Anesthetic and Obstetric Outcomes in Morbidly Obese Pregnancy and Cesarean Delivery

Pregnancy Related Clinical Trial

Official title:

Anesthetic and Obstetric Outcomes in Morbidly Obese Pregnant Patients Undergoing Cesarean Delivery: Retrospective Analysis of a Single Center Experience

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03590951
• Other study ID #: 1053583
• Status: Completed
• Start date: May 3, 2017
• Est. completion date: February 13, 2018

Study information

• Verified date: July 2018
• Source: Augusta University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

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).

Description:

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 771
• Est. completion date: February 13, 2018
• Est. primary completion date: February 13, 2018
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Pregnant patients who underwent cesarean section at Augusta University Medical Center.

• Patients older than 18 years.

Exclusion Criteria:

• Gestational age <37 weeks.

• Patients with chronic pain conditions

Related Conditions & MeSH terms

• Cesarean Section Complications
• Morbid Obesity
• Obesity, Morbid
• Pregnancy Related

Intervention

Other:
• Retrospective chart review
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

Locations

Country	Name	City	State
United States	Augusta University	Augusta	Georgia

Sponsors (1)

Lead Sponsor	Collaborator
Augusta University

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Obstetric complications	Perioperative bleeding	From beginning to end of cesarean section (2 hours)
Secondary	Anesthetic complications	Failed epidural	From beginning to end of cesarean section (2 hours)
Secondary	Neonatal complications	Apgar scores	1 and 5 minutes after delivery
Secondary	Other anesthetic complications	Intraoperative hypotension	From beginning to end of cesarean section (2 hours)