OBSTETRIC PATIENT POSTED FOR NON OBSTETRIC tushar.docx
- 1. NON OBSTETRIC SURGERY POSTED FOR OBSTETRIC PATIENT
- 2. 0.75-2% pregnant women undergo surgeries Most common indication acute abdominal infection Appendicitis(1:2000) Cholecystitis (8:10000)
- 3. Directly related to pregnancy - e.g. Cervical encirclage Indirectly related to pregnancy - e.g. Ovarian Cystectomy Not related to pregnancy - e.g.Appendicectomy (m.c )
- 4. Anaesthesiologist who care for pregnant patient undergoing non-obstetric surgery must provide safe anaesthesia for both mother & foetus. To maintain maternal safety the physiological &anatomical changes of pregnancy must be considered,anaesthetic technique & drug administration modified accordingly.
- 5. Foetal wellbeing is related to avoidance of foetal asphyxia& teratogenic drugs & preterm labour. Optimization & maintenance of normal maternal physiological function. Optimization & maintenance of uteroplacental blood flow & 02delivery. Avoidance of unwanted drug effects on the foetus.
- 6. Avoidance of stimulating myometrium. Avoidance of awareness during GA. Using regional anaesthesia, if possible. To prevent hypotension, hypovolemia, hypoxia and hypothermia
- 7. Safe anesthesia in pregnancy Understanding the altered pharmacology Proper counselling of the parturient and family Understanding maternal and fetal physiology
- 12. Teratogenicity is defined as the ability of a drug to cause fetal abnormalities or deformities. During the period of organogenesis the embryo is most vulnerable to teratogenic effects .
- 16. TOCOLYTIC DRUGS , MATERNAL &FETAL SIDE EFFECTS
- 17. UTEROPLACENTAL PERFUSION &FETAL OXYGENATION Most serious risk during non obstetric surgery is intrauterine asphyxia. Fetal oxygenation depends on maternal oxygen delivery and uteroplacental perfusion
- 28. A糸厩温稼岳温乙艶壊