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Review
. 2025 Apr 10;61(4):698.
doi: 10.3390/medicina61040698.

Anesthetic Management of the Pregnant Patient Undergoing Non-Obstetric Surgery

Genevieve Monanian  1 , Seth Greenspan  1 , Nadir Khan Yusufzai  2 , Bahaa Daoud  1 , Zhaosheng Jin  1 , Morgane Factor  1
Affiliations
Review

Anesthetic Management of the Pregnant Patient Undergoing Non-Obstetric Surgery

Genevieve Monanian et al. Medicina (Kaunas). .

Abstract

Anesthetic management of the pregnant patient undergoing non-obstetric surgery requires careful consideration of both maternal and fetal well-being. Key factors include appropriate drug selection to minimize fetal exposure, maintenance of uteroplacental perfusion, and management of physiological changes associated with pregnancy, such as altered respiratory function and increased blood volume. Regional anesthesia is often preferred to reduce the risks of general anesthesia, although considerations such as positioning, airway management, and monitoring are crucial. Multidisciplinary collaboration is essential to optimize outcomes, ensuring that both maternal health and fetal safety are prioritized throughout the perioperative period.

Keywords: anesthesiology; pharmacology; physiology; pregnancy.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Summary of anesthetic considerations during pregnancy.
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References

    1. Brodsky J.B., Cohen E.N., Brown B.W., Jr., Wu M.L., Whitcher C. Surgery during pregnancy and fetal outcome. Am. J. Obstet. Gynecol. 1980;138:1165–1167. doi: 10.1016/S0002-9378(16)32785-5. - DOI - PubMed
    1. Huang S.Y., Lo P.H., Liu W.M., Cherng Y.G., Yeh C.C., Chen T.L., Liao C.C. Outcomes After Nonobstetric Surgery in Pregnant Patients: A Nationwide Study. Mayo Clin. Proc. 2016;91:1166–1172. doi: 10.1016/j.mayocp.2016.06.021. - DOI - PubMed
    1. Haataja A., Kokki H., Uimari O., Kokki M. Non-obstetric surgery during pregnancy and the effects on maternal and fetal outcomes: A systematic review. Scand. J. Surg. 2023;112:187–205. doi: 10.1177/14574969231175569. - DOI - PubMed
    1. ACOG Committee Opinion No. 775 Summary: Nonobstetric Surgery During Pregnancy. Obstet. Gynecol. 2019;133:844–845. - PubMed
    1. Coviello A., Iacovazzo C., Frigo M.G., Ianniello M., Cirillo D., Tierno G., de Siena A.U., Buonanno P., Servillo G. Technical aspects of neuraxial analgesia during labor and maternity care: An updated overview. J. Anesthesia, Analg. Crit. Care. 2025;5:6. doi: 10.1186/s44158-025-00224-3. - DOI - PMC - PubMed

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