title: Delivery of the Obese Gravida.
abstract: Obesity in pregnancy confers morbidity to both the mother and neonate. Obese women are at increased risk of cesarean delivery, operative vaginal delivery, and failed trial of labor after cesarean delivery. In addition to impacting the mode of delivery, obesity is associated with hemorrhage, infection, and thromboembolic complications in the peripartum period. The risk of these complications increases with increasing maternal body mass index. In this chapter, we discuss evidence-based strategies to mitigate these risks and to manage complications that occur at the time of delivery in obese parturients.
authors.affiliation: *Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Colorado School of Medicine, Aurora †Department of Obstetrics and Gynecology, Denver Health Medical Center, Denver, Colorado.
authors.forename: Allison M
authors.initials: AM
authors.lastname: Faucett
authors.forename: Torri D
authors.initials: TD
authors.lastname: Metz
mesh_terms: D061645:Abdominoplasty / Q000379:methods; D019072:Antibiotic Prophylaxis / Q000379:methods; D000925:Anticoagulants / Q000627:therapeutic use*; D002585:Cesarean Section / Q000379:methods*; D036861:Delivery, Obstetric / Q000379:methods; D005260:Female; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D048228:Intermittent Pneumatic Compression Devices; D009765:Obesity; D009873:Operating Rooms; D061646:Operative Time; D006473:Postpartum Hemorrhage / Q000453:epidemiology*; D011247:Pregnancy; D011248:Pregnancy Complications; D013523:Surgical Equipment; D013530:Surgical Wound Infection / Q000453:epidemiology*; D016064:Vaginal Birth after Cesarean; D054556:Venous Thromboembolism / Q000517:prevention & control*; D058106:Wound Closure Techniques
chemical_list: D000925:Anticoagulants; D006493:Heparin