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Web-Based Curriculum & Reference  
Editors
Kurt J. Pfeifer, MD, FACP
Steven L. Cohn, MD, FACP
 
Medical College of Wisconsin
State University of New York - Downstate
 
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  Pregnancy
Michael P. Carson, MD & David A. Halle, MD
 
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  INTRODUCTION
 

The incidence of non-obstetric surgery in pregnant patients is 0.2-1.0%.[1]

The most common non-obstetric surgical procedures are appendectomy (1 per 2000 pregnancies) and cholecystectomy (1-6 per 10,000 pregnancies).[2]

The perioperative maternal risks of non-obstetric surgery are similar to that of non-pregnant surgical patients.

From a technical and fetal risk standpoint, the best time for non-obstetric surgery is during the second trimester.

The rate of congenital abnormalities after non-obstetric surgery has not conclusively been shown to be increased.

 


 
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FETAL RISKS

  • Preterm labor
  • Intrauterine growth restriction
  • Spontaneous abortion
  • Stillbirth
Maternal well-being is the most important factor in fetal health.
Don't neglect the maternal benefit of surgery due to concerns of potential fetal risks.
 
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