An observational study of the relationship between lumbar epidural space depth and body mass index in Michigan parturients

International Journal of Obstetric Anesthesia

Volumn 16, Issue 4, 2007, Pages 323-327

  Clinkscales, C P ^a   Greenfield, M L V H ^a   Vanarase, M ^a   Polley, L S ^a  

^a Women's Hospital   (United States)

Author keywords

Body Mass Index; Labor epidural; Lumbar epidural space depth; Obesity; Obstetric analgesia; Obstetric anesthesia; Parturient; Pregnancy

Indexed keywords

ARTICLE; BODY MASS; EPIDURAL CATHETER; EPIDURAL SPACE; GESTATIONAL AGE; HUMAN; LUMBAR VERTEBRA; MAJOR CLINICAL STUDY; MATERNAL AGE; MEDICAL RECORD; MULTIPLE LINEAR REGRESSION ANALYSIS; OBSERVATIONAL STUDY; PREGNANT WOMAN; UNITED STATES;

ADULT; BODY MASS INDEX; BODY WEIGHT; BODY WEIGHTS AND MEASURES; EPIDURAL SPACE; FEMALE; HUMANS; LUMBOSACRAL REGION; MICHIGAN; OBESITY; PARTURITION; PREGNANCY; PREGNANCY COMPLICATIONS; PROSPECTIVE STUDIES;

EID: 34548479045     PISSN: 0959289X     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ijoa.2007.03.015     Document Type: Article

References (18)

1. Ehrenberg H.M., Dierker L., Milluzzi C., and Mercer B.M. Prevalence of maternal obesity in an urban center. Am J Obstet Gynecol 187 (2002) 1189-1193
2. Kieffer E.C., Carman W.J., Gillespie B.W., Nolan G.H., Worley S.E., and Guzman J.R. Obesity and gestational diabetes among African-American women and Latinas in Detroit: implications for disparities in women's health. J Am Med Womens Assoc 56 (2001) 181-187 96
3. Palmer S.K., Abram S.E., Maitra A.M., and von Colditz J.H. Distance from the skin to the lumbar epidural space in an obstetric population. Anesth Analg 62 (1983) 944-946
4. Meiklejohn B.H. Distance from skin to the lumbar epidural space in an obstetric population. Reg Anesth 15 (1990) 134-136
5. Frame S., Moore J., Peters A., and Hall D. Maternal height and shoe size as predictors of pelvic disproportion: an assessment. Br J Obstet Gynaecol 92 (1985) 1239-1245
6. Hamza J., Smida M., Benhamou D., and Cohen S.E. Parturient's posture during epidural puncture affects the distance from skin to epidural space. J Clin Anesth 7 (1995) 1-4
7. Watts R.W. The influence of obesity on the relationship between body mass index and the distance to the epidural space from the skin. Anaesth Intensive Care 21 (1993) 309-310
8. CDC. Overweight and Obesity: Obesity Trends: U.S. Obesity Trends 1985-2005. 2006.
9. W.H.O. Obesity and Overweight. WHO Online 2003.
10. Harrison G.R., and Clowes N.W. The depth of the lumbar epidural space from the skin. Anaesthesia 40 (1985) 685-687
11. Shiroyama K., Izumi H., Kubo T., and Nakamura R. Distance from the skin to the epidural space at the first lumbar interspace in a Japanese obstetric population. Hiroshima J Med Sci 52 (2003) 27-29
12. Flegal K.M., Carroll M.D., Ogden C.L., and Johnson C.L. Prevalence and trends in obesity among US adults, 1999-2000. JAMA 288 (2002) 1723-1727
13. Hedley A.A., Ogden C.L., Johnson C.L., Carroll M.D., Curtin L.R., and Flegal K.M. Prevalence of overweight and obesity among US children, adolescents, and adults, 1999-2002. JAMA 291 (2004) 2847-2850
14. Neerken S., Lucassen G.W., Bisschop M.A., Lenderink E., and Nuijs T.A. Characterization of age-related effects in human skin: A comparative study that applies confocal laser scanning microscopy and optical coherence tomography. J Biomed Opt 9 (2004) 274-281
15. Gallagher D., Visser M., De Meersman R.E., et al. Appendicular skeletal muscle mass: effects of age, gender, and ethnicity. J Appl Physiol 83 (1997) 229-239
16. Borkan G.A., Hults D.E., Gerzof S.G., and Robbins A.H. Comparison of body composition in middle-aged and elderly males using computed tomography. Am J Phys Anthropol 66 (1985) 289-295
17. Upton P.M., Carrie L.E.S., and Reynolds K. Epidural insertion: how far should the epidural needle be inserted before testing for loss of resistance?. Int J Obstet Anesth 1 (1992) 71-73
18. Segal S., Beach M., and Eappen S. A multivariate model to predict the distance from the skin to the epidural space in an obstetric population. Reg Anesth 21 (1996) 451-455