Pathophysiological and Perioperative Features of Morbidly Obese Parturients

Yigal Leykin; Tommaso Pellis


Expert Rev of Obstet Gynecol. 2009;4(3):313-319. 

In This Article


The prevalence of obesity is increasing among pregnant women. The perioperative management of the morbidly obese parturient is associated with specific risks and difficulties, hence demanding a multidisciplinary approach. Anticipating potential complications is critical in reducing maternal and perinatal morbidity and mortality. Regional anesthesia seems to offer major advantages for obese parturients compared with general anesthesia. However, there is a paucity of information as to how obese patients tolerate regional anesthesia, what the appropriate doses of local anesthetics are, whether the risk of minor and serious complications are increased and what is the best technique to be used.


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