• J Reprod Med · Mar 2007

    Case Reports

    Cesarean birth in the morbidly obese woman: a report of 3 cases.

    • Richard P Porreco, Amy M Adelberg, L Gregory Lindsay, and David G Holdt.
    • Department of Obstetrics, Presbyterian/St. Luke's Medical Center, Rose Medical Center, Denver, USA. richard_porreco@pediatrix.com
    • J Reprod Med. 2007 Mar 1;52(3):231-4.

    BackgroundPrimary and repeat cesarean births are a frequent occurrence among morbidly obese women. Technical difficulties encountered in caring for these patients, coupled with physiologic differences, affect their operative management.CasesThree morbidly obese women (190-296 kg, body mass index 56.7-93.6) had cesarean births utilizing a supraumbilical incision and internal retention abdominal wall closures. Alternative anesthetic management was required in 2 patients. Bariatric operative and postoperative equipment was required in each case, and varying thromboprophylaxis strategies were employed.ConclusionCareful planning along with appropriate specialty consultation is required for a safe and successful cesarean birth in the morbidly obese woman.

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