What is the failure rate of extending epidural analgesia to anaesthesia for emergency caesarean section in women with a body mass index greater than 40 compared with women with a body mass index < 30? A prospective cohort study.

Not Applicable

Completed

• Conditions: Obesity in pregnancy; Anaesthesiology - Anaesthetics; Reproductive Health and Childbirth - Childbirth and postnatal care; Diet and Nutrition - Obesity

• Registration Number: ACTRN12614001236684
• Lead Sponsor: The Royal Brisbane and Women's Hospital

Brief Summary

The failure rate of epidural extension did not differ significantly between the groups. Further research is needed to determine the influence of body mass index > 50 kg/m2 on epidural extension for cesarean section.

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2014-11-26
• Study Completion: 2017-03-13
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Completed
• Sex: Female
• Target Recruitment: 300

Inclusion Criteria

Antenatal BMI greater than 40 after the 30 week of pregnancy
Intending to have vaginal delivery
Utilise epidural analgesia.
Require Category 1 or 2 caesarean section (according to RANZCOG7 criteria).
Women in the control group (BMI less than 30) will meet the same criteria.

Exclusion Criteria

Age less than 15 years, age greater than 45 years, acute haemorrhage or sepsis identified prior to delivery, known intrauterine fetal death prior to delivery, failure to attend one antenatal appointment, cardiovascular disease with New York Heart Association (NYHA) classification >3, respiratory disease with NYHA >3, SEVERE cognitive impairment, SEVERE mental illness, SEVERE intellectual disability

Study & Design

• Study Type: Observational
• Study Design: Not specified