Journal de thérapie contre l'obésité et la perte de poids

Abstrait

Obesity: Anesthetic and Caesarean Procedure Complications in the Teaching Centers of Cotonou

Annelie KH, Eugène Z, Hounkpatin B, Véronique T, Mewanou Serge, Tchaou Blaise and Chobli Martin

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.