Health Serv Deliv Res. Nonobstetric surgery during pregnancy. Committee Opinion Number Washington: American College of Obstetricians and Gynaecologists; The risk of adverse pregnancy outcomes following nonobstetric surgery during pregnancy: estimates from a retrospective cohort study of 6. Ann Surg. Pregnancy outcome following non-obstetric surgical intervention. Am J Surg. This study provides reassuring information for women who need to undergo non-obstetric surgery during pregnancy.
Some poor pregnancy outcomes appeared to be more frequent among women undergoing surgery. However, only a very few additional women in the surgery group had a poor outcome compared with women who did not have surgery. Importantly for women who need surgery in pregnancy, this study cannot relate this small additional risk to the surgery itself. NIHR is the nation's largest funder of health and care research and provides the people, facilities and technology that enables research to thrive.
Browse content My favourites 0. Why was this study needed? What does current guidance say Favourite Print Share Share via Facebook LinkedIn Twitter Email. General surgery is mostly safe during pregnancy Published on 10 January doi: What did this study do? What did it find? Among the 6,, pregnancies identified, 47, 0.
Abdominal surgery such as removing the appendix or gallbladder was the most common type of surgery. Pregnant women who had surgery had an increased risk of adverse birth outcomes compared with those who did not have surgery. Risks ranged from being a tenth more likely for miscarriage relative risk [RR] 1.
However, the baseline risk of maternal death was very low, at only 12 deaths amongst the 47, women who had surgery. Delaying laparoscopic surgery in pregnant patients with an equivocal acute appendicitis: a step-wise approach does not affect maternal or fetal safety.
Is the laparoscopic approach a safe choice for the management of acute appendicitis in pregnant women? A meta-analysis of observational studies. Ann R Coll Surg Engl. The diagnostic accuracy of ultrasound in the diagnosis of acute appendicitis in pregnancy. J Matern Fetal Neonatal Med. Documentation of pregnancy status, gynecological history, date of last menstrual period and contraception use in emergency surgical admissions: time for a change in practice?
World J Surg. Download references. Vujic, K. Marsoner, H. You can also search for this author in PubMed Google Scholar. All authors declare that they participated in creation of the study equally and have critically reviewed the manuscript. All authors have read and approved the final manuscript.
Correspondence to P. Therefore it was not necessary that patients consented to analysis of their medical records and no further permission from the institution was required. All authors declare that they have no conmpeting interests or financial interests that could affect this study.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Reprints and Permissions. Vujic, J. Non-obstetric surgery during pregnancy — an eleven-year retrospective analysis. BMC Pregnancy Childbirth 19, Download citation. Received : 30 June Accepted : 02 October Published : 25 October Anyone you share the following link with will be able to read this content:.
Sorry, a shareable link is not currently available for this article. Provided by the Springer Nature SharedIt content-sharing initiative. Skip to main content. Search all BMC articles Search. Download PDF. Research article Open Access Published: 25 October Non-obstetric surgery during pregnancy — an eleven-year retrospective analysis J. Vujic 1 , K. Marsoner 1 , A. Lipp-Pump 2 , P. Klaritsch 2 , H. Abstract Background Diagnosis and management of non-obstetric abdominal pathologies during pregnancy are clinically challenging for both obstetricians and general surgeons.
Methods We retrospectively reviewed 76 pregnant patients who had required surgery for non-obstetric abdominal pathologies during pregnancy at our department from January to December Conclusion Abdominal surgery for non-obstetric pathology during pregnancy can be performed safely, if mandatory, without increases in maternal and fetal pathology, miscarriage, and preterm birth rates. Background Diagnosis and management of non-obstetric abdominal pathologies during pregnancy are clinically challenging for both obstetricians and general surgeons.
Methods Our patient collective was a reference group of 76 pregnant patients who underwent surgery for non-obstetric abdominal pathologies at our department from January to December Results The mean age of the 76 patients included in the retrospective analysis of the year period was 29 interquartile range IQR 25—33 years Table 1.
Table 1 General study data Full size table. Table 2 Intra- and postoperative data Full size table. Table 3 Follow-up with pregnancy outcome details Full size table. Table 4 Appendectomy data Full size table. Discussion Non-obstetric acute abdomen during pregnancy can be a diagnostic and therapeutic challenge. Conclusion Our study indicates that abdominal surgery for non-obstetric pathology during pregnancy can be performed safely whenever indicated without adverse obstetric outcome for either mother or fetus.
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PubMed Google Scholar 8. Google Scholar 9. Article Google Scholar Google Scholar Book Google Scholar PubMed Google Scholar Article PubMed Google Scholar Women are not allowed to eat anything until the inflammation subsides.
If an infection develops, women are given antibiotics. If women do not improve, surgery is done. Noncancerous benign ovarian cysts Noncancerous Ovarian Growths Noncancerous benign ovarian growths include cysts mainly functional cysts and tumors. Most noncancerous cysts and tumors do not cause any symptoms, but some cause pain or a feeling of heaviness If an ovarian cyst persists during pregnancy, surgery is usually postponed until after the 14th week of pregnancy.
The cyst may be producing hormones that are supporting the pregnancy and often disappears without treatment. However, if a cyst or another mass is enlarging, is very tender, or has certain characteristics seen on an ultrasound , surgery may be necessary before the 14th week. Such a mass may be cancerous. During pregnancy, a blockage in the intestine intestinal obstruction Intestinal Obstruction An obstruction of the intestine is a blockage that completely stops or seriously impairs the passage of food, fluid, digestive secretions, and gas through the intestines.
The most common causes If obstruction leads to gangrene of the intestine and peritonitis inflammation of the membrane that lines the abdominal cavity , the woman may miscarry and her life is endangered. Exploratory surgery is usually done promptly when pregnant women have symptoms of intestinal obstruction, particularly if they have had abdominal surgery or an abdominal infection.
Symptoms of intestinal obstruction include cramping abdominal pain, loss of appetite, bloating, vomiting, severe constipation or severe diarrhea, and sometimes fever. Merck and Co. From developing new therapies that treat and prevent disease to helping people in need, we are committed to improving health and well-being around the world.
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