Fetal monitoring during nonobstetric surgery: revisiting guidelines: a case report.
J Reprod Med
; 60(3-4): 169-71, 2015.
Article
en En
| MEDLINE
| ID: mdl-25898482
BACKGROUND: Nonobstetric surgery during pregnancy is not an infrequent occurrence. Guidelines for fetal monitoring during nonobstetric surgery are limited. We describe a case of appendectomy during third trimester, complicated by in utero fetal demise (IUFD). CASE: A 30-year-old, Caucasian woman underwent open appendectomy for suspected acute appendicitis. The procedure was complicated by IUFD. Fetal monitoring was done prior to but not during surgery. Guidelines for fetal monitoring were revised, recommending continuous electronic fetal monitoring when possible during third trimester nonobstetric surgery after appropriate patient counseling. A subsequent series of 5 uncomplicated appendectomies demonstrated no difficulty in implementing these guidelines. CONCLUSION: Continuous electronic fetal monitoring during third trimester nonobstetric surgery should be available and implemented after appropriate patient counseling. This approach reduces the risk of fetal mortality.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Apendicectomía
/
Complicaciones del Embarazo
/
Muerte Fetal
/
Monitoreo Fetal
Tipo de estudio:
Guideline
Límite:
Adult
/
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
J Reprod Med
Año:
2015
Tipo del documento:
Article
Pais de publicación:
Estados Unidos