Postoperative Care Issues

© Springer International Publishing AG 2018
Peter Bogach Greenspan (ed.)The Diagnosis and Management of the Acute Abdomen in Pregnancy

13. Postoperative Care Issues

Peter Bogach Greenspan1, 2  

Department of Obstetrics and Gynecology, University of Missouri – Kansas City School of Medicine, Kansas City, MO, USA

Obstetrical and Gynecological Services, Truman Medical Center Lakewood, Kansas City, MO, USA



Peter Bogach Greenspan

Fetal monitoringPostoperative careElectrolytesIncentive spirometryParenteral nutrition

Monitoring the Fetus and Timing of Delivery

Monitoring the fetus of a gravida who is undergoing surgery is addressed in the ACOG Committee Opinion No. 696 on Nonobstetrical Surgery during Pregnancy [1]. The status of the fetus is important in the postanesthesia care unit as well. Depending on the fetal gestational age, the monitoring may only entail intermittent fetal heart tone documentation or the fetus may require continuous electronic monitoring, especially in the later stages of pregnancy.

Pre-viable fetuses generally tolerate anesthetics and surgery very well; however, if the fetal heart tones indicate fetal compromise, little can be done to manage that other than correction of respiratory and metabolic problems in the gravida.

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Mar 26, 2018 | Posted by in ABDOMINAL MEDICINE | Comments Off on Postoperative Care Issues

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