Anesthetic and Obstetric Outcomes in Morbidly Obese Pregnancy and Cesarean Delivery

Completed

• Conditions: Pregnancy Related; Morbid Obesity; Cesarean Section Complications

• Registration Number: NCT03590951
• Lead Sponsor: Augusta University

Brief 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).

Detailed 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.

Study Timeline

• Study Start: 2017-05-03
• Primary Completion: 2018-02-13
• Study Completion: 2018-02-13
• Status Verified: 2018-07
• Study First Submitted: 2018-07-05
• Study First Submitted QC: 2018-07-17
• Last Update Submitted: 2018-07-17
• Study First Posted: 2018-07-18
• Last Update Posted: 2018-07-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 771

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

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Obstetric complications	From beginning to end of cesarean section (2 hours)	Perioperative bleeding

Secondary Outcome Measures

Name	Time	Method
Anesthetic complications	From beginning to end of cesarean section (2 hours)	Failed epidural
Neonatal complications	1 and 5 minutes after delivery	Apgar scores
Other anesthetic complications	From beginning to end of cesarean section (2 hours)	Intraoperative hypotension

Trial Locations

Locations (1)

Augusta University; 🇺🇸 Augusta, Georgia, United States