Why the study?
Nonobstetric surgery during pregnancy is an important clinical concern, but large-scale randomized clinical trials are difficult to conduct in this population, leaving no data for specific recommendations.
Should an obstetric consultation be obtained before performing nonobstetric surgery or invasive procedures in pregnant women?
Should an obstetric consultation be obtained before performing nonobstetric surgery or invasive procedures in pregnant women?
Physicians should obtain an obstetric consultation before performing nonobstetric surgery or invasive procedures like cardiac catheterization during pregnancy.
Obtain obstetric consultation before nonobstetric surgery in pregnancy; leaves open need for large RCTs to refine guidance.
The American College of Obstetricians and Gynecologists' Committee on Obstetric Practice acknowledges that the issue of nonobstetric surgery during pregnancy is an important concern for physicians who care for women. Because of the difficulty of conducting large-scale randomized clinical trials in this population, there are no data to allow for specific recommendations. It is important for a physician to obtain an obstetric consultation before performing nonobstetric surgery and some invasive procedures (eg, cardiac catheterization or colonoscopy) because obstetricians are uniquely qualified to discuss aspects of maternal physiology and anatomy that may affect intraoperative maternal-fetal well-being.
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A 2019 study conducted a review in Nonobstetric surgery during pregnancy. Obstetric consultation was evaluated. Obstetric consultation is recommended before performing nonobstetric surgery during pregnancy due to a lack of data from large-scale randomized trials to guide specific recommendations.
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