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J Reprod Med. 2007 Mar;52(3):231-4.

Cesarean birth in the morbidly obese woman: a report of 3 cases.

Author information

  • 1Department of Obstetrics, Presbyterian/St. Luke's Medical Center, Rose Medical Center, Denver, USA. richard_porreco@pediatrix.com

Abstract

BACKGROUND:

Primary and repeat cesarean births are a frequent occurrence among morbidly obese women. Technical difficulties encountered in caring for these patients, coupled with physiologic differences, affect their operative management.

CASES:

Three morbidly obese women (190-296 kg, body mass index 56.7-93.6) had cesarean births utilizing a supraumbilical incision and internal retention abdominal wall closures. Alternative anesthetic management was required in 2 patients. Bariatric operative and postoperative equipment was required in each case, and varying thromboprophylaxis strategies were employed.

CONCLUSION:

Careful planning along with appropriate specialty consultation is required for a safe and successful cesarean birth in the morbidly obese woman.

PMID:
17465294
[PubMed - indexed for MEDLINE]
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