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- Moises Auron, Marina Y Duran Castillo, and Omar Felipe Duenas Garcia.
- Department of Hospital Medicine and Department of Pediatric Hospital Medicine, Cleveland Clinic; Associate Professor of Medicine and Pediatrics, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH auronm@ccf.org.
- Cleve Clin J Med. 2021 Jan 1; 88 (1): 27-34.
AbstractNonobstetric surgery during pregnancy should be avoided if possible, but when surgery is required, an obstetrician should be part of the perioperative team. In general, preoperative assessment is similar regardless of whether a woman is pregnant, but cardiovascular, pulmonary, hematologic, and renal changes of pregnancy can increase surgical risk and must be taken into account. Special management considerations include pregnancy-associated laboratory changes, timing of surgery, anesthesia choice, intubation precautions, patient positioning, preoperative blood typing, intraoperative fetal monitoring, and venous thromboembolism prophylaxis.Copyright © 2021 The Cleveland Clinic Foundation. All Rights Reserved.
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