scholarly journals Cesarean Delivery in a Patient With Body Mass Index Over 100: Continuous Spinal Anesthesia in Two Consecutive Deliveries

Cureus ◽  
2021 ◽  
Author(s):  
Joseph L Reno ◽  
Meghan I Cook ◽  
Michael Kushelev ◽  
Blair H Hayes ◽  
John Coffman
Keyword(s):  
Body Mass Index ◽  
Spinal Anesthesia ◽  
Cesarean Delivery ◽  
Body Mass ◽  
Continuous Spinal Anesthesia

scholarly journals The Influence of Body Mass Index on Sensorimotor Block and Vasopressor Requirement during Spinal Anesthesia for Elective Cesarean Delivery

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
N M A Elsayed ◽  
S S W Rizkallah ◽  
R M H Maamoon ◽  
S H A Ahmed
Keyword(s):  
Body Mass Index ◽  
Spinal Anesthesia ◽  
Cesarean Delivery ◽  
Body Mass ◽  
Fixed Dose ◽  
Morbidly Obese ◽  
Elective Cesarean Delivery ◽  
Organ Systems ◽  
Block Level ◽  
Elective Cesarean

Abstract Background Physiological changes associated with pregnancy are significant enough to have serious anesthetic implications. When these are compounded by obesity, the anesthesiologists may have to deal with a patient with seriously limited physiological reserve. Obese patients often had co-morbidities and pathological changes in different organ systems. Aim The objective of this study is to determine if obesity have a clinical important effect on the vasopressor requirements or the block height following a standard fixed dose of spinal anesthesia during elective cesarean delivery. Methodology In this prospective randomized comparative clinical study, two groups of 33 patients were recruited with widely differing body mass indices to examine the influence of body mass index (BMI) on the responses to a specific dose of spinal bupivacaine. One group includes women with BMI < 32 kg/m2 (group N) and the other group has a BMI of > 40 kg/m2 (group O). Results This study showed that Body Mass Index doesn’t have much influence on sensorimotor block level and vasopressor requirement during spinal anesthesia for elective cesarean delivery &so the dose of spinal bupivacaine should not be reduced in morbidly obese parturients. Conclusion The result of the present study showed that Body Mass Index up to 50 doesn’t have much influence on sensorimotor block level or vasopressor requirement during spinal anesthesia for elective cesarean delivery &so the dose of spinal bupivacaine should not be reduced in morbidly obese parturients.

scholarly journals Japanese parturient body mass index and the role in initial nerve block height of women undergoing cesarean delivery with spinal anesthesia

Medicine ◽  
2020 ◽  
Vol 99 (23) ◽  
pp. e20584
Author(s):  
Futaba Miyoshi ◽  
Risa Fukushima ◽  
Sumire Yokokawa ◽  
Shiori Sakuma ◽  
Minoru Nomura ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Spinal Anesthesia ◽  
Cesarean Delivery ◽  
Body Mass ◽  
Nerve Block ◽  
Block Height

scholarly journals Assessing the relationship between pregravid body mass index and risk of adverse maternal pregnancy and neonatal outcomes: prospective data in Southwest China

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yue Chen ◽  
Ke Wan ◽  
Yunhui Gong ◽  
Xiao Zhang ◽  
Yi Liang ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Cesarean Delivery ◽  
Body Mass ◽  
Gestational Age ◽  
Pregnancy Outcomes ◽  
Maternal Age ◽  
Southwest China ◽  
Adverse Pregnancy Outcomes ◽  
Relative Importance ◽  
Adverse Pregnancy

AbstractThe relevance of pregestational body mass index (BMI) on adverse pregnancy outcomes remained unclear in Southwest China. This study aimed to investigate the overall and age-category specific association between pre-gestational BMI and gestational diabetes mellitus (GDM), preeclampsia, cesarean delivery, preterm delivery, stillbirth, macrosomia, and small-for-gestational age (SGA) or large-for-gestational age (LGA) neonates in Southwest China. Furthermore, it explores the relative importance of influence of pregravid BMI and maternal age on pregnancy outcomes. 51,125 Chinese singleton pregnant women were recruited as study subjects. Multiple logistic regression models were used to examine the influence of pre-pregnancy BMI on adverse pregnancy outcomes. Gradient boosting machine was used to evaluate the relative importance of influence of pregravid BMI and maternal age on pregnancy outcomes. It is found that women who were overweight or obese before pregnancy are at higher risk of adverse pregnancy outcomes except for SGA neonates, while pre-pregnancy underweight is a protective factor for GDM, preeclampsia, cesarean delivery, macrosomia and LGA, but not SGA. Younger mothers are more susceptible to GDM and macrosomia neonates, while older mothers are more prone to preeclampsia. Pre-pregnancy BMI has more influence on various pregnancy outcomes than maternal age. To improve pregnancy outcomes, normal BMI weight as well as relatively young maternal ages are recommended for women in child-bearing age.

Body Mass Index as a Risk Factor for Cesarean Delivery in the Nulliparous Parturient

2001 ◽  
Vol 97 (Supplement) ◽  
pp. 71S
Author(s):  
Connie S. DiMarco ◽  
Patrick S. Ramsey ◽  
Lesa H. Williams ◽  
Kirk D. Ramin
Keyword(s):  
Body Mass Index ◽  
Risk Factor ◽  
Cesarean Delivery ◽  
Body Mass

scholarly journals Cesarean Delivery and Body Mass Index at 6 Months and Into Childhood

PEDIATRICS ◽  
2017 ◽  
Vol 139 (6) ◽  
pp. e20164066 ◽  
Author(s):  
Rebecca Kofod Vinding ◽  
Tobias Steen Sejersen ◽  
Bo L. Chawes ◽  
Klaus Bønnelykke ◽  
Thora Buhl ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Cesarean Delivery ◽  
Body Mass
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