Anesthesia for Cerclage or Nonobstetric Surgery

Abstract

Anesthetic management of pregnant women can be challenging, with multiple factors affecting the decision-making process, especially when considering nonobstetric surgery. The well-being of the mother and the fetus are a priority; therefore, clear communication between the multidisciplinary team is crucial. Guidelines have been recommended by both the American College of Obstetricians and Gynecologists and American Society of Anesthesiologists for management in both elective and emergent scenarios. A thorough preoperative assessment is needed and can help mitigate the risks associated with anesthesia for both the mother and baby. Intraoperative management must consider the physiological changes, fetal gestational age, as well as concomitant surgical risks that occur with pregnancy. The recovery period postoperatively focuses on multimodal management as well as avoiding possible complications of surgery. With a comprehensive perioperative plan, the gestation can return to its natural course.