As stated previously, maternal obesity is associated with an increased risk of postoperative complications, including hypoxemia, atelectasis, pneumonia, deep vein thrombosis and pulmonary embolism. 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]
Expert Rev of Obstet Gynecol. 2009;4(3):313-319. © 2009 Expert Reviews Ltd
Cite this: Pathophysiological and Perioperative Features of Morbidly Obese Parturients - Medscape - May 01, 2009.