Spinal Anaesthesia for Emergency Caesarean Section in a Morbid Obese Woman with Severe Preeclampsia

Abstract EN

Background.

Morbid obesity in a pregnancy is a great challenge to medical practice especially when the patient requires caesarean section.

Case Summary.

A 38-year-old unbooked gravida 3 Para 2+0 weight 195 kg, height 1.7 m with a blood pressure of 210/160 mmhg had spinal anaesthesia for emergency caesarean section which was technically difficult for severe preeclampsia at 32-week gestation.

She had poor wound healing and spent 18 days postoperatively on hospital admission.

Conclusion.

Morbid obesity is a challenge to both obstetric and anaesthetic practice.

Antenatal care is necessary in reducing both maternal morbidity and mortality.