Pathophysiological and Perioperative Features of Morbidly Obese Parturients

Yigal Leykin; Tommaso Pellis

Disclosures

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

In This Article

Postoperative Considerations

As stated previously, maternal obesity is associated with an increased risk of postoperative complications, including hypoxemia, atelectasis, pneumonia, deep vein thrombosis and pulmonary embolism.[37] Other complications are more specific to the morbidly obese parturient and include increased risk for hemorrhage following abdominal delivery, postpartum cardiomyopathy, endometritis, wound infection and dehiscence.[12,25]

Pain management should be adequate in the postoperative period to facilitate early mobilization and chest physiotherapy. Postcesarian patients may benefit from continued epidural analgesia or intravenous opioid patient-controlled analgesia. The use of nonopioid analgesic adjuncts may reduce the total dose of opioids.[12,25]

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