Nonobstetric surgery during pregnancy: What are the risks of anesthesia?
Nonobstetric surgery during pregnancy: What are the risks of anesthesia?
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DOI：
10.1097/01.ogx.0000103191.73078.5f
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发表时间：
2004-01-01
影响因子：
6.2
通讯作者：
Kuczkowski, KM
中科院分区：
文献类型：
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作者：
Kuczkowski, KM
怀孕期间需要麻醉和手术的占所有怀孕的1.5%至2.0%。在美国，每年有超过75，000名孕妇接受非产科手术。这些手术包括与怀孕直接相关的手术（例如，环扎术），与妊娠间接相关的那些（例如，卵巢囊肿），和那些与妊娠无关的（例如，阑尾切除术、胆囊切除术）。妊娠期任何需要手术干预的疾病的诊断通常会引起对这些患者手术和麻醉安全性的质疑。这一争议主要归因于非专业媒体的猜测，即怀孕期间的手术和麻醉可能对母亲和胎儿造成危害。尽管存在这些问题，非产科手术和麻醉在怀孕期间的安全性已经得到了很好的确立，许多孕妇每天都安全地麻醉，而不会对母亲或胎儿产生不良影响。目标受众：妇产科医生，家庭医生学习目标：读完这篇文章后，读者应该能够列出致畸性的机制，描述对接受手术的孕妇的术中监测，并概述与对接受心脏和神经外科手术的孕妇提供麻醉相关的特定问题。
The need for anesthesia and surgery during pregnancy occurs in 1.5% to 2.0% of all pregnancies. Each year, over 75,000 pregnant women in the United States undergo nonobstetric surgery. The operations include those directly related to pregnancy (e.g., cerclage), those indirectly related to pregnancy (e.g., ovarian cystectomy), and those unrelated to gestation (e.g., appendectomy, cholecystectomy). The diagnosis of any medical condition requiring surgical intervention in pregnancy often raises questions about the safety of both surgery and anesthesia in these patients. This controversy was primarily attributed to the lay press speculations that surgery and anesthesia in pregnancy could pose hazards to the mother and fetus. Despite these concerns, the safety of nonobstetric surgery and anesthesia in pregnancy has been well established, and many pregnant women are safely anesthetized everyday without ill effects for the mother or fetus.Target Audience: Obstetricians & Gynecologists, Family PhysiciansLearning Objectives: After completion of this article, the reader should be able to list the mechanisms of teratogenicity, to describe the intraoperative monitoring of a pregnant patient undergoing surgery, and to outline the particular issues associated with providing anesthesia to a pregnant patient undergoing cardiac and neurosurgical procedures.