Narrative review highlights perioperative management and physiological changes in pregnant cancer patients, suggesting a multidisciplinary approach for better outcomes.
Managing pregnant patients undergoing oncological surgery is a unique challenge for the anesthesiologist, which requires a patient-centered and multidisciplinary approach to safeguard maternal and fetal health. This clinical scenario’s rarity and limited evidence make perioperative care more arduous. Understanding the critical phases of fetal development and the physiological changes of pregnancy is essential in guiding the choice of suitable diagnostic and therapeutic interventions, including surgery, chemotherapy, and radiotherapy. Therefore, the involvement of oncological and nononcological specialists is crucial for the best outcomes. Navigating ethical and psychosocial concerns completes the framework of patient-centered care. This review synthesizes current evidence on perioperative considerations in pregnant cancer patients, physiological changes in pregnancy, and best practices in managing these high-risk cases. Emphasis is placed on tailoring anesthetic, surgical, and perioperative care to minimize complications.
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Mahendru et al. (2025) studied this question.
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