The Prevalence of Non-Obstetric Surgical Procedures in PregnantWomen at Ba'ath Hospital in Hamadan and Their PregnancyOutcomes
نویسندگان
1 Assistant Professor of General Surgery, Tabriz University of Medical Sciences, Imam Reza Hospital, Tabriz, Iran
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چکیده
Background and Objective: The prevalence of non-obstetric surgeries in pregnant women remainsunclear, and there is a lack of information regarding the consequences and complications of suchprocedures. This lack of clarity may lead some surgeons to perform non-obstetric surgeries on pregnantwomen, potentially resulting in complications for both the mother and fetus. Therefore, this study aimed toinvestigate the prevalence of non-obstetric surgeries in pregnant women and their related complications onpregnancy outcomes at Ba'ath Hospital in Hamadan between 2012 and 2016.Materials & Methods: This cross-sectional descriptive study involved 45 pregnant women whounderwent non-obstetric surgeries at Ba'ath Hospital of Hamedan University of Medical Sciences during thespecified period. Data regarding the type of surgery, surgical outcomes for both mother and baby, andsurgical complications were recorded for each participant.Results: In this study, 45 pregnant women with a mean age of 28.13 ± 6.77 years and a meangestational age of 19.20 ± 8.97 weeks participated. The most common causes of surgery were trauma andlimb fractures (ranked first) and appendicitis (ranked second). Among the surgeries performed, only one waslaparoscopic, and all were emergency procedures. The most common complications among the 45 womenwho underwent non-obstetric surgeries were a change in delivery method (from vaginal to cesarean) andmiscarriage. A total of 7 cases of miscarriage were observed, with some occurring following traumasurgeries, burn surgeries, and cerebral hemorrhage. Additionally, one case of preterm delivery at 37 weeksby cesarean section occurred following orthopedic surgery after a limb trauma.Conclusion: The results of this study indicated that trauma and limb fractures were the most commoncauses of non-obstetric surgeries in pregnant women. The majority of surgeries were emergency procedures,with only one performed laparoscopically. The most significant complications following surgery included achange in the delivery method from vaginal to cesarean and miscarriage. Miscarriages were observed insome cases following surgeries related to trauma, burns, and cerebral hemorrhage.