Nonobstetric Surgery During Pregnancy

Approximately 2% of women undergo nonobstetric surgical procedures in the United States during their pregnancy.[1] While appendectomy and cholecystectomy are the most frequently performed nonobstetric procedures, pregnant women may also require other major or minor surgery. Because nonobstetric surgeons may not be familiar with the physiologic or structural changes that occur during pregnancy or the need for fetal monitoring, OB/GYN hospitalists are optimally positioned to assist their colleagues by providing this expertise and ensuring the safety of both the mother and fetus. OB/GYN hospitalists can also recommend antepartum corticosteroids to appropriate patients at risk for preterm delivery as a result of the surgery and provide obstetric availability should an emergent cesarean delivery be indicated during or immediately following surgery. OB/GYN hospitalists may also be called upon to counsel these women regarding the preferred timing for nonemergent surgical interventions, thereby reducing the risks of spontaneous abortion during the first and early second trimesters and preterm labor in the third trimester.

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Last updated: August 30, 2021