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Obesity: Anesthetic and Caesarean Procedure Complications in the Teaching Centers of Cotonou
Annelie KH1*, Eugène Z2, Hounkpatin B2, Véronique T3, Mewanou Serge4, Tchaou Blaise5 and Chobli Martin6
1University Clinic of Endocrinology and Metabolic Diseases of Cotonou, University of Abomey-Calavi, Cotonou, Benin
2National Teaching Hospital of Mother and Child “Lagoon” (Cotonou), Benin
3University Clinical of Gynecology and Obstetrics of CNHU-HKM (Cotonou), Benin
4Department of Anesthesia, National Hospital Center Koutoukou Hubert Maga, University of Abomey-Calavi, Cotonou, Benin
5Department of Anesthesia and Reanimation, University of Parakou, Benin
6Department of Emergency, National Hospital Center Koutoukou Hubert Maga, University of Abomey-Calavi, Cotonou, Benin
- *Corresponding Author:
- Kerekou Hode Annelie
University Clinic of Endocrinology and Metabolic Diseases of Cotonou
University of Abomey-Calavi, Cotonou, Benin
Tel: +229 21 36 11 19
E-mail: kerekouannelie@yahoo.fr
Received date: April 15, 2016; Accepted date: October 24, 2016; Published date: October 26, 2016
Citation: Annelie KH, Eugène Z, Hounkpatin B, Véronique T, Mewanou Serge, et al. (2016) Obesity: Anesthetic and Caesarean Procedure Complications in the Teaching Centers of Cotonou. J Obes Weight Loss Ther 6:321. doi:10.4172/2165-7904.1000321
Copyright: © 2016 Annelie KH, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Introduction: The morbidity townships of the obesity at the women are the complications of pregnancy, the dystocia, and the childbirths by caesarian procedure. This survey had for objective to determine the frequency of the obesity at the parturient, to value the impact of the obesity on the childbirth by caesarean and the complications postoperative immediate in the teaching hospitals of Cotonou. Patients and method: We did a prospective, comparative and analytic survey of January 13 to April 13, 2012. Eight hundred ninety-one consecutive parturient having had a Caesarean was include. We studied the anesthetic techniques, the techniques of control of the aerial ways, the number of necessary tests for the tracheal intubation, the complications and aftercare of the first 48 hours. A comparison has been made according to the BMI. The obesity has been defined by a BMI ≥ 30 kg/m2. The parturient has been classified in two groups: Non obese: BMI ≤ 30 kg/m2, obese: BMI ≥ 30. Results: The obesity has been recovered at 286 parturient is 32.10%. There were 703 (78.90%) Caesareans in emergency and 188 (21.09%) programmed Caesareans. The obese parturient also required more frequently several lumbar punctures (p<0.001) at the time of the spinal anesthesia and more of conversion of the spinal anesthesia into an anesthesia general (p=0.008). The postoperative complications: laryngeal pain, back pain and suppuration of the wound were more frequent at the obese parturient. Conclusion: The obesity is frequent at the parturient in Benin. The post-operative complications are more frequent after the Caesarean at the obese parturient.
