Article: Non-obstetric surgery during gestation: risk factors for lower birthweight.
The Australian & New Zealand journal of obstetrics & gynaecology
2003 Volume 43, Issue 1, Page(s) 27–31
Abstract: Objective: To assess the risk for preterm birth and low birthweight for women undergoing non-obstetric surgery during gestation.: Design: Two perinatal tertiary care centres.: Population: Women undergoing non-obstetric surgery during gestation ... ...
| Abstract | Objective: To assess the risk for preterm birth and low birthweight for women undergoing non-obstetric surgery during gestation. Design: Two perinatal tertiary care centres. Population: Women undergoing non-obstetric surgery during gestation between January 1989 and June 1999. Materials and methods: A chart review was carried out. Cervical cerclages, procedures carried out under local anaesthesia or intravenous sedation, or carried out in combination with Caesarean delivery were excluded. Main outcome measures: Preterm birth (<37 weeks), birthweight. Results: A total of 116 of 69 800 women (0.2%) underwent non-obstetric surgery, with 96 women delivering under our care. Procedures were more commonly carried out in the second trimester (53%), versus the first (23%) or third trimester (24%). Surgery in the second trimester resulted in the lowest rate of preterm birth (11%). The overall preterm birth rate was 21% (20/96), with 13 out of 20 (65%) occurring between 35 and 37 weeks. The mean interval from surgery to delivery was 18.7 weeks. Rates of preterm birth were similar for either intra- versus extra-abdominal procedures, or general versus regional anaesthetic. Use of a general anaesthetic was associated with a significant decrease in birthweight (3053 vs 3515 g, P = 0.01) despite similar gestational ages at delivery (37.6 vs 38.6 weeks, P = 0.08). Multiple linear regression controlled for gestational age showed that general anaesthesia, longer surgery duration, and intra-abdominal procedures were all significant independent risk factors for lower birthweight. Conclusion: While non-obstetric surgery appears to be relatively safe during gestation, general anaesthesia, longer surgery time, and intra-abdominal procedures are associated with lower birthweights. |
|||||
|---|---|---|---|---|---|---|
| MeSH term(s) | Anesthesia, General ; Birth Weight ; Female ; Humans ; Linear Models ; Obstetric Labor, Premature/epidemiology ; Pregnancy ; Pregnancy Trimester, Second ; Retrospective Studies ; Risk Factors ; Surgical Procedures, Operative ; Time Factors | |||||
| Language | English | |||||
| Publishing date | 2003-05-01 | |||||
| Publishing country | Australia | |||||
| Document type | Journal Article ; Multicenter Study | |||||
| ZDB-ID | 390815-x | |||||
| ISSN | 1479-828X ; 0004-8666 | |||||
| ISSN (online) | 1479-828X | |||||
| ISSN | 0004-8666 | |||||
| DOI | 10.1046/j.0004-8666.2003.00001.x | |||||
| Shelf mark |
|
|||||
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
Full text online
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
| Zs.A 424: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG) |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.