gynecology and obstetrics
Disorders Requiring Surgery During Pregnancy
Introduction
Certain disorders treated with surgery are difficult to diagnose during pregnancy. A high level of suspicion is required; assuming that all abdominal symptoms are pregnancy-related is an error. Major surgery, particularly intra-abdominal, increases risk of preterm labor and fetal death. However, surgery is tolerated well by pregnant women and the fetus when appropriate supportive care and anesthesia (maintaining BP and oxygenation at normal levels) are provided, so physicians should not be reluctant to operate; delaying treatment of a surgical emergency is far more dangerous. Surgery is tolerated well by pregnant women and the fetus when appropriate supportive care and anesthesia are provided; delaying treatment of a surgical emergency is far more dangerous than operating. 