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 cesa...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2020/5498584 |
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| author | Sangeeta Kumaraswami Itamar Futterman Suryanarayana Pothula Geetha P. Rajendran Ashutosh Kaul |
| author_facet | Sangeeta Kumaraswami Itamar Futterman Suryanarayana Pothula Geetha P. Rajendran Ashutosh Kaul |
| author_sort | Sangeeta Kumaraswami |
| collection | DOAJ |
| 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. |
| format | Article |
| id | doaj-art-b632f359dcad4e2e9b0850eb00dce6ff |
| institution | DOAJ |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-b632f359dcad4e2e9b0850eb00dce6ff2025-08-20T03:20:55ZengWileyCase Reports in Anesthesiology2090-63822090-63902020-01-01202010.1155/2020/54985845498584Pushing the Envelope in Obstetric Care: A Case Report of Cesarean Delivery in a Parturient with a BMI >100 kg m−2Sangeeta Kumaraswami0Itamar Futterman1Suryanarayana Pothula2Geetha P. Rajendran3Ashutosh Kaul4Department of Anesthesiology, New York Medical College, Westchester Medical Center, 100, Woods Road, Valhalla, New York 10595, USADepartment of Obstetrics and Gynecology, New York Medical College, Westchester Medical Center, 100, Woods Road, Valhalla, New York 10595, USADepartment of Anesthesiology, New York Medical College, Westchester Medical Center, 100, Woods Road, Valhalla, New York 10595, USADepartment of Obstetrics and Gynecology, New York Medical College, Westchester Medical Center, 100, Woods Road, Valhalla, New York 10595, USADepartment of Surgery, New York Medical College, Westchester Medical Center, 100, Woods Road, Valhalla, New York 10595, USAAn 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.http://dx.doi.org/10.1155/2020/5498584 |
| spellingShingle | Sangeeta Kumaraswami Itamar Futterman Suryanarayana Pothula Geetha P. Rajendran Ashutosh Kaul Pushing the Envelope in Obstetric Care: A Case Report of Cesarean Delivery in a Parturient with a BMI >100 kg m−2 Case Reports in Anesthesiology |
| 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 |
| url | http://dx.doi.org/10.1155/2020/5498584 |
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