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Review
. 2020 Jun;63(2):351-363.
doi: 10.1097/GRF.0000000000000532.

Anesthesia for Nonobstetric Surgery in Pregnancy

Mauricio Vasco Ramirez  1   2 , Catalina M Valencia G  3   4
Affiliations
Review

Anesthesia for Nonobstetric Surgery in Pregnancy

Mauricio Vasco Ramirez et al. Clin Obstet Gynecol. 2020 Jun.

Abstract

Nonobstetric surgery during pregnancy occurs in 1% to 2% of pregnant women. Physiologic changes during pregnancy may have an impact when anesthesia is needed. Anesthetic agents commonly used during pregnancy are not associated with teratogenic effects in clinical doses. Surgery-related risks of miscarriage and prematurity need to be elucidated with well-designed studies. Recommended practices include individualized use of intraoperative fetal monitoring and multidisciplinary planning to address the timing and type of surgery, anesthetic technique, pain management, and thromboprophylaxis. Emergency procedures should be performed immediately and elective surgery should be deferred during pregnancy.

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References

    1. Mazze RI, Källén B. Reproductive outcome after anesthesia and operation during pregnancy: a registry study of 5405 cases. Am J Obstet Gynecol. 1989;161:1178–1185.
    1. Brodsky JB, Cohen EN, Brown BW Jr, et al. Surgery during pregnancy and fetal outcome. Am J Obstet Gynecol. 1980;138:1165–1167.
    1. Kerai S, Saxena KN, Wadhwa B. Preoperative pregnancy testing in surgical patients: how useful is policy of routine testing. Indian J Anaesth. 2019;63:786–790.
    1. Kohlhepp LM, Hollerich G, Vo L, et al. Physiological changes during pregnancy. Anaesthesist. 2018;67:383–396.
    1. Adam MP. The all-or-none phenomenon revisited. Birth Defects Res A Clin Mol Teratol. 2012;94:664–669.

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