ACOG releases updated Committee Opinion on nonobstetrical surgery during pregnancy

  • Obstet Gynecol
  • 1 Apr 2019

  • International Clinical Digest
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Takeaway
  • The American College of Obstetricians and Gynecologists (ACOG) in conjunction with the American Society of Anesthesiologists updates the ACOG Committee Opinion on nonobstetric surgery during pregnancy.
Why this matters
  • ACOG is the primary professional organization for obstetricians and gynecologists that guides practice.
Updates to prior Committee Opinion
  • No data suggest that intrauterine exposure to
  • A pregnant woman should never be denied medically necessary surgery regardless of pregnancy stage.
  • Corticosteroid administration should be considered because of the potential of preterm delivery with nonobstetrical procedures during pregnancy.
  • Prophylaxis against thromboembolism should be administered.
  • Consideration of informed consent for emergency cesarean delivery prior to surgical procedure if fetus unstable during procedure.
Study design
  • Systematic review and expert commentary from ACOG and the American Society of Anesthesiologists.
  • This Committee Opinion replaces Committee Opinion 696 from April 2017.
  • Funding: None disclosed.
Limitations
  • Based on current scientific evidence, recommendations may change with future studies.

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