Clinical Outcome in Morbidly Obese Pregnant Women

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Clinical Outcome in Morbidly Obese Pregnant Women
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• Campbelltown Hospital Ante - Natal Clinic
• Patient weighs 130 kgm
• Less than 20 weeks gestation
• Singleton pregnancy
• Bookings 1998 June 2005

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• Obstet Database
• Campbelltown Ante Natal Clinic
• Women booked 19,742
• Women weighed 16,248
• Weight of 130kg 116

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• Weight over 130 kg
• n 116
• -19 (data errors)
• -4 (lost to follow up)
• -3 (multiple pregnancies)
• _____
• Babies 90
• Mothers 71

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• Weight of mothers (kg)
• 130 41
• 140 27
• 150 11
• 160 6
• 170 2
• 180 2
• 200 1

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• BMI of mothers
• 30 1 (39.9)
• 40 49
• 50 29
• 60 7
• 70 1

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• Racial Group of mothers
• Caucasian 50
• Polynesian 18
• NZ (?Maori) 2
• Aboriginal 1
• ___
• No. 71

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• Age of mothers
• Less than 20 0
• 20-29 45
• 30-39 43
• 40 2
• Height of Mothers Av. 170.1cm

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• Parity of mothers
• Nullipara 26
• Multipara 55
• Grand multipara 9

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• Gestational Diabetes
• Gestational diabetic 21 (29.6)
• Insulin treatment 9

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• Asthma
• n 12 (13.3)

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• Hypertension/P. I. H.
• n 16 (17.7)

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• Outcomes Mode of Delivery
• SVD 56 (62.2)
• Forceps/vacuum 3 (3.3)
• Elect. C. Section 16 (17.8)
• Emerg. C. Section 15 (16.7)

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• Mode of Delivery()
• C/Town Obese NSW
• (1998-2005) (1998-2004)
• SVD 62.2 65.7
• F/V 3.3 10.5
• El C S 17.8 12.8
• Em C S 16.7 10.4
• V. Breech - 0.6

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• Clinical outcome (n 90)
• Alive and well 89
• Stillbirth 1
• Neonatal transfer 1
• Apgars lt7 1 (4/6)
• Congenital defects 1

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• Birthweights
• 1500g 3
• 2000g 1
• 2500g 8
• 3000g 49
• 4000g 27
• 5000g 2

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• Macrosomia (gt 4.5kg)
• n 15
• Caucasian 6 (10)
• Polynesians 8 (30.7)
• NZ 1

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• Wound Infections
• C. Sections n 31
• Re-admitted with wound breakdown 3
• Offensive odour/purulent discharge 3
• 
  6
• 6/31 19.4

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• C. Sections Type of Anaesthetic
• C/Town Obese C/Town Non Obese
• n 31 n 100
• G.A. 14 (45.2) 23 (23)
• Block 17 (54.8) 77 (77)

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• Theres no use trying Alice said,
• One cant believe in impossible things
• Lewis Carroll Alice in Wonderland