Wednesday, 4 March 2009

Obesity in pregnancy

1. Incision on the skin should not be at the groove of skin, whihc corresponds to pubic symphysis. It should be about 2 cms above or on the top of the prominent bulge.

2. Hands will be slippery becuase of excessive subcut fatty tissue.

3. Try and open the uterine cavity with fingers as the judgment for uterine depth can be misleading.

4. Always close the subcutaneous fat.

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