Spinal Anaesthesia for Emergency Caesarean Section in a Morbid Obese Woman with Severe Preeclampsia
Author(s) -
Longinus N. Ebirim,
Benjamin Lagiri,
Buowari Yvonne Omiepirisa
Publication year - 2012
Publication title -
case reports in anesthesiology
Language(s) - English
Resource type - Journals
eISSN - 2090-6390
pISSN - 2090-6382
DOI - 10.1155/2012/586235
Subject(s) - medicine , spinal anesthesia , caesarean section , preeclampsia , morbid obesity , obstetrics , pregnancy , section (typography) , anesthesia , general surgery , obesity , weight loss , biology , genetics , advertising , business
Background . Morbid obesity in a pregnancy is a great challenge to medical practice especially when the patient requires caesarean section. Case Summary . A 38-year-old unbooked gravida 3 Para 2 +0 weight 195 kg, height 1.7 m with a blood pressure of 210/160 mmhg had spinal anaesthesia for emergency caesarean section which was technically difficult for severe preeclampsia at 32-week gestation. She had poor wound healing and spent 18 days postoperatively on hospital admission. Conclusion . Morbid obesity is a challenge to both obstetric and anaesthetic practice. Antenatal care is necessary in reducing both maternal morbidity and mortality.
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