Quality of recovery after cesarean delivery in patients with Class III obesity: a prospective observational cohort study
Authors' conclusion
This study suggests minimal differences in the quality of recovery between the two groups.
Study context
- Population
- Patients undergoing elective cesarean delivery under spinal anesthesia with multimodal analgesia
- Participants
- 127 patients
- Exposure
- High BMI vs Control
- Outcome
- ObsQoR-10 score
- Follow-up
- 24 hours after surgery
Methodological detailsStandardized care, incl. spinal anesthesia and multimodal analgesia
- Standardized care, incl. spinal anesthesia and multimodal analgesia
Main finding
As reported in the abstract
Control
83
median · IQR 73.5–90.5
High BMI
82
median · IQR 70–90
Observational data: associations, not effects.
Secondary outcomes
24-h opioid consumption
- No significant difference in median 24-h opioid consumption between groups
- 0, 0 to 10
- P=.078
Pain (NRS) · 24 hours
- No significant difference in median NRS for pain between groups
- 0, −1 to 1
- At rest
- P = 0.97
- On movement
- P = 0.78
LOS and hospital readmission
- No differences in LOS or hospital readmission rates
Breastfeeding and mobilization
- Obesity group tended to breastfeed less and mobilize earlier than control
Original publication
Quality of recovery after cesarean delivery in patients with Class III obesity: a prospective observational cohort study. Int J Obstet Anesth. Published 12 December 2024. doi:10.
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