Cesarean birth in the morbidly obese woman: a report of 3 cases

J Reprod Med. 2007 Mar;52(3):231-4.


Background: Primary and repeat cesarean births are a frequent occurrence among morbidly obese women. Technical difficulties encountered in caring for these patients, coupled with physiologic differences, affect their operative management.

Cases: Three morbidly obese women (190-296 kg, body mass index 56.7-93.6) had cesarean births utilizing a supraumbilical incision and internal retention abdominal wall closures. Alternative anesthetic management was required in 2 patients. Bariatric operative and postoperative equipment was required in each case, and varying thromboprophylaxis strategies were employed.

Conclusion: Careful planning along with appropriate specialty consultation is required for a safe and successful cesarean birth in the morbidly obese woman.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cesarean Section / methods*
  • Female
  • Humans
  • Obesity, Morbid / complications*
  • Obesity, Morbid / surgery*
  • Postoperative Complications / epidemiology
  • Pregnancy
  • Pregnancy Complications / surgery*
  • Pregnancy Outcome
  • Umbilicus / surgery