The Prevalence of Non-Obstetric Surgical Procedures in PregnantWomen at Ba'ath Hospital in Hamadan and Their PregnancyOutcomes

Document Type : Original Article

Authors

Assistant Professor of General Surgery, Tabriz University of Medical Sciences, Imam Reza Hospital, Tabriz, Iran

Abstract
Background and Objective: The prevalence of non-obstetric surgeries in pregnant women remains
unclear, and there is a lack of information regarding the consequences and complications of such
procedures. This lack of clarity may lead some surgeons to perform non-obstetric surgeries on pregnant
women, potentially resulting in complications for both the mother and fetus. Therefore, this study aimed to
investigate the prevalence of non-obstetric surgeries in pregnant women and their related complications on
pregnancy outcomes at Ba'ath Hospital in Hamadan between 2012 and 2016.
Materials & Methods: This cross-sectional descriptive study involved 45 pregnant women who
underwent non-obstetric surgeries at Ba'ath Hospital of Hamedan University of Medical Sciences during the
specified period. Data regarding the type of surgery, surgical outcomes for both mother and baby, and
surgical 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 mean
gestational age of 19.20 ± 8.97 weeks participated. The most common causes of surgery were trauma and
limb fractures (ranked first) and appendicitis (ranked second). Among the surgeries performed, only one was
laparoscopic, and all were emergency procedures. The most common complications among the 45 women
who underwent non-obstetric surgeries were a change in delivery method (from vaginal to cesarean) and
miscarriage. A total of 7 cases of miscarriage were observed, with some occurring following trauma
surgeries, burn surgeries, and cerebral hemorrhage. Additionally, one case of preterm delivery at 37 weeks
by 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 common
causes 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 a
change in the delivery method from vaginal to cesarean and miscarriage. Miscarriages were observed in
some cases following surgeries related to trauma, burns, and cerebral hemorrhage.

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