Non-obstetric surgery and anesthesia during pregnancy. Five-year single-center retrospective analysis

Non-obstetric surgery during pregnancy

Authors

Keywords:

non-obstetric surgery, preterm labor, low birth weight

Abstract

Background/Aim: Surgical procedures during pregnancy incur great difficulties for both the surgeon and the anesthesiologist. Changing maternal and fetal physiology changes both the pharmacodynamics and pharmacodynamics of the anesthetic drugs administered. In this study, the researcher aimed to determine the risk factors of non-obstetric surgery or anesthesia that cause preterm labor and/or low birth weight.

Methods: Our study was planned as a single-center retrospective study and was carried out by scanning the data of 52 pregnant patients between 2015 and 2020. Preterm labor and low birth weight were defined as adverse events. The patients were divided into two groups: those who developed adverse events and those who did not. The effects of age, parity, type of surgery and anesthesia, duration of surgery, gestational age, mode of delivery, and birth weight on mortality have been investigated. 

Results: Comparing the patient groups with and without adverse events, no statistically significant difference was found between their general characteristics, anesthesia, and surgical characteristics (P>0.05).

Conclusion: In the study, the researcher analyzed the surgical and anesthesia factors of non-obstetric surgery. It was concluded that neither surgical nor anesthetic factors independently increased the risk of preterm labor or low birth weight.

Downloads

Download data is not yet available.

References

Upadya M, Saneesh PJ. Anaesthesia for non-obstetric surgery during pregnancy. Indian J Anaesth. 2016 Apr;60(4):234-41. DOI: https://doi.org/10.4103/0019-5049.179445

Reitman E, Flood P. Anaesthetic considerations for non-obstetric surgery during pregnancy. Br J Anaesth. 2011;107 Suppl 1:i72-i78. DOI: https://doi.org/10.1093/bja/aer343

Balinskaite V, Bottle A, Sodhi V, Rivers A, Bennett PR, Brettet SJ, et al. The Risk of Adverse Pregnancy Outcomes Following Nonobstetric Surgery During Pregnancy: Estimates From a Retrospective Cohort Study of 6.5 Million Pregnancies. Ann Surg. 2017;266(2):260-6. DOI: https://doi.org/10.1097/SLA.0000000000001976

Duncan PG, Pope WD, Cohen MM, Greer N. Fetal risk of anesthesia and surgery during pregnancy. Anesthesiology. 1986 Jun;64(6):790-4. DOI: https://doi.org/10.1097/00000542-198606000-00019

Cohen-Kerem R, Railton C, Oren D, Lishner M, Koren G. Pregnancy outcome following non-obstetric surgical intervention. Am J Surg. 2005 Sep;190(3):467-73. DOI: https://doi.org/10.1016/j.amjsurg.2005.03.033

Wilasrusmee C, Sukrat B, McEvoy M, Attia J, Thakkinstian A. Systematic review and meta-analysis of safety of laparoscopic versus open appendicectomy for suspected appendicitis in pregnancy. Br J Surg. 2012 Nov;99(11):1470-8. DOI: https://doi.org/10.1002/bjs.8889

Practice Guidelines for Obstetric Anesthesia: An Updated Report by the American Society of Anesthesiologists Task Force on Obstetric Anesthesia and the Society for Obstetric Anesthesia and Perinatology. Anesthesiology. 2016 Feb;124(2):270-300. DOI: https://doi.org/10.1097/ALN.0000000000000935

Ansari J, Carvalho B, Shafer SL, Flood P. Pharmacokinetics and Pharmacodynamics of Drugs Commonly Used in Pregnancy and Parturition. Anesth Analg. 2016 Mar;122(3):786-804. DOI: https://doi.org/10.1213/ANE.0000000000001143

Rubinchik-Stern M, Eyal S. Drug Interactions at the Human Placenta: What is the Evidence? Front Pharmacol. 2012 Jul 9;3:126. DOI: https://doi.org/10.3389/fphar.2012.00126

Bonnet MP. Sedation and anaesthesia for non-obstetric surgery. Anaesth Crit Care Pain Med. 2016 Oct;35 Suppl 1:S35-S41. DOI: https://doi.org/10.1016/j.accpm.2016.06.009

Vujic J, Marsoner K, Lipp-Pump AH, Klaritsch P, Mischinger HJ, Kornprat P. Non-obstetric surgery during pregnancy - an eleven-year retrospective analysis. BMC Pregnancy Childbirth. 2019 Oct 25;19(1):382. DOI: https://doi.org/10.1186/s12884-019-2554-6

Cho S, Chung RK, Jin SH. Factors Affecting Maternal and Fetal Outcomes of Non-Obstetric Surgery and Anesthesia during Pregnancy: a Retrospective Review of Data at a Single Tertiary University Hospital. J Korean Med Sci. 2020 Apr 27;35(16):e113. DOI: https://doi.org/10.3346/jkms.2020.35.e113

Ní Mhuireachtaigh R, O'Gorman DA. Anesthesia in pregnant patients for nonobstetric surgery. J Clin Anesth. 2006 Feb;18(1):60-6. DOI: https://doi.org/10.1016/j.jclinane.2004.11.009

Jenkins TM, Mackey SF, Benzoni EM, Tolosa JE, Sciscione AC. Non-obstetric surgery during gestation: risk factors for lower birthweight. Aust N Z J Obstet Gynaecol. 2003 Feb;43(1):27-31. DOI: https://doi.org/10.1046/j.0004-8666.2003.00001.x

Yu CH, Weng SF, Ho CH, Chen YC, Chen JY, Chang YJ, Wang JJ, Wu MP, Chu CC. Pregnancy outcomes following nonobstetric surgery during gestation: a nationwide population-based case-control study in Taiwan. BMC Pregnancy Childbirth. 2018 Nov 26;18(1):460. DOI: https://doi.org/10.1186/s12884-018-2079-4

Devroe S, Bleeser T, Van de Velde M, Verbrugge L, De Buck F, Deprest J, Devlieger R, Rex S. Anesthesia for non-obstetric surgery during pregnancy in a tertiary referral center: a 16-year retrospective, matched case-control, cohort study. Int J Obstet Anesth. 2019 Aug;39:74-81. DOI: https://doi.org/10.1016/j.ijoa.2019.01.006

Committee Opinion No. 696: Nonobstetric Surgery During Pregnancy. Obstet Gynecol. 2017 Apr;129(4):777-8. DOI: https://doi.org/10.1097/AOG.0000000000002014

Downloads

Published

2023-10-05

Issue

Section

Research Article

How to Cite

1.
Altınay M, Çınar AS. Non-obstetric surgery and anesthesia during pregnancy. Five-year single-center retrospective analysis : Non-obstetric surgery during pregnancy. J Surg Med [Internet]. 2023 Oct. 5 [cited 2024 Nov. 23];7(10):660-4. Available from: https://jsurgmed.com/article/view/7952