title: Spinal anaesthesia for emergency caesarean section in a morbid obese woman with severe preeclampsia.
abstract: 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.
authors.affiliation: Department of Anaesthesiology, University of Port Harcourt Teaching Hospital, Port Harcourt, 6173 Rivers State, Nigeria.
authors.forename: Ebirim N
authors.initials: EN
authors.lastname: Longinus
authors.forename: Lagiri
authors.initials: L
authors.lastname: Benjamin
authors.forename: Buowari Yvonne
authors.initials: BY
authors.lastname: Omiepirisa