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Published on: January 17, 2019
Maternal postoperative complications after nonobstetric antenatal surgery
Elisabeth A Erekson1, E Christine Brousseau, Madeline A Dick-Biascoechea
1Yale University School of Medicine, Department of Obstetrics, Gynecology, & Reproductive Sciences, New Haven, CT 06520–8063, USA. elisabeth.erekson@yale.edu
Summary
Major maternal complications after nonobstetric antenatal surgery are low, occurring in 5.8% of cases. Maternal mortality following these procedures is rare, affecting 0.25% of patients.
Area of Science:
- Obstetrics and Gynecology
- Surgical Quality Improvement
- Maternal Health
Background:
- Nonobstetric surgery during pregnancy presents unique challenges for maternal and fetal outcomes.
- Understanding the risks of postoperative complications is crucial for informed clinical decision-making.
Purpose of the Study:
- To estimate the incidence of major maternal 30-day postoperative complications following nonobstetric antenatal surgery.
- To identify the types and prevalence of these complications.
Main Methods:
- Analysis of 2005-2009 data from the American College of Surgeons National Surgical Quality Improvement Program.
- Inclusion of pregnant women undergoing nonobstetric antenatal surgery.
- Statistical analysis including logistic regression to determine complication rates and predictors.
Main Results:
- Appendectomy was the most frequent procedure (44.0%) among 1969 women.
- The overall rate of major 30-day postoperative complications was 5.8%.
- Specific complication rates included: return to OR (3.6%), infectious morbidity (2.0%), respiratory morbidity (2.0%), and maternal mortality (0.25%).
Conclusions:
- Major maternal postoperative complications after nonobstetric antenatal surgery are infrequent.
- The rate of maternal mortality in this cohort is notably low.
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