Author(s)

Annelie Kerekou Hode^1*, Eugène Zoumenou², Benjamin Hounkpatin³, Serge Mewanou⁴, Blaise Tchaou⁵, Martin Chobli⁶

¹Service of Endocrinology, Hospital and University National Center Hubert Koutoukou Maga of Cotonou, Cotonou, Benin.
²Service of Anesthesia and Reanimation, Hospital Mother and Child of Cotonou, Cotonou, Benin.
³Service of Gynecology and Obstetrics, Hospital Mother and Child of Cotonou, Cotonou, Benin.
⁴Service of Anesthesia and Reanimation, Hospital and University National Center Hubert Koutoukou Maga of Cotonou, Cotonou, Benin.
⁵Department of Anesthesia and Reanimation, Hospital and University of Parakou, Parakou, Benin.
⁶Emergency Department of Hospital and University National Center Hubert Koutoukou Maga of Cotonou, Cotonou, Benin.

This survey had the 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 from January 13 to April 13, 2012. Eight hundred ninety-one consecutive parturients having had a Caesarean were included. 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: There were 703 (78.90%) Caesareans in emergency and 188 (21.09%) programmed Caesareans. The obesity which has been recovered at 286 parturient is 32.10%. 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 a general anesthesia (p = 0.008). The postoperative complications: laryngeal pain, back pain and suppuration of the wound were more frequent at the obese parturient. Conclusion: Many changes led by pregnancy are added to those of the obesity to drive to functional changes, a reduction of the physiological reserve and finally to an increased anesthetic and obstetric risk. The obesity is frequent at the parturient in Benin. The post-operative complications are more frequent after the Caesarean at the obese parturient.

Obesity, Caesarean, Anesthesia, Complication, Benin

Hode, A. , Zoumenou, E. , Hounkpatin, B. , Mewanou, S. , Tchaou, B. and Chobli, M. (2018) Complications of Obesity in Cesarized Parturients in the Teaching Centers of Cotonou. Open Journal of Endocrine and Metabolic Diseases, 8, 137-144. doi: 10.4236/ojemd.2018.86014.