Obez ve morbid obez gebelerde obstetrik anestezi

Yıl 2014, Cilt: 45 Sayı: 1, 14 - 21, 01.03.2014

Yunus Atalay Sadık Şahin Mustafa Eroğlu

Öz

Obezite tüm dünyada gün geçtikçe artan önemli bir  toplum sağlık sorunu haline gelmiştir.  Anestezi pratiğimizde bu hasta grubu ile karşılaşma sıklığımız artmaktadır. Obezitenin beraberinde kendine ait bazı problemleri getirdiği düşünülürse, bu problemlerin obez bir gebede daha sık ve ciddi olacağı aşikardır. Obezite, gebelikte maternal ve fetal komplikasyonları artırmaktadır. Sezeryan, diabet, hipertansiyon ve preeklampsi, postpartum enfeksiyon, tromboembolizm riski bu problemlerden sadece birkaçını oluşturmaktadır. Obezite ve gebelikle birlikte ortaya çıkan fizyolojik değişikler ve  bunların morbidite ile ilişkilerinin  bilinmesi obez bir gebeye anestezik yaklaşımımızın planlanmasında yardımcı olacaktır.

ANAHTAR KELİMELER : Obezite, gebelik, anestezi, analjezi, komplikasyon, morbidite

Anahtar Kelimeler

obezite, gebelik, anestezi, analjezi, komplikasyon, morbidite

Obstetric anestesia in pregnants with obesity and morbid obesity

Öz

Obesity is a major public health problem all over the world increasing day by day. The prevalence of  encounter with this patient group is increasing in our anesthesia practice. When  we think that obesity  brings some of  problems with it, it is obvious that these problems may be more frequent and severe health problems in an obese pregnant woman.  Obesity increases maternal and fetal complications in pregnancy.  Cesarean section, diabetes, hypertension and pre-eclampsia, postpartum infection, the risk of thromboembolism are just a few of these problems. Knowing the physiologic changes in obesity and pregnancy and also their relaitons with the morbidity  will all help in planning of the anesthetic approach.

Keywords: Obesity, pregnancy, anesthesia, analgesia, complication, morbidity

Anahtar Kelimeler

Obesity, pregnancy, anesthesia, analgesia, complication, morbidity.

Kaynakça

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