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Non-Obstetric Surgery During Pregnancy


Authors: Leslie Conroy MD, Holly Ende MD

Institution: Vanderbilt University Medical Center

This PBLD was peer-reviewed by a panel of experts from the Society of Obstetric Anesthesia and Perinatology (SOAP) and has been endorsed by the SOAP Education Committee.

Learners should identify a faculty mentor and walk through the case together, after perusing the pre-course work. Tweet your comments and questions using the buttons provided in each question, and experts will weigh in.

Required pre-work: Reading list

  1. Van de Velde, Marc. “Non-obstetric Surgery During Pregnancy.” Chestnut’s Obstetric Anesthesia: Principles and Practice. Ed. David H. Chestnut, Cynthia A. Wong, Lawrence C. Tsen, Warwick D. Ngan Kee, Yaakov Beilin, and Jill M. Mhyre. 5th ed. PA: Philadelphia, 2014. 358-79.
  2. Non-obstetric surgery during pregnancy. Committee Opinion No. 474. American College of Obstetricians and Gynecologists. Obstet Gynecol 2011;117:420-1.
  3. Mhuireachtaigh RN, O’Gorman DA: Anesthesia in pregnant patients for Non-obstetric surgery. Joun of Clin Anes 2006;18:60-66.

Learning Objectives

At the conclusion of this session, the fellow will be able to:

  1. Discuss appropriate timing of surgical procedures during pregnancy
  2. Discuss ASA and ACOG recommendations for fetal monitoring in the perioperative period
  3. Describe the teratogenic risks associated with anesthetic medications
  4. Describe considerations for performing a general anesthetic in a pregnant patient

Instructions for Faculty Mentor

Before proceeding with the case, perform an assessment of your fellow’s prior review of the teaching materials and current understanding of the topic. Review key points of learning, clarify any questions, and identify areas for further investigation by the fellow.

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