Retrospective Evaluation of Anesthetic Management for Pregnant Surgical Patients / 대한마취과학회지

ABSTRACT

Backgrounds It is estimated that 0.75-2% of parturients undergo surgical procedures unrelated to delivery. However, there are few reports on pregnant surgical patients in Korea. This study was undertaken to review the clinical information on patients who have received surgery during pregnancy. METHODS: Of the 11,772 deliveries during the 7-year period 1996-2002, 101 pregnant patients underwent nonobstetric surgery. The medical records and anesthesia records were reviwed for the following data patient's age, trimester at operation performed, type of surgery and anesthesia, fetal monitoring, preterm labor, and for the delivery of pregnant women undergoing nonobstetrical surgery, except incompetent cervix. RESULTS: As many as 0.86% of pregnant women were found to have undergone surgery, the incidence of nonobstetric surgery, except incompetent cervix, was 0.43%. The 84.3% of patients underwent appendectomies. General anesthesia was administered to 68.6%, and regional anesthesia was administered to 31.4%. The ultrasonographies for fetal monitoring were performed in 96.1% of patients. Of the patients who received abdominal surgery during the second and third trimester, the incidence of preterm labor was 25.0%. There was no premature delivery. CONCLUSIONS: The incidence of nonobstetric surgery for reasons unrelated to pregnancy was 0.43%. Appendectomy was the most common surgical procedure. I recommend the use of uterine monitoring after abdominal surgery.