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Anesthesia for the Morbidly Obese Pregnant Patient

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Book cover Obstetric Anesthesia for Co-morbid Conditions

Abstract

There is an ongoing obesity epidemic in the United States, with more than 1/3 of Americans being classified as overweight or obese. Approximately 20% of pregnant women are diagnosed as obese by antenatal body mass index. The physiologic changes associated with both pregnancy and obesity can have negative impacts on the cardiovascular, pulmonary, gastrointestinal, endocrine, and hematologic systems. Morbid obesity in pregnancy is associated with worsened morbidity and mortality for both mother and fetus, including higher rates of hypertensive disorders of pregnancy, gestational diabetes, thromboembolic disease, and need for operative delivery. Obesity also complicates the anesthetic management for both vaginal and cesarean delivery, including increased risks of difficult neuraxial placement, neuraxial catheter failure, and difficult airway.

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Author information

Authors and Affiliations

  1. Vanderbilt University Medical Center, Department of Anesthesiology, Nashville, TN, USA

    Holly Ende

  2. Brigham and Women’s Hospital, Department of Anesthesiology, Perioperative, and Pain Medicine, Boston, MA, USA

    Bhavani Kodali

Authors
  1. Holly Ende
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  2. Bhavani Kodali
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Correspondence to Holly Ende .

Editor information

Editors and Affiliations

  1. Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey

    Berrin Gunaydin

  2. Department of Anaesthesiology, Aga Khan University, Karachi, Pakistan

    Samina Ismail

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Ende, H., Kodali, B. (2018). Anesthesia for the Morbidly Obese Pregnant Patient. In: Gunaydin, B., Ismail, S. (eds) Obstetric Anesthesia for Co-morbid Conditions. Springer, Cham. https://doi.org/10.1007/978-3-319-93163-0_4

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  • DOI: https://doi.org/10.1007/978-3-319-93163-0_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-93162-3

  • Online ISBN: 978-3-319-93163-0

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