Non-obstetric surgery and anesthesia during pregnancy. Five-year single-center retrospective analysis

Mustafa Altınay, Ayşe Surhan Çınar
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Abstract

Background/Aim: Surgical procedures during pregnancy incur great difficulties for both the surgeon and the anesthesiologist. Changing maternal and fetal physiology changes both the pharmacodynamics and pharmacodynamics of the anesthetic drugs administered. In this study, the researcher aimed to determine the risk factors of non-obstetric surgery or anesthesia that cause preterm labor and/or low birth weight. Methods: Our study was planned as a single-center retrospective study and was carried out by scanning the data of 52 pregnant patients between 2015 and 2020. Preterm labor and low birth weight were defined as adverse events. The patients were divided into two groups: those who developed adverse events and those who did not. The effects of age, parity, type of surgery and anesthesia, duration of surgery, gestational age, mode of delivery, and birth weight on mortality have been investigated. Results: Comparing the patient groups with and without adverse events, no statistically significant difference was found between their general characteristics, anesthesia, and surgical characteristics (P>0.05). Conclusion: In the study, the researcher analyzed the surgical and anesthesia factors of non-obstetric surgery. It was concluded that neither surgical nor anesthetic factors independently increased the risk of preterm labor or low birth weight.
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妊娠期间的非产科手术和麻醉。5年单中心回顾性分析
背景/目的:妊娠期的外科手术给外科医生和麻醉师都带来了很大的困难。改变母体和胎儿的生理会改变麻醉药物的药效学和药效学。在这项研究中,研究人员旨在确定非产科手术或麻醉导致早产和/或低出生体重的危险因素。方法:本研究采用单中心回顾性研究,对2015 - 2020年52例妊娠患者的资料进行扫描。早产和低出生体重被定义为不良事件。患者被分为两组:出现不良事件的患者和没有出现不良事件的患者。研究了年龄、胎次、手术和麻醉类型、手术持续时间、胎龄、分娩方式和出生体重对死亡率的影响。结果:有不良事件组与无不良事件组比较,一般特征、麻醉、手术特征差异无统计学意义(P>0.05)。结论:本研究分析了非产科手术的手术及麻醉因素。结论是,手术和麻醉因素都没有单独增加早产或低出生体重的风险。
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