Obese women are actually more prone to soft tissue dystocia than their skinnier counterparts. This can cause dysfunctional labor and failure to progres. I have seen it many times, and while the doctors that I work with are more hesitant to do sections on obese women because of the risk of wound dehiscence and infection, they will do them after about 6-10 hours of no progression. It is very sad for the women, especially those that go without epidurals for hours and hours and end up having to be under general anesthesia for the birth of their child.
By Guest (not verified) at Mon, 04/07/2008 - 1:47pm |
Obese women are actually
Obese women are actually more prone to soft tissue dystocia than their skinnier counterparts. This can cause dysfunctional labor and failure to progres. I have seen it many times, and while the doctors that I work with are more hesitant to do sections on obese women because of the risk of wound dehiscence and infection, they will do them after about 6-10 hours of no progression. It is very sad for the women, especially those that go without epidurals for hours and hours and end up having to be under general anesthesia for the birth of their child.