YUNUS OKTAY ATALAY, SADIK ŞAHİN, MUSTAFA EROĞLU

Obez ve Morbı̇d Obez Gebelerde Obstetrı̇k Anestezi

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

Obstetric anestesia in pregnants with obesity and morbid obesity

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 tthromboembolism 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.

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