Point-of-care ultrasonography for fetal monitoring during non-obstetrical maternal surgery in the second trimester

摘要

Non-obstetrical abdominal surgery during pregnancy involves a multidisciplinary approach by anesthesiology, surgery, obstetrical, and neonatology clinicians. Approximately one in 500 women will require non-obstetrical abdominal surgery during pregnancy. The most common non-obstetrical surgical emergencies complicating pregnancy are acute appendicitis and cholecystitis, though other conditions have been reported, including ovarian cysts, masses or torsion, as well as adrenal tumours, splenic disorders, and symptomatic hernias. The American College of Obstetrics and Gynecology Committee suggests that it is important for non-obstetric physicians to obtain obstetrical consultation before performing non-obstetrical surgery, and each case warrants a team approach to optimize safety of the mother and fetus.