Obesity & Pain Management During Childbirth
Obesity in pregnancy poses risks for both the mother and baby. Obese mothers are more likely to have hypertension, diabetes, blood clots, wound infections and the need for cesarean sections. Babies born to obese mothers are more likely to suffer birth injuries, are more prone to some birth defects, and are more likely to be obese in adulthood.
For the anesthesiologist working with an obese mother in labor, it is often more difficult to place epidurals for pain management, and placement is associated with more complications. Anatomic changes make providing general anesthesia both more challenging and riskier in obese patients.
It is important to work closely with your obstetrician/gynecologist throughout the pregnancy. Consider requesting a meeting with your anesthesiologist prior to delivery as well so you can make him/her fully aware of your medical condition.
For more information on obstetrics and anesthesia/pain control, please see this full topic here.