Abstract
Up to 2% of pregnant women undergo surgery for non-obstetric conditions each year. The most common indications are acute appendicitis, cholecystitis, trauma, and surgery for maternal malignancies. The main risks of surgery during pregnancy are fetal loss, premature labour, and delivery, which can result from both the disease process itself and the intervention. Intra-abdominal procedures for inflammation immediately adjacent to the uterus are more likely to result in uterine irritability, and the risk of preterm labour or abortion is significantly higher. The anaesthetist must provide safe anaesthesia to the mother while minimizing the risks to the developing fetus.
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