Obstetrical Management of an Extremely Overweight Pregnant Woman (184 kg bw) with Special Attention on Thromboprophylaxis
Joint Authors
Horváth, Boldizsar
Skrapits, Judit
Bódis, József
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-03-04
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
The 27-year-old pregnant woman has been overweight since her childhood.
Endocrinological assessments did not confirm hormonal disease.
Her pregnancy was without complication.
A signs of intrauterine distress were observed and elective caesarean section was performed under heparin protection because of anatomy unsuitable for delivery per vias naturals.
The mother’s bodyweight was 184 kg.
By monitoring the change in fX activity LMWH treatment (Enoxaparin) initiated with a dose of 120 mg twice daily and then the dose was gradually elevated to 200 mg twice daily thereby achieving the lower range of the desired therapeutic effect.
Apart from mild disorder of wound healing, the recovery was free of complication.
The patient suffered from thrombophilia (extremely overweight, pregnant, thrombophlebitis under the knee, surgery, and postoperative immobilization).
In case of quite extreme bodyweight there is no dosage recommendation or clinical practice for LMWH.
Because of the extreme overweight and the therapeutic dose titration test of heparin, monitoring of fX activity by measurement of inhibition, dosage of heparin other than the recommended (abdominal wall instead of upper arm SC), and the very fluctuating heparin dosage which is well correlating with clinical practice, it is reasonably expected that this case will take interest.
American Psychological Association (APA)
Horváth, Boldizsar& Skrapits, Judit& Bódis, József. 2013. Obstetrical Management of an Extremely Overweight Pregnant Woman (184 kg bw) with Special Attention on Thromboprophylaxis. Case Reports in Obstetrics and Gynecology،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-490745
Modern Language Association (MLA)
Horváth, Boldizsar…[et al.]. Obstetrical Management of an Extremely Overweight Pregnant Woman (184 kg bw) with Special Attention on Thromboprophylaxis. Case Reports in Obstetrics and Gynecology No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-490745
American Medical Association (AMA)
Horváth, Boldizsar& Skrapits, Judit& Bódis, József. Obstetrical Management of an Extremely Overweight Pregnant Woman (184 kg bw) with Special Attention on Thromboprophylaxis. Case Reports in Obstetrics and Gynecology. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-490745
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-490745