Successful Management of Pregnancy in Patient with Severe Morbid Obesity

BACKGROUND AND OBJECTIVE: Morbid or extended obesity (class III) is uncommon in pregnancy and associated with higher rates of pregnancy complications compared to women with normal weight. In this report, a successful management of pregnancy in patient with severe morbid obesity with weight 175kg and...

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Autores principales:	Z Basirat, M Kashifard, SH Yazdani
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2012
Materias:	morbid obesity pregnancy complications Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/be1b48ee786e41b58d13386cc1c9d0fb
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spelling	oai:doaj.org-article:be1b48ee786e41b58d13386cc1c9d0fb2021-11-10T08:53:26ZSuccessful Management of Pregnancy in Patient with Severe Morbid Obesity1561-41072251-7170https://doaj.org/article/be1b48ee786e41b58d13386cc1c9d0fb2012-09-01T00:00:00Zhttp://jbums.org/article-1-4175-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: Morbid or extended obesity (class III) is uncommon in pregnancy and associated with higher rates of pregnancy complications compared to women with normal weight. In this report, a successful management of pregnancy in patient with severe morbid obesity with weight 175kg and overt diabetes and chronic hypertension was introduced.CASE: A 31-year-old pregnant woman with history of overt diabetes and hypertension with weight 175kg and a body mass index of 64 kg/m2 was admitted to Ayatollah Roohani hospital of Babol, Iran. Her diabetes and hypertension well controlled. She was scheduled for a cesarean section (C/S) at 37 gestational weeks. Spinal anesthesia and C/S by Pfannenstiel incision was applied for this patient. Delivery outcome was a healthy female neonate with 3300 gr weight and Apgar score of 9-10. The mother was discharged with good condition. There were no complications at 4-month follow-up after surgery and the patients hypertension was controlled and need for insulin decreased. CONCLUSION: Because of high maternal and fetal neonatal complications in morbid obesity, we consider good prenatal care for her medical problems and appropriate timed fetal well being test.Z Basirat,M KashifardSH YazdaniBabol University of Medical Sciencesarticlemorbid obesitypregnancycomplicationsMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 14, Iss 5, Pp 92-95 (2012)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	morbid obesity pregnancy complications Medicine R Medicine (General) R5-920
spellingShingle	morbid obesity pregnancy complications Medicine R Medicine (General) R5-920 Z Basirat, M Kashifard SH Yazdani Successful Management of Pregnancy in Patient with Severe Morbid Obesity
description	BACKGROUND AND OBJECTIVE: Morbid or extended obesity (class III) is uncommon in pregnancy and associated with higher rates of pregnancy complications compared to women with normal weight. In this report, a successful management of pregnancy in patient with severe morbid obesity with weight 175kg and overt diabetes and chronic hypertension was introduced.CASE: A 31-year-old pregnant woman with history of overt diabetes and hypertension with weight 175kg and a body mass index of 64 kg/m2 was admitted to Ayatollah Roohani hospital of Babol, Iran. Her diabetes and hypertension well controlled. She was scheduled for a cesarean section (C/S) at 37 gestational weeks. Spinal anesthesia and C/S by Pfannenstiel incision was applied for this patient. Delivery outcome was a healthy female neonate with 3300 gr weight and Apgar score of 9-10. The mother was discharged with good condition. There were no complications at 4-month follow-up after surgery and the patients hypertension was controlled and need for insulin decreased. CONCLUSION: Because of high maternal and fetal neonatal complications in morbid obesity, we consider good prenatal care for her medical problems and appropriate timed fetal well being test.
format	article
author	Z Basirat, M Kashifard SH Yazdani
author_facet	Z Basirat, M Kashifard SH Yazdani
author_sort	Z Basirat,
title	Successful Management of Pregnancy in Patient with Severe Morbid Obesity
title_short	Successful Management of Pregnancy in Patient with Severe Morbid Obesity
title_full	Successful Management of Pregnancy in Patient with Severe Morbid Obesity
title_fullStr	Successful Management of Pregnancy in Patient with Severe Morbid Obesity
title_full_unstemmed	Successful Management of Pregnancy in Patient with Severe Morbid Obesity
title_sort	successful management of pregnancy in patient with severe morbid obesity
publisher	Babol University of Medical Sciences
publishDate	2012
url	https://doaj.org/article/be1b48ee786e41b58d13386cc1c9d0fb
work_keys_str_mv	AT zbasirat successfulmanagementofpregnancyinpatientwithseveremorbidobesity AT mkashifard successfulmanagementofpregnancyinpatientwithseveremorbidobesity AT shyazdani successfulmanagementofpregnancyinpatientwithseveremorbidobesity
_version_	1718440413693476864

Successful Management of Pregnancy in Patient with Severe Morbid Obesity

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