Abstract

2.8%, and 0%, respectively; P .007), failure to establish (2%, 0%, and 0%, respectively; P .047), and insufficient duration (4%, 0%, and 0%, respectively; P .02) of regional anesthesia. The groups differedinthefrequencyofgeneralanesthesia(6%,0%,and0%,respectively;P.003),intraoperativehypotension(3%,0%,and0%,respectively; P .01), and overall anesthetic complications (8.4%, 0%, and 0%, respectively; P .0001). Prepregnancy body mass index 40 kg/m 2 (receiver operating characteristic area under the curve, 0.856; positive likelihood ratio, 4.0) and delivery body mass index 45 kg/m 2 (receiver operating characteristic area under the curve, 0.877; positive likelihood ratio, 4.1) were predictive of anesthetic complications. CONCLUSION: Morbidly obese women have significant risk for anesthesia complications during cesarean delivery.

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