Anaesthetic Management of a Morbidly Obese Parturient Undergoing Cesarean Section

Abstract

An increasing number of women with a morbid obesity are requiring anaesthetic care for labour anddelivery. Management of these patients presents obstetric, anesthetic, and logistical challenges. Wereport our experience in the management of elective Caesarian section of a morbidly obese (BMI 61.6kg/m2) parturient under epidural anaesthetictechnique. Despite the increased risk of morbidity andmortality, our patient had an optimal outcome. An awareness of the hemodynamic and respiratorystability during anaesthetic management, postoperative analgesia and careful thromboprophylaxiswillbenefit parturient with morbid obesity. JBSA 2022; 35 (2) : 58-62