Vasanthalakshmi Gonnabaktula Naga, Mehta Priyanka, Ramamoorthy Sowbarnika
Department of Obstetrics and Gynaecology, Sri Ramachandra Medical College and Research Institute, Chennai 600116.
J Indian Med Assoc. 2012 Apr;110(4):259, 261.
Bariatric surgery is a promising treatment and called for morbid obesity refractory to medical treatment. Obese women of reproductive age group are at risk for obstetric complications. A 29 years old premigravida of 37 weeks gestation having developed gestational diabetes mellitus at 20 weeks and pregnancy induced hypertension at 36 weeks who had undergone gastric by-pass earlier was admitted to labour ward for induction of labour. She had undergone emergency caesarean section following failed induction. Baby was born healthy, weight being 2.7 kg. The mother received intermittent pneumatic compression intra-operatively and injection delteparin sodium 5000 units subcutaneously once daily for 3 days. She was discharged on 7th postoperative day.
减肥手术是一种很有前景的治疗方法，适用于药物治疗无效的病态肥胖患者。育龄期肥胖女性有发生产科并发症的风险。一名29岁的初产妇，妊娠37周，孕20周时患妊娠期糖尿病，孕36周时患妊娠高血压，此前接受过胃旁路手术，因引产入住产房。引产失败后，她接受了急诊剖宫产。婴儿健康出生，体重2.7千克。母亲在手术中接受了间歇性气动压迫，并皮下注射达肝素钠5000单位，每天一次，共3天。她在术后第7天出院。
