Cocoa Pods
Podcast - Cocoa Pods Series: A feature of the BCFND Foundation Maternal Mortality Reduction Academy
We discuss all issues relating to maternal mortal…
Apr 22nd, 2021 |
21:52
Needing Surgery In .....Pregnancy?!
What conditions make a woman #needsurgeryinpregnancy
How does the surgery and all that goes with it -#anesthesia, #positioningforsurgeyofapregnant woman and blood loss affect the pregnant mother or the unborn baby
#Roboticsurgeon #DrPatrickNar-Marty dissects into these issues
Timestamps
(00:55) Introduction of Dr. Patrick Nar-Marty
(01:55) Breast cancer in pregnancy
(06:07) Assisting minority women
(07:35) Changes of the breasts that might indicate cancer
(08:35) Timing of a diagnosis during pregnancy
(12:40) Next steps in surgical management after cancer diagnosis
(16:43) cosmetic side of mastectomies
(19:30) diagnosis of gallbladder disease
(23:07) Risks of not treating gallbladder stones or gallbladder disease
(25:00) Appendicitis
(28:25) Renal and kidney disease during pregnancy
(30:25) Hemorrhoids during pregnancy
(33:00) Treatment for hemorrhoids
(38:05) Scar revision
No currently used #anestheticagents have been shown to have any #birthdefects effects in humans when using standard concentrations at any age of pregnancy, and no known effect on fetal brain
A pregnant woman should never be #deniedmedicallynecessarysurgey or have that surgery delayed regardless of her #stage of pregnancy
Elective that is planned, #non-emergencysurgery should however be postponed until after delivery.
There is a chance of #pretermdelivery with surgery in pregnancy so #steroids should be given to help the baby’s lungs mature
The pregnant mother should be monitored for #pretermlabor after surgery
We monitor the baby’s heart rate to help in #positioningthepregnantmotherforsurgey in pregnancy and in managing her heart rate and respiration during surgery, and in deciding when to #deliverthebaby.
The women should take care not to form #clotsintheirlegs
The surgery should be done at a hospital with #neonatalservices.
An obgyn who can #interpretfetalheartrate patterns and perform #cesareansection should be readily available.
When possible, the woman has provided #informedconsent for an #emergencycesarean delivery if necessary
Finally every situation needs a #teamapproach with anesthesia and obgyn doctors and surgeons, #NICUspecialists and nurses, for the best safety of the mother and baby