difficult regional anesthesia such as spinal anesthesia or epidural catheter placement comparing with non-obese parturient.

WHO categorised obesity into 3 classification; grade 1: BMI 30-34.9 kg/m2, grade 2: BMI 35-39.9 kg/m2, grade 3: BMI > 40 kg/m2. This study emphasised in grade 3 obese pregnant women (BMI>40 kg/m2) undergoing cesarean delivery that were at risk of increasing in anesthetic complications such as airway complications as well as complications derived from regional anesthesia eg. high spinal block, failed spinal block etc.

Therefore, the primary objective of the study is to report complication associated with anesthesia in obese patients undergoing cesarean delivery in Single University hospital, Bangkok, THAILAND. The secondary objectives rate of postpartum haemorrhage, rate of hysterectomy and neonatal outcomes.

Details
Condition Morbid obesity, Cesarean Section Complications, Anesthesia Complication, severe obesity, anaesthesia complications
Treatment Anesthesia; general or regional
Clinical Study IdentifierNCT04657692
SponsorMahidol University
Last Modified on28 January 2021

Eligibility

Yes No Not Sure

Inclusion Criteria

Pregnant women BMI>,= 40 kg/m2 underwent cesarean delivery

Exclusion Criteria

Patients with gestational age <,= 24 weeks
Patients with death fetus in Utero
Multiple gestation
Patients with intrapelvic cavity pathology eg. myoma uteri
Patients with abnormal placentation
Patients with polyhydramnios
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