NYMC Faculty Publications
Pushing the Envelope in Obstetric Care: A Case Report of Cesarean Delivery in a Parturient with a BMI >100 kg m
Journal Title
Case Reports in Anesthesiology
First Page
5498584
Last Page
5498584
Document Type
Case Report
Publication Date
5-2020
Department
Anesthesiology
Second Department
Obstetrics and Gynecology
Third Department
Urology
Abstract
An increasing number of women with a body mass index (BMI) ≥ 60 kg m-2, referred to as super-super obesity, are requiring anesthetic care for labor and delivery. Management of these patients presents obstetric, anesthetic, and logistical challenges. We report our experience in the management of cesarean delivery in a parturient with a BMI of 112 kg m-2. Use of epidural anesthesia and performance of a supraumbilical transverse surgical incision with caudal placement of the panniculus resulted in optimal hemodynamic and ventilatory parameters. Effective multidisciplinary planning and communication is key. We present this case to highlight decision-making strategies and elucidate our approach in the management of this complex obstetric case.
Recommended Citation
Kumaraswami, S., Futterman, I., Pothula, S., Rajendran, G. P., & Kaul, A. (2020). Pushing the Envelope in Obstetric Care: A Case Report of Cesarean Delivery in a Parturient with a BMI >100 kg m. Case Reports in Anesthesiology, 2020, 5498584-5498584. https://doi.org/10.1155/2020/5498584
