Abstract
Purpose
To evaluate the effect of non-obstetric invasive procedure during pregnancy on perinatal outcome.
Methods
The present retrospective study investigated perinatal outcome in women that underwent an invasive procedure during one of their pregnancies (n = 61); perinatal outcome was compared to other pregnancies (without an invasive procedure) of the same patients (n = 122).
Results
Women with a non-obstetric invasive procedure during pregnancy delivered earlier than those in the comparison group (38.5 vs. 40.0 weeks; p = 0.01) and had a significantly higher rate of cesarean sections (18 vs. 5 cases; p < 0.01). In addition, birth weight was significantly lower in patients undergoing invasive procedures during pregnancy (2908.65 vs. 3185.84 gr; p = 0.02). The absolute rate of prematurity (<37 weeks) was non-significantly higher in the study group (18.3 vs. 10.0 %; p = 0.28).
Conclusion
Non-obstetric invasive procedures are associated with an increased rate of cesarean sections and lower birth weight. Nevertheless, no significant differences in early perinatal outcome were found in comparison to other pregnancies of the same patients. More studies are needed to evaluate the outcome following specific procedures.
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References
Mazze RI, Källén B (1989) Reproductive outcome after anesthesia and operation during pregnancy: a registry study of 5405 cases. Am J Obstet Gynecol 161:1178
de Bakker JK, Dijksman LM, Donkervoort SC (2011) Safety and outcome of general surgical open and laparoscopic procedures during pregnancy. Surg Endosc 25:1574–1578
Jeong JS, Ryu DH, Yun HY, Jeong EH, Choi JW, Jang LC (2011) Laparoscopic appendectomy is a safe and beneficial procedure in pregnant women. Surg Laparosc Endosc Percutan Tech 21:24–27
Corneille MG, Gallup TM, Bening T, Wolf SE, Brougher C, Myers JG, Dent DL, Medrano G, Xenakis E, Stewart RM (2010) The use of laparoscopic surgery in pregnancy: evaluation of safety and efficacy. Am J Surg 200:363–367
Choi JJ, Mustafa R, Lynn ET, Divino CM (2011) Appendectomy during pregnancy: follow-up of progeny. J Am Coll Surg 213:627–632
Freeland M, King E, Safcsak K, Durham R (2009) Diagnosis of appendicitis in pregnancy. Am J Surg 198:753–758
Tan KH, Chen KC, Wang TL, Chong CF, Chen CC (2010) Ovarian cystic teratoma torsion in pregnancy. Emerg Med J 27:879–880
Hoover K, Jenkins TR (2011) Evaluation and management of adnexal mass in pregnancy. Am J Obstet Gynecol 205:97–102
Hoşcan MB, Ekinci M, Tunçkıran A, Oksay T, Özorak A, Özkardeş H (2012) Management of symptomatic ureteral calculi complicating pregnancy. Urology 80:1011–1014
Haider Z, Condous G, Kirk E, Mukri F, Bourne T (2007) The simple outpatient management of Bartholin’s abscess using the Word catheter: a preliminary study. Aust N Z J Obstet Gynaecol 47:137–140
ACOG Committee Opinion No. 474 (2011) Nonobstetric surgery during pregnancy. Obstet Gynecol 117:420
Cohen-Kerem R, Railton C, Oren D, Lishner M, Koren G (2005) Pregnancy outcome following non-obstetric surgical intervention. Am J Surg 190:467–473
Olsen EA, Brambrink AM (2013) Anesthetic neurotoxicity in the newborn and infant. Curr Opin Anaesthesiol [Epub ahead of print]
Davidson AJ (2011) Anesthesia and neurotoxicity to the developing brain: the clinical relevance. Paediatr Anaesth 21(7):716–721
Biscette S, Yoost J, Hertweck P, Reinstine J (2001) Laparoscopy in pregnancy and the pediatric patient. Obstet Gynecol Clin North Am 38:757–776
Soriano D, Yefet Y, Seidman DS, Goldenberg M, Mashiach S, Oelsner G (1999) Laparoscopy versus laparotomy in the management of adnexal masses during pregnancy. Fertil Steril 71:955
Fatum M, Rojansky N (2001) Laparoscopic surgery during pregnancy. Obstet Gynecol Surv 56:50
Erekson EA, Brousseau EC, Dick-Biascoechea MA, Ciarleglio MM, Lockwood CJ, Pettker CM (2012) Maternal postoperative complications after nonobstetric antenatal surgery. J Matern Fetal Neonatal Med 25:2639–2644
Silvestri MT, Pettker CM, Brousseau EC, Dick MA, Ciarleglio MM, Erekson EA (2011) Morbidity of appendectomy and cholecystectomy in pregnant and nonpregnant women. Obstet Gynecol 118:1261–1270
ACOG Practice Bulletin (2001) Assessment of risk factors for preterm birth. Clinical management guidelines for obstetrician-gynecologists. Number 31, October 2001. Obstet Gynecol 98:709–716
ACOG practice bulletin (2003) Management of preterm labor. Number 43. Int J Gynaecol Obstet 82:127–135
Abbasi N, Patenaude V, Abenhaim HA (2014) Evaluation of obstetrical and fetal outcomes in pregnancies complicated by acute appendicitis. Arch Gynecol Obstet 290(4):661–667
Sheiner E, Levy A, Silverberg D, Menes TS, Levy I, Katz M, Mazor M (2004) Pregnancy after bariatric surgery is not associated with adverse perinatal outcome. Am J Obstet Gynecol 190(5):1335–1340
Willis K, Lieberman N, Sheiner E (2015) Pregnancy and neonatal outcome after bariatric surgery. Best Pract Res Clin Obstet Gynaecol 29(1):133–144
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Schwarzman, P., Baumfeld, Y., Bar-Niv, Z. et al. The effect of non-obstetric invasive procedures during pregnancy on perinatal outcomes. Arch Gynecol Obstet 292, 603–608 (2015). https://doi.org/10.1007/s00404-015-3689-y
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DOI: https://doi.org/10.1007/s00404-015-3689-y