It is generally accepted that elective surgery should be avoided during pregnancy, and that recommendations are required for the anaesthetic and surgical management of emergency situations in pregnant patients.

When pregnancy is diagnosed, the concern raises whether surgery and anesthesia during early gestation pose hazard to the developing fetus, by increasing the risk of congenital anomalies and spontaneous abortion. Literature review suggests that there is no increase in congenital anomalies at birth in women who underwent anesthesia during pregnancy.

Anatomic and physiologic changes related to pregnancy and concerns for the fetus may require adjustment of anesthetic management. This topic will discuss the perioperative anesthetic …

2012年5月24日 · Despite the many concerns, safe anaesthesia and surgery has been demonstrated for a wide range of non-obstetric procedures during pregnancy. The indications for surgery and its timing are major determinants of maternal and fetal outcome.

Anaesthesia for non-obstetric procedures is frequently needed for maternal procedures like cervical encirclage, as well as foetal procedures like ex utero intrapartum treatment, at varying times during pregnancy and even for in vitro fertilisation procedures or …

Formulate a plan for anaesthesia for the pregnant patient undergoing non-obstetric surgery. No anaesthetic agent in current use is teratogenic at clinical doses and concentrations. Maintaining normal maternal oxygenation, acid–base status and …

Regional or neuraxial anaesthesia, monitored anaesthesia care and general anaesthesia can be safe during any trimester, depending on the individual patient’s needs and medical history. Maintaining normotension and avoiding hypoxia are critical for both fetal and maternal well-being.

Formulate a plan for anaesthesia for the pregnant patient undergoing non-obstetric surgery. Key points. No anaesthetic agent in current use is teratogenic at clinical doses and concentrations. Maintaining normal maternal oxygenation, acid–base status and uteroplacental perfusion will help optimise fetal outcomes.

Several physiological changes occur during pregnancy and have significant impli-cations for anaesthesia.

Anaesthetic management during pregnancy is altogether a different challenge than administering anaesthesia to non-pregnant females as there are numerous endocrinal, systemic and physiological alterations.