Make appendicitis during pregnancy, can you do an operation?

Related studies have shown that all stages of pregnancy can be due to concurrent gynecological or surgical diseases and surgical treatment. Abdominal surgery during pregnancy is the most common, followed by gynecological and urological surgery. It is estimated that about 1% to 2% of pregnant women are anesthetized during pregnancy because of non delivery surgery. Appendicitis, ovarian torsion and trauma are the most common surgical indications. Occasionally, heart and nervous system surgery is performed during pregnancy. During pregnancy, a series of physiological changes will occur. For example, there will be adaptive changes such as increased blood volume, decreased peripheral resistance and increased oxygen consumption. And psychological changes, may be the most significant changes in most pregnant women. For example, the happiness of becoming a mother. On the other hand, worry about the fetus in the abdomen will also make it difficult to sleep and eat, especially for the pregnant women who are just pregnant and pregnant for the first time. However, pregnant women may need surgery for various reasons. For example, appendicitis just mentioned. Many times, when you have to choose surgery, you need to face it head-on. However, whether the operation anesthesia has an impact on the baby in the abdomen may exceed the concern for oneself. There have also been some touching reports on the Internet: for example, a woman suffered from malignant tumor, but for the sake of her baby, she insisted on treatment after cesarean section for seven months. You can also guess the results of the treatment. < p > < p > research shows that pregnant women’s concerns about surgical anesthesia are mainly about whether the drugs have teratogenesis, abortion and long-term effects. In this regard, we hope that you can understand the following contents: < / P > < p > factors that have adverse effects or side effects on developing fetuses are called teratogens. These teratogens include radiation, chemical materials and drugs. Among these factors, drugs are the most studied and most controllable. For example, some drugs have definite teratogenic effects, which will be indicated in the instructions. < / P > < p > another important problem is that only when these factors reach a certain amount and play an important role in the critical period, can they lead to adverse results. < p > < p > in the case of human, the critical period is organ development on the 15th to 60th day after conception. However, the nervous system continues to develop after birth, so the critical period is longer. < p > < p > within 2 weeks of pregnancy, teratogens may cause fatal effects on embryos. Therefore, it is not recommended to do any surgical anesthesia during this period, except for life-threatening surgery. Over 28 weeks, organogenesis was completed. After that, organs continue to grow. If exposed to teratogens, there will be slight teratogens, which may lead to abnormal development. < / P > < p > it should be noted that the above results are not applicable to all pregnant women. This is because each pregnant woman and her fetus have their own individual differences and living environment is not the same. Therefore, can not be generalized, given the time period, is for most pregnant women. < / P > < p > with regard to the teratogenicity of drugs, there are few in-depth safety tests of general drugs in pregnant women before and after marketing, and most drugs do not have enough relevant information for clinical reference, which is why most drugs only indicate “use with caution in pregnant women and lactation period”. Large sample studies suggest that anesthesia and surgery for pregnant women will not increase the risk of congenital malformations, but will increase the risk of miscarriage and low birth weight infants. It is believed that anesthesia and surgery are related to primary diseases and surgical procedures, but have nothing to do with materials and techniques. Therefore, it is necessary to carry out surgery in the non teratogenic sensitive period of pregnancy. < / P > < p > take appendicitis as an example, local anesthesia with only a small amount of local anesthetic is preferred; intraspinal anesthesia with a small amount of local anesthesia can realize regional anesthesia of the body is also a good choice. If you have to choose general anesthesia, don’t worry too much. Opioids, intravenous and local anesthetics have been widely and safely used in clinical anesthesia of pregnant women for a long time. It is generally believed that intravenous, volatile inhalation, morphine analgesics and muscle relaxants have no teratogenic effect within the range of clinical conventional dosage. Of course, limited by the existing medical research, no matter how good the treatment or drug, there may be side effects. Therefore, the best policy is to prevent disease and keep healthy. 08/16/2020