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Given that morbid obesity has been strongly associated with obstetric, neonatal and anesthetic complications, and that scarce reports have evaluated anesthetic and obstetric outcomes after cesarean delivery in morbidly obese patients; This study retrospectively analyzed anesthetic, obstetric and neonatal outcomes in morbidly obese pregnant patients who underwent cesarean delivery at Augusta University Medical Center, during a 2-year period (2015-2016).
This study compared non-obese, obese and morbidly obese patients with respect to maternal, perinatal and anesthetic outcomes. Obstetric aspects included emergent procedure, estimated blood loss, obstetric complications, maternal disposition, length of stay and in-hospital mortality. Neonatal aspects included Apgar scores. Anesthetic aspects included anesthetic technique, intraoperative hemodynamic instability, failed regional anesthesia and anesthetic complications.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Retrospective chart review | Other | A retrospective chart review was conducted to evaluate the effect of body mass index on obstetric, anesthetic and neonatal complications in patients who underwent cesarean section at our institution |
| Measure | Description | Time Frame |
|---|---|---|
| Obstetric complications | Perioperative bleeding | From beginning to end of cesarean section (2 hours) |
| Measure | Description | Time Frame |
|---|---|---|
| Anesthetic complications | Failed epidural | From beginning to end of cesarean section (2 hours) |
| Neonatal complications | Apgar scores |
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Inclusion Criteria:
Exclusion Criteria:
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Term pregnant patients who underwent cesarean section between 2015 and 2016 at Augusta University Medical center.
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| Name | Affiliation | Role |
|---|---|---|
| Efrain Riveros Perez, MD | Medical College of Georgia. Augusta University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Augusta University | Augusta | Georgia | 30912 | United States |
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| ID | Term |
|---|---|
| D009767 | Obesity, Morbid |
| ID | Term |
|---|---|
| D009765 | Obesity |
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
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| 1 and 5 minutes after delivery |
| Other anesthetic complications | Intraoperative hypotension | From beginning to end of cesarean section (2 hours) |
| D009750 |
| Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |