Anesthetic considerations in the obese parturient

Robert Gaiser

Research output: Contribution to journalArticlepeer-review

21 Scopus citations


The provision of anesthesia to the morbidly obese parturient is technically challenging. The anesthesia provider anticipates difficulty with intravenous access, positioning, monitoring, and placement of neuraxial anesthesia. There is a higher incidence of hypotension in obese parturients during neuraxial anesthesia most likely due to concealed aortocaval compression as positioning these patients is difficult. Mostproviderswillprovideeitherepiduralorcombined spinal/epidural anesthesia for cesarean delivery due to the variable duration of the surgical procedure.Among obese gravidas, there is a lower risk of the development of a headache from an accidental dural puncture, due not to thebody habitus, but rather to the group's higher cesarean delivery rate. It is the process of bearing down during delivery that increases thechance of thedevelopment of a headache following dural puncture.

Original languageEnglish
Pages (from-to)193-203
Number of pages11
JournalClinical Obstetrics and Gynecology
Issue number1
StatePublished - 2016

Bibliographical note

Publisher Copyright:
Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.


  • Cesarean delivery
  • Epidural
  • Hypotension
  • Obesity
  • Spinal

ASJC Scopus subject areas

  • Obstetrics and Gynecology


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