Comorbidities, Complications and Considerations
Author: Heather Nixon, MD
Institution: University of Illinois Hospital and Health Sciences System
This PBLD was peer-reviewed by a panel of experts from the Society of Obstetric Anesthesia and Perinatology (SOAP) and has been endorsed by the SOAP Education Committee.
Learners should identify a faculty mentor and walk through the case together, after perusing the pre-course work. Tweet your comments and questions using the buttons provided in each question, and experts will weigh in.
Required pre-work: Reading list
- Lamon AM, Habib A. “Managing anesthesia for cesarean section in obese patients: current perspectives.” Local and Regional Anesthesia. 2016;9:45-57.
- Obesity in Pregnancy. Committee Opinion No. 549. American College of Obstetricians and Gynecologists. Obstet Gynecol 2013;121:213-7.
- Tonidandel A, Booth J, D’Angelo R, Harris L, Tonidandel S. Anesthetic and obstetric outcomes in morbidly obese parturients: a 20-year follow-up retrospective cohort study. Int J Obstet Anesth. 2014;23(4):357-64.
Learning Objectives
At the conclusion of this session, the fellow will be able to:
- Discuss the classification system of obesity and the common comorbidities associated with obesity in pregnancy.
- Describe the anticipated anesthetic challenges of the obese parturient.
- Discuss the current literature regarding the incidence of failed intubation in the parturient and how obesity may impact intubation difficulty.
- Describe current timing and dosing recommendations for antibiotic prophylaxis for cesarean delivery as well as strategies to minimize wound infections.
Instructions for Faculty Mentor
Before proceeding with the case, perform an assessment of your fellow’s prior review of the teaching materials and current understanding of topic. Review key points of learning, clarify any questions, and identify areas for further investigation by your fellow.
