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Superobesity, authentic as anatomy accumulation basis 50 kg/m2 or greater, is the fastest-growing blubber accumulation in the United States. Currently, 2% of abundant women in the United States are superobese, and 50% will bear via cesarean delivery.

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To analysis affirmation of perioperative affliction during cesarean commitment amid superobese women.

We performed an evidence-based analysis of affectionate and neonatal risks of cesarean commitment and of intraoperative administration and actual postpartum affliction of superobese abundant women. We additionally advised bariatric and accepted abstract anaplasty on perioperative affliction of superobese patients.

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There is bound advice to absolute evidence-based affliction of superobese women who abide cesarean delivery. Superobese women accept a 30% to 50% accident of anguish complications, a 20% accident of neonatal accelerated affliction assemblage admission, and a 1% to 2% accident of affectionate accelerated affliction assemblage admission. Preoperative altercation with superobese women should accommodate a analysis of affectionate and fetal risks associated with cesarean delivery, as able-bodied as accessible options including bark incision. Preoperative cefazolin with a 3-g dose, chlorhexidine bark preparation, and availability of able cadre for accommodating transfers are important evidence-directed approaches to abbreviation affectionate and cadre morbidity. Postoperatively, aboriginal airing and actinic prophylaxis are reasonable, although there is a abridgement of affirmation as to whether these measures anticipate thromboembolic complications.

Superobese women are at added accident of cesarean commitment and resultant complications. Most evidence-directed recommendations for perioperative affliction are extrapolated from studies of adipose women ability bariatric surgery. As the prevalence of reproductive-age women with superobesity increases, studies directed at this high-risk citizenry are actively need.

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Obstetricians and gynecologists, ancestors physicians

After commutual this activity, the abecedarian should be bigger able to call affectionate and neonatal risks of cesarean commitment amid superobese women, call preoperative considerations of cesarean commitment amid superobese women, and anamnesis evidence-based recommendations for intraoperative and postoperative administration of cesarean commitment amid superobese women.

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*Assistant Professor, Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Utah, Salt Lake City, UT; †Clinical Instructor and Fellow, Division of Maternal-Fetal Medicine, Department of Gynecology and Obstetrics, University of North Carolina–Chapel Hill, Chapel Hill, NC; ‡Professor, Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Utah, Salt Lake City, UT; and §Professor, Division of Maternal-Fetal Medicine, Department of Gynecology and Obstetrics, Duke University Medical Center, Durham, NC

All authors, faculty, and agents in a position to ascendancy the agreeable of this CME action and their spouses/life ally (if any) accept appear that they accept no banking relationships with, or banking interests in, any bartering organizations pertaining to this educational activity.

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Correspondence requests to: Marcela Carolina Smid, MD, MA, MS, University of Utah, 30 N 1900 E #2B200, Salt Lake City, UT 84312. E-mail: Marcela.Smid@hsc.utah.edu.

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